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<blockquote data-quote="ianf0ster" data-source="post: 2082569" data-attributes="member: 506169"><p>Hi Paxydolphin,</p><p>You don't mention what his other meals were during the day, <strong>but it is possible that he might have gone a little too low carb considering his medication.</strong></p><p></p><p>As <strong>[USER=401801]@JoKalsbeek[/USER] </strong> said"... Your dad could try cutting out bread (or anything made with grain, really), corn, cereals, fruit (save for berries in moderation), potatoes, rice.... <strong>But with the gliclazide that <em>will</em> make him go hypo, and you want to avoid that</strong>."</p><p></p><p>What happens if he goes hypo is that the liver will 'think' he is in danger of death and so will dump stored glucose into the bloodstream. If this happen overnight there will be no/little muscular movement to use it up and so there will be a higher BG reading in the morning. Though <strong>a somewhat raised BG in the morning is quite normal for many diabetics, including me - it is called 'the Dawn Effect'.</strong> In my case it has always dropped back into a good range when tested 2hrs after a low carb breakfast.</p><p></p><p>- At what relative time are you measuring in the morning? Is it before breakfast, soon after he gets up? - If so, the numbers can vary quite a lot depending on how low his BG got down to overnight and if he had a disturbed sleep because both of these can increase 'the Dawn effect'.</p><p></p><p>The 'fasting' BG levels are the hardest to get down, so as<strong> [USER=160246]@Winnie53[/USER]</strong> said, track his glucose levels and look for a trend.</p></blockquote><p></p>
[QUOTE="ianf0ster, post: 2082569, member: 506169"] Hi Paxydolphin, You don't mention what his other meals were during the day, [B]but it is possible that he might have gone a little too low carb considering his medication.[/B] As [B][USER=401801]@JoKalsbeek[/USER] [/B] said"... Your dad could try cutting out bread (or anything made with grain, really), corn, cereals, fruit (save for berries in moderation), potatoes, rice.... [B]But with the gliclazide that [I]will[/I] make him go hypo, and you want to avoid that[/B]." What happens if he goes hypo is that the liver will 'think' he is in danger of death and so will dump stored glucose into the bloodstream. If this happen overnight there will be no/little muscular movement to use it up and so there will be a higher BG reading in the morning. Though [B]a somewhat raised BG in the morning is quite normal for many diabetics, including me - it is called 'the Dawn Effect'.[/B] In my case it has always dropped back into a good range when tested 2hrs after a low carb breakfast. - At what relative time are you measuring in the morning? Is it before breakfast, soon after he gets up? - If so, the numbers can vary quite a lot depending on how low his BG got down to overnight and if he had a disturbed sleep because both of these can increase 'the Dawn effect'. The 'fasting' BG levels are the hardest to get down, so as[B] [USER=160246]@Winnie53[/USER][/B] said, track his glucose levels and look for a trend. [/QUOTE]
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