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Help with test readings

jools666

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People that state the obvious, like your overweight....
Can anyone explain to me why it is that my level is higher in the morning than just before i go to bed, when i havent eaten anything, and also why does the level increase after i have been for a walk yet still havent eaten anything?

I have been diagonised for 5 yrs and test on a regualar basis, i am on insulin humalog mix 25, i couldnt take Metformin it made me really sick, but i just never gotten my head around why levels vary so much even when you havent eaten anything. I dont see the diabetic nurse more than once a year at most as shes only at our surgery once in a blue moon and they will only give you an appointment once they write and tell you to come in. HELP please ... :roll:
 
Thank you Claire i just read your link and it is very useful and i am sure i have this as it all fits
 
jools666 said:
and also why does the level increase after i have been for a walk yet still havent eaten anything?
The same liver dump can occur after exercise if your sugars go too low.
 
Jools666, I have read the reasons for this many times, but it is hard to remember all the science involved. Basically, there are places in your body -- especially your liver -- that store blood glucose in the form a glycogen (a starch). Your liver takes in and releases blood sugar every day. As the morning approaches, the liver of a normal person will release sugar into his or her blood to help the person wake up and prepare for the activities of the day. However, insulin will also be released to counteract this "liver dump", as it's called, and the blood sugar of a normal person will remain more or less normal. (Why the body acts in this seemingly illogical way, I can't remember.) In a diabetic, the insulin response is impaired, so your blood sugar will simply keep rising. To stop the rise, you have to eat something or take an insulin injection (or perhaps take a dose of some medication designed to lower your blood sugar). If you eat something that has a significant amount of carbohydrates in it, your blood sugar will rise before it drops. Your blood sugar will eventually drop because eating caused a release of insulin. You see, part of the diabetes disease isn't just that our pancreases have less insulin to release, but that the monitoring system seems to be messed up. Thus, the reason your body doesn't respond to the dawn phenomenon (i.e., rising BS numbers in the morning) may have more to do with the impairment of your body's ability to monitor your blood sugar than with the actual availability of insulin in your pancreas.

I don't know whether eating something that is only protein and fat will stop the dawn phenomenon, but it should be easy enough to find out. Tomorrow when I wake, my BS will probably be in the range of 135 to 140 (lately it has been high). I will try eating some cold cuts and then test my blood an hour later. You can do that too, of course. Eating only protein may not cause an adequate release of insulin to stop the dawn phenomenon, but I don't know that for sure.

I haven't read up on the dawn phenomenon in a while, and it's possible that there are some inaccuracies in what I said, but I don't think so.

One other thing: If you ever test your blood and find your glucose inexplicably high, that may be because your liver dumped sugar into your blood. The only way to minimize liver dumps is to eat a reduced-carbohydrate diet so that your liver doesn't store up a lot of glycogen to begin with.
 
Thank you all so very much, I have learnt more in the last day than in the whole of the 5 years i have be diagonised! I have read leaflets and articals but on the whole the baffle me and are very complicated. It is so much easier to understand when someone who has been there... explains.

I think you are right as i have noticed that if i have any pasta or such like for dinner in the evening my sugars are always much higher in the morning even if they have been good prior to bed.

Thanks again
 
I used to have very high spikes in the evenings whaever I ate . in fact the less I ate the higher the spike. I was given Januvia to correc his - and it did but my early morning readings {fasting} were stilll quite high.

I now ry to avoid starchy carbs altogether in my evening meal. This has resulted in levels in the low fours which gives me a good sar o the day. I can tolerate more carbs at lunchime when I can eercise afterwards. Much depends on your lifestyle. Takes a while o work ou. Its a question of juggling food , medicaion and exercise. Not easy.
 
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