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I recently crossed from prediabetic to diabetic which I was controlling by diet. I then had a distal pancreatectomy losing about a third of my pancreas. Postoperatively the hospital put me on Lantus 10 units but the surgeon says that it still might be possible to control by diet or I might find metformin more convenient to lantus injections (DVLA requires that drivers test blood sugar before and during driving). I said I would like to have a go at controlling by diet again. I am not taking anything and am having some success by reducing carbs but as I came off the insulin I notice that my morning blood sugar levels have risen from 7 to between 8 and 9 mmol/l. Evening levels seem unchanged, though still diabetic about 7 pre dinner and about 8 to 9 two hours after.
As I am improving my understanding of my response to food and reducing BMI (aiming for 24 but currently about 25 compared with 26 for most of the last ten years). I think I might manage to get off insulin injections except for the high levels in the morning. I suspect that switching to metformin will not prevent the morning rise - I would worry about taking metformin at night. Has anybody got an insight into what is generally called the Dawn Phenomenon?
As I am improving my understanding of my response to food and reducing BMI (aiming for 24 but currently about 25 compared with 26 for most of the last ten years). I think I might manage to get off insulin injections except for the high levels in the morning. I suspect that switching to metformin will not prevent the morning rise - I would worry about taking metformin at night. Has anybody got an insight into what is generally called the Dawn Phenomenon?