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J

jpk1681

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I had gestational diabetes with my last pregnancy. My morning fasting glucose was constantly high and I failed the glucosamine test twice. The doctors put me on bedtime insulin since my daytime blood sugar looked pretty good. Well fast forward to 2022 and my gtn diagnosed me with insulin resistance. Put on metformin. Did nothing for my morning g blood sugar. Recently she gave me a dexcom to try to see what my sugar was doing during my sleep. My a1c is 5.8. I don't know what to think? Pleaae let me know what you think of my sleeping glucose (bedtime around 930 or 10, wake up around 7) nothing to eat after 7pm20250309_193000.jpg20250309_193023.jpg
 

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jpk1681 said:
I had gestational diabetes with my last pregnancy. My morning fasting glucose was constantly high and I failed the glucosamine test twice. The doctors put me on bedtime insulin since my daytime blood sugar looked pretty good. Well fast forward to 2022 and my gtn diagnosed me with insulin resistance. Put on metformin. Did nothing for my morning g blood sugar. Recently she gave me a dexcom to try to see what my sugar was doing during my sleep. My a1c is 5.8. I don't know what to think? Pleaae let me know what you think of my sleeping glucose (bedtime around 930 or 10, wake up around 7) nothing to eat after 7pmView attachment 71866View attachment 71867
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You're using different measurements than the ones I'm used to, and I can't be trusted to convert anything, but from the graph it does look like you could do with a little help, and your nurse should be able to read this just fine.

Metformin makes you a tiny bit more sensitive to your own insulin, and it tells your liver not to dump so much glucose in the morning. It doesn't really do anything about what you eat though. I don't know if you snack just before bed, which might explain the spike just before you go to sleep, or whether you have very stressful/restless nights... Either food (carb input) or stress (liver dumping glucose) can up blood glucose while you sleep.

As for what the numbers mean, we can't diagnose on here, but they do seem a tad high... Your HbA1c, I *think* may be prediabetic, which you can easily get back down into the normal range if you lower your carbohydrate intake, as that's what converts to glucose once ingested. But again, I am horrible with numbers, and I could be off.

https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html might help a little with the carb thing, if you're interested.

Good luck!
Jo
 
jpk1681 said:
Awe thank so so much for your input. I just am so concerned. This is just like when I had gestational diabetes and my mom has severe t2.
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Gestational diabetes is a bit of an indication that you're predisposed to developing T2 diabetes. It's a kind of early warning sign, really. So you can still come out ahead of this. Knowledge is power, and now you know your blood glucose needs attention.

And your mom's a T2? Who knows... Once you get the hang of controlling your own blood sugars, maybe she'll be open to you helping her with hers?
Hugs!
Jo
 
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