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Blood sugars

woody52

Member
Messages
13
Type of diabetes
Type 1
Treatment type
Insulin
Hello
I am wondering if anyone can explain why my blood sugars are quite high in the morning but in the evening they are pretty low am I doing anything wrong
 
In the early morning, while you're asleep, your liver helpfully makes some glucose for you to use when you wake up, as you haven't eaten for hours. This is often called Dawn Phenomenon or DP.

The amount of DP varies from person to person and can be quite annoying but it is perfectly normal. Some people find eating a snack first thing convinces the liver that there's food around and it can stop making more glucose but that doesn't work for everyone.
 
I will try having some toast in the morning before work and try that
Thank you
 
Hello
I am wondering if anyone can explain why my blood sugars are quite high in the morning but in the evening they are pretty low am I doing anything wrong
Hi there @woody52 . First thing in the morning many people get what is called 'dawn phenomenon' as @debs248 states. The body has an internal clock system called the 'circadian rhythm' cycle which triggers the releases of hormones, usually around 3am. The hormones include cortisol and growth hormones. This releases causes the release of glucose. It's your body's way of gearing up the system for physical movement. It's perfectly natural. Both diabetics and non diabetics get it. The difference is diabetics can be poor at controlling this upswing in blood sugars .

The second point and maybe more applicable is the cycle of insulin resistance. That means your body is not as sensitive to insulin as it should be. Insulin resistance can rise in everyone, early morning. In T2, however, insulin resistance is far more pronounced. My body becomes more insulin resistant in the evening, as I notice my blood sugars are higher in the evening than they are in the morning. Some people have the complete reverse, their blood sugars are lower in the evening than in the morning. We are all different in that respect. Insulin resistance is not static it varies throughout the day.

Edited to add last sentence.
 
@woody52 I would just like to point out that using Toast to stop Dawn Phenomenon isn't a good idea - too many carbs!
use meat, fish, cheese, egg or even plain, full fat Greek style yogurt with a few nuts or berries instead.
My fellow moderator @KennyA says that as little as 3 almonds can do the trick for him. Personally, I don't bother now, but back when I did eat before lunch, I found that 2 boiled eggs or about 50gms of cheese not only stopped the DP progressing, but often pushed my BG a little lower.
 
I will be trying different things and see what works the best
Thank you for all the advice really appreciated
 
Hello
I am wondering if anyone can explain why my blood sugars are quite high in the morning but in the evening they are pretty low am I doing anything wrong
I see you're a T1 on insulin.

Many people need more insulin for the same amount of carbs earlier in the day than in the evening, and some need a little extra for dawn phenomenon or foot on the floor effect as well.

Depending on which basal you use, it can also be that it's running out if you take your basal in the morning.

How do you calculate your insulin doses?
 
I just take what the diabetes nurse has advised at the moment it is 8 twice a day and then have a review in 3 weeks time to see how it is going then they will adjust to what is needed
 
As a type 1 I would need insulin for DP rather than food.
It sounds like you are a way off from carb counting and correction doses. When you have the tools for those, you will be able to treat DP.
 
I just take what the diabetes nurse has advised at the moment it is 8 twice a day and then have a review in 3 weeks time to see how it is going then they will adjust to what is needed
Ah, I've had a look around your older posts and if I'm correct you're on Abasaglar long acting insulin only.

Most T1's use two types of insulin so they can adjust the doses for their meals. With you being on long acting only, it looks like you're (treated as) a T2 on insulin.

So please ignore everything I've said in my previous post, it's only applicable if you use two types of insulin.

What type of numbers do you see in the morning? And is this before or after breakfast?

With your review coming up, I'd keep a log of your fingerprick tests alongside the foods you've eaten. This may give you some very valuable insights, and enable the nurse to get a good picture when you see her in three weeks.
 
In the morning is it about 15 before breakfast I have a app what takes all the readings will be easier for nurse to see the amount of sugar etc
In the evening before my meal it was at 5 I did not feel too good when it is at that level probably never had it so low before went back up to 8 after my meal
I so miss eating biscuits and chocolate
 
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