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High morning sugars
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<blockquote data-quote="Deleted Account" data-source="post: 1505973"><p>This could be what is known as the "dawn phenomenon". My understanding is your liver dumps a load of sugar into your blood to start your day ... the amount of sugar varies per person and some people with diabetes do not see any problems in the morning whereas others see a huge spike.</p><p></p><p>I have recent changed to a pump (and the basal control on this allows me to cope with the morning spike). </p><p>However, when I was on MDI, I would take a largish basal. There were two reasons for this: I graze throughout the day and this helped; I had a morning spike. The avoid going hypo through the night, I would go to bed with a BG of about 8 which the basal would bring down as I slept and there was enough basal to control the morning spike. So I would wake with a BG in the 5s.</p><p></p><p>However, as [USER=364406]@Coopsman1[/USER] suggests, you need to be careful of night time hypos which could appear as a high morning BG. </p><p>The only way to find out is to review readings throughout the night. If you are able to use a CGM or Libre, this would be great. Otherwise, it's a case of setting your alarm throughout the night and taking readings every 2 hours or so.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 1505973"] This could be what is known as the "dawn phenomenon". My understanding is your liver dumps a load of sugar into your blood to start your day ... the amount of sugar varies per person and some people with diabetes do not see any problems in the morning whereas others see a huge spike. I have recent changed to a pump (and the basal control on this allows me to cope with the morning spike). However, when I was on MDI, I would take a largish basal. There were two reasons for this: I graze throughout the day and this helped; I had a morning spike. The avoid going hypo through the night, I would go to bed with a BG of about 8 which the basal would bring down as I slept and there was enough basal to control the morning spike. So I would wake with a BG in the 5s. However, as [USER=364406]@Coopsman1[/USER] suggests, you need to be careful of night time hypos which could appear as a high morning BG. The only way to find out is to review readings throughout the night. If you are able to use a CGM or Libre, this would be great. Otherwise, it's a case of setting your alarm throughout the night and taking readings every 2 hours or so. [/QUOTE]
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