Liver dump? Please explain!!

MrsHutt

Well-Known Member
Messages
58
Type of diabetes
Type 2
Sorry, I have been reading about liver dumps but have no idea what this actually means! How do you know if it has happened? (Layman's terms, please!!)
 
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Indy51

Expert
Messages
5,540
Type of diabetes
Type 2
Treatment type
Diet only
Basically your liver has a store of glycogen that it keeps in reserve for "emergencies" and/or to "self-feed" in a fasted state. The body works by homeostasis - something gets too low, the body will compensate to raise it and vice versa. Most diabetics have impaired glucose metabolism, so our counterbalance system is already at a disadvantage. Most non-diabetics won't have the wild up and down glucose swings that we can get.

The only way I've ever caught a liver dump is if I've measured my blood glucose after a period of not eating (all things being equal its happens every 5 hours or so - but more frequently if you exert yourself) and got an unexpected high. It can also happen after intense exercise.

Hope that explains it :)
 
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Messages
6,110
Type of diabetes
Type 2
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Diet only
You get energy from food. If you don't eat you could run out of energy which would be fatal. The body keeps a store in reserve and dumps some into the bloodstream to keep you going if you don't eat for long periods. Since this process happens in the liver it is called a liver dump (or sometimes Dawn Phenomenon since most people don't eat over night).
 
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Robbity

Expert
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6,700
Type of diabetes
Type 2
Treatment type
Diet only
You can generally tell if you've had a liver dump by using a glucose meter to test your glucose levels at bedtime then again in the morning after you wake up - you'll see a rise in the 2nd reading. I may see a rise from overnight if I test before I get up, but my "dump" can happen instead after I've been up and active for a bit, so I sometimes see one after I'm up, washed and dressed, and am checking just before I eat breakfast.

This morning "high" is often the last level to get reduced when we've been working to improve our glucose levels - and the hardest to fix as we have the least control over it.

Robbity
 
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Mafat

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The occurrence of high blood sugars after a period of fasting is often puzzling to those not familiar with the Dawn Phenomenon. Why are blood sugars elevated if you haven’t eaten overnight? This effect is also seen during fasting, even during prolonged fasting. There are two main effects – the Somogyi Effect and the Dawn Phenomenon.

Dawn Phenomenon

The Dawn Effect, sometimes also called the Dawn Phenomenon (DP) was first described about 30 years ago. It is estimated to occur in up to 75% of T2D patients although severity varies widely. It occurs both in those treated with insulin and those that are not. The circadian rhythm creates this DP.

Just before awakening (around 4am), the body secretes higher levels of Growth Hormone, cortisol, glucagon and adrenalin. Together, these are called the counter-regulatory hormones. That is, they counter the blood sugar lowering effects of insulin, meaning that they raise blood sugars. The nocturnal surge of growth hormone is considered the primary cause of the DP.


Read complete article :
The Dawn Phenomenon – T2D
https://intensivedietarymanagement.com/dawn-phenomenon-t2d-8/


Samantha – Polycystic Ovary Patient Profile

https://intensivedietarymanagement.com/samantha-polycystic-ovary-patient-profile/
 
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MrsHutt

Well-Known Member
Messages
58
Type of diabetes
Type 2
Thanks! My readings first thing are always high so this makes sense to me!! I have been LCHF for about 10 weeks but numbers are still high overall. Dr just put me on Empagliflozin so we'll see what happens! Although I always loose weight LCing, previously my numbers were really good, but doesn't seem so good this time :'(
 

Mafat

Well-Known Member
Messages
45
In my case...I used to take one Gluconorm in morning along with breakfast & by 12 Noon I would be hypoglycemic which forced me to eat lunch. I decided to skip breakfast as well the morning dose of medicine & went on 18 hour fast. After two weeks I went on 24 hour fast & started taking Meformin SR 1000 mg at dinnertime & my morning fasting sugar went down & stays around 7.5. Metformin has bio-availability period for eight hours hence slow release takes over around 2 AM when liver dump is about to happen.

I must add that I was on LCHF & also exercise (High Intensity Training) and 5:2 fasting regimen.