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High Fasting Levels

Arystotle

Newbie
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I wonder if anyone can give me some idea as to what is happening to my crazy body?

Type 2, diagnosed 18 months ago. Taking 1000mg metformin twice a day.
Last Hba1c 2 weeks ago = 6.3 (from 6.4 six months ago)
Overall control over the last 15 months excellent. (Doctor's comment)

Prior to my latest check-up I began testing on a more regular basis as I felt I was beginning to understand how various foods affect my BG levels.

Prior to the check-up, pre-breakfast fasting levels were beginning to climb (mid sevens). The nurse commented that my fasting levels were on the high side, but didn't seem too concerned.
The last 2 mornings have been 9.0 and 8.8, which, for me, is very high.

This morning, two hours after breakfast (constant intake) my reading is 6.0, or back to a level I would expect pre-breakfast.

Can anyone give me any idea why my fasting levels are climbing and higher that post-food?

I am particularly worried as I have retinopathy, and strong control is important in retaining my eyesight.
 
Read up on the Dawn Phenomenon. That could be your problem
Hana
 
Hana

Thank you for your response.

It probably is the Dawn Phenomenon. I have read about this before, although one of the unfortunate side-effects of metformin for me is that I have a terrible memory.

Your post and subsequent research has also reminded me of the strategy I use to cope with it.

Sustained exercise over a period of time, rather than short and brisk exercise appears to have a more long-term effect on my control. Over the last couple of months I have not been as active as I had previously, so recently I have been trying to return to some form of regime by undertaking some short but strenuous bursts of exercises. As evidenced by my numbers, this is obviously not having the required effect.

Over the last 2 days I have returned somewhat to my former regime, and my numbers this morning have returned to something like normal. A bit early to be conclusive, but I am confident I have the answer.

Thanks again for reminding me!
 
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