How do you stop the Dawn Phenomenan

Not a good night to be using as an example after a curry, as you know a typical curry meal is both high in carbs and fat and can effect bg for several hours after.

On a morning I eat within 10-15 mins from waking to avoid DP otherwise I will see a gradual increase in bg readings, I'm always up by 6am most mornings so this also helps.

Hia Binney, if it is a regular occurrence and happens when you've had a 'normal' supper then it may well be the dreaded dawn phenomamen. For me it was impossible to correct with the 4 daily injection regime and one of the reasons behind recommending me for a pump in the end (there were other reason too). The pump can be programmed to give different basal insulin through the day and night so when the dawn phenomanen occurs it's much easier to to balance insulin for it. The pump has worked for me in this respect (obviosuly it required a lot of inital effort and even now on-going maintenance) but one of my best periods of glucose control is now between midnight and 8am. It used to be a nightmare with highs and lows! I don't know how you can stop the DP on injections - maybe others will come along and advise. All the best :thumbup:

You can get mid-acting insulin that has a lifetime in between short acting insulin and long acting insulin. You take this at bed time with your long acting. Its detailed in Gary Scheiner's Think Like A Pancreas book. This book is a must for everyone on insulin, even if you think you know it all.

Of course, your Lantus could be too low. I get the dawn phenomenon but it just means I need more insulin at breakfast. I dont get any highs before that.

Lantus unfortunately (if it is injected once daily at bedtime) can and will give ok bg levels upon rising in the morning (presuming that he dose used is seeing you through the night) but without any bolus for food at breakfast (because nothing will be eaten), will later cause bg levels to rise somewhat which then leaves people to question just how active Lantus really is. The easier way therefore to deal with DP that comes after rising in the morning is not to lay in bed, get up, give yourself some bolus, eat some grub and then go back to bed for that lay in.

Bonney my B/S goes up over night every night and I don't eat supper. My B/S is normally between 15-19 by the morning. Right pain.

For some people like me the only solution to DP is a pump. Havent had increases for DP blood readings since 5 days after going on pump. It is the only device that dllows me to deliver double insulin for 2 hours and stop the double figure bgs that would occur..

There is no way to stop the dawn phenomeman the only thing to do is test your blood at 3am and adjust your background until normalised

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