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Old Hand Baffled
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<blockquote data-quote="HSSS" data-source="post: 2228564" data-attributes="member: 480869"><p>Other potential ideas that struck me is that after 20 diagnosed years (+ an unknown number before that) most of which have been on a drug that increases insulin and insulin resistance maybe your pancreas is “worn out” and no longer producing the amounts it has in the past despite the whip cracking effect of the gliclazide. A c-peptide would establish this or overproduction.</p><p></p><p>Alternatively alcohol has a temporary lowering effect for bgl. The liver is busy dealing with the booze and doesn’t dump glucose whilst doing so. Mine is always a little lower the next morning. (I’m not advocating this as a dawn phenomenon control as long term there’s obviously a pretty high price to pay for daily indulgences). So maybe now it’s not clearing the alcohol the liver is dumping glucose instead.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2228564, member: 480869"] Other potential ideas that struck me is that after 20 diagnosed years (+ an unknown number before that) most of which have been on a drug that increases insulin and insulin resistance maybe your pancreas is “worn out” and no longer producing the amounts it has in the past despite the whip cracking effect of the gliclazide. A c-peptide would establish this or overproduction. Alternatively alcohol has a temporary lowering effect for bgl. The liver is busy dealing with the booze and doesn’t dump glucose whilst doing so. Mine is always a little lower the next morning. (I’m not advocating this as a dawn phenomenon control as long term there’s obviously a pretty high price to pay for daily indulgences). So maybe now it’s not clearing the alcohol the liver is dumping glucose instead. [/QUOTE]
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