do ALL diabetics get dawn phenomenon?

[jrose444]

i was wondering because i get it really bad? i go to sleep in range & wake up 350!

 

[EllieM]

Hi @jrose444 and welcome to the forums.

We are all different so I very much doubt "all" but I certainly do/did. Mine is reduced immensely since getting an insulin pump which increases my dose before I wake.

Can I ask what sort of insulin regime you are on? Do you have a cgm so you can see how it rises overnight? (There might be things you can do such as increasing your night time basal, if any? ).

350mg/dL translates to 19.5mmol/L so I would hope that your diabetic team have made some suggestions as to how you can reduce this?

Once more, welcome

 

[Juicyj]

Hi @jrose444

No not all t1d's get it and it can come and go, i've had it in the past but don't get it now so we are all different, I second Ellie's advice about speaking to your Diabetes team to get advice, if you have a pump you can adjust your basal profile to combat DP, also I have found when i've had it that if I eat something low carb as soon as I am up and about and take a correction that I can stop the spike. I also avoid carbs in the morning too as more insulin resistant then so can fight a high reading till lunchtime otherwise.

 

[filly]

I am a type 2 and I do. My brother who is a type 2 doesn't....
When I was on the semiglutide trial It completely disappeared

 

[KennyA]

T2, and I get it in spades.

Also non-diabetic peple get it as well - we have a number of non-diabetics in our local low-carb group, many of who have tried a CGM and been surprised to see quite big changes in BG while asleep.

 

[Melgar]

I agree with @KennyA, your circadian rhythm system gears up your system for daytime activity. It is the same for diabetics and non diabetics. Mine has varied from 5.8 mmol/Ls to as high as 9 mmol/ls. This morning at 5am I was at 6.

 

[CheeseSeaker]

I think we are all different - some get it and some don't.

I definitely do (and have had all my life - I think) - did lots of work with my Basal rates when pumping without a loop.

My loop now handles it automatically so I don't know its there now though.

 

[Richard F]

I have done but less so now, insulin pump & being retired helps, I was working in a pressured environment.

I am often a bit insulin resistant in the mornings, my routine is bolus then wait for BG to dip before eating. Sometimes its an hour so difficult when on a schedule.

 

[searley]

i was wondering because i get it really bad? i go to sleep in range & wake up 350!

I think we all get a rise in the morning, it's the body preparing to wake up and for the day ahead

I think it's more a case of how much each individual rises and how the body deals with it

A non diabetic body would get the extra release of glucose but the body would instantly break it down into the needed energy so you not really notice a rise


I notice any rise I get is also dependant and how well I eat the day before

 

[Top_Barman]

I don't normally get dawn phenomenon.
The way my Basal insulin is set up, I tend to drop overnight slightly.
This means I can have a biscuit supper most nights before bed, and still be well in range when I get up in the morning.
We're all different, or all weird in our own individual way, diabetic and non-diabetic alike.

 

[jrose444]

Hi @jrose444 and welcome to the forums.

We are all different so I very much doubt "all" but I certainly do/did. Mine is reduced immensely since getting an insulin pump which increases my dose before I wake.

Can I ask what sort of insulin regime you are on? Do you have a cgm so you can see how it rises overnight? (There might be things you can do such as increasing your night time basal, if any? ).

350mg/dL translates to 19.5mmol/L so I would hope that your diabetic team have made some suggestions as to how you can reduce this?

Once more, welcome

i have a cgm & im getting omnipod training next week

 

[jrose444]

I have done but less so now, insulin pump & being retired helps, I was working in a pressured environment.

I am often a bit insulin resistant in the mornings, my routine is bolus then wait for BG to dip before eating. Sometimes its an hour so difficult when on a schedule.

me too! i usually insulate (thats what i call it lol) & then wait to have breakfast