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High morning mmol/l and night thirst

Drummond

Newbie
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2
Longish question, but hopefully someone will have a bit of advice if I give the relevant details;
I'm male aged 59, almost 6' tall and 16 stone but strongly built and not considered 'fat' and I'm in a reasonably physically active job and quite fit other than this bloomin' diabetes.
My levels are fine all day, but during the night I have a raging thirst and can drink 2 pints of water. I usually fall asleep OK, but within a couple of hours I wake, and then I see every hour and it's thirst which is waking me. My readings are 11 to 12 some mornings. The result is that I'm tired during the morning at work, but by lunchtime I pick up again.
I get up around 7am and take a Perindopril and have a cup of tea, occasionally having one slice of toast or a small plate of porridge. I have an Actimel and a banana at 9.30am at work, which is when I take two Metformin. Lunchtime is a slice of wholemeal bread with salad or a slice of something, followed by an apple. Dinner is usually mostly vegetables and is well balanced, with chicken or fish, or a salad, and I prefer boiled potatoes to chips but have oven chips once a week, and just eat the 'good things' as recommended by the Diabetic diet advice. I eat pasta once a week, fish sometimes twice, more chicken than red meat and often can be meat free for a day or two. I rarely eat a sweet.
I have a couple of crackers with a bit of cheese, or a bit of toast for supper around 8.30 to 9pm and take another two Metformin. My Simvastatin is taken before bed, along with a sleeping tablet when required, which occasionally helps as I get around three hours before I wake, thirsy as usual! I'm taking Omaprazrole for a slight stomach acid issue, and take that last thing at night too.

I don't drink alcohol every day, only have a glass of wine maybe twice a week and an occasional whisky. A couple of beers once a month is my lot.
I don't use sugary drinks, just water, and less than five cups of coffee a week but I have a few cups of tea each day.
Can anyone suggest any modifications to my medication or diet to help the night thirst and high overning issues?
 
hi Drummond,
this is a purely personal response with suggestions based on my own experience as a type 2.
Morning readings of 11 and 12 are indeed too high, as you know, but I bet you can get them down.
For me a day which begins with toast or porridge, then goes on to contain a banana, a slice of wholemeal bread, some boiled potatoes, then a couple of crackers or toast would be far too much carbohydrate and my numbers would go high. Pasta is a problem for me, and chips are unfortunately a big no-no other than a very occasional handful.
You've probably seen a lot of (pro and con) low-carb discussion on this forum. I have no hard and fast opinion on the matter, I just go by what my meter tells me. If I followed the eating plan you describe (which I haven't done for nearly a year now) I bet my morning numbers would be high too. You could try cutting out the carbs especially in the morning and see the result - so have scrambled eggs and bacon and mushrooms and/or plain yoghurt in the mornings instead of toast. A banana will put my levels up, but all kinds of berries are fine - which of course is tricky now as we're not in berry season yet. I've found that breakfast is a really important meal to "get right".
On the other hand, for me alcohol is not such a big problem. It actually lowers your blood sugar, so a glass or two of wine in the evening is no problem at all and is actually good for you I believe, maybe with a handful of nuts or something. If you overdo it you can run the risk of hypos, but it sounds like you're pretty moderate with alcohol.
Your diet seems generally very healthy but I bet it's all those carbs that are putting your levels up.
 
Hmmm, I thought my diet would have been pretty low carb. I need to re assess my eating plan then. My morning porridge is a legacy of my youth I suppose, but I assumed that the oats would have been quite low, similarly the wholemeal bread, but lately I've skipped breakfast so as to take my Perindropil an hour before food, as prescribed. I have my banana and Actimel around an hour or an hour and a half after taking it, and again I assumed the banana would help my energy levels and be the healthy option.
Last night I avoided the sleeping tablet and had two good whiskies, still woke with the thirst and got a wee bit less sleep, but my reading this morning was 8.8!

I'l do a hunt for low carb recipes and try that. Thanks for your post, it's been a help.
 
Hi Drummond

You would benefit from getting yourself a Collins gemCarb Counter (£3.99) book or similar one which will give you the carb values of a wide range of foods and enable you to make wise food choices.

If you self test before eating and two hours afterwards you will be able to pinpoint which foods cause you to spike and which you can cut down or out or safely eat. If you keep a food diary and note the results by each meal you will see patterns emerging and be able to work out a good diet for your body. 8)

You need to drink plenty of water througout the day in any case but when your BG levels come down you will not be so thirsty.
 
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