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<blockquote data-quote="jopar" data-source="post: 93478" data-attributes="member: 11712"><p>I see that you are taking Gliclazide twice daily... which basically increases the insulin that the prancreas produces...</p><p></p><p>Looking at your results, I think that it would be a worth while eexercise to have a look at what your BG's are doing overnight!</p><p></p><p>There could be several reasons to what is causing your increased blood surgar over night...</p><p></p><p>It could be that at some point your levels are going a tad bit low, and causing a liver dumped (but in general this doesn't happen every night of the week) One way of looking to if this is part of the problem, is to eat some protien (no-carb) based food for supper and see if your morning blood glucose improves..</p><p></p><p>It could be that your medication is losing its effect and running out of steam overnight hence the increase of blood glucose... This one possibility really needs to be disgused with your DSN or doctor, as changing times of your medication might improve things...</p><p></p><p>The other one is cause by the Dawn Phanomnon (sp) effect, this is to do with hormones, the lowest ebb for hormone production is around 2-3am in the morning, and then they raise for most people this has very little effect on there blood glucose, but for some it can have an major effect rasing the blood glucose level quite a bit...</p><p></p><p>To check this out, it's easier if you spread it over several days or even weeks to build a picture of what is happening to your blood glucose overnight....</p><p></p><p>1st night take a BG at 2am, then on another 3am, another 4am etc, don't forget to take some after your bedtime and the 2am one as well... You can if you are game for it, set the alarm for every hour and take one... But I for one don't enjoy a constantly disturb night sleep...</p><p></p><p>But this will help to build a picture to what is happening, and give a better indicator what to try to reslove it...</p><p></p><p>As to your daytime readings, there would be one hell of a lot of diabetics who would be well chuffed to have those come up on there meters, and be estatic with an HbA1c of 5.8% hitting the so called 5% club... If you can reslove the night-time part of it, I suspect that you will get into the 4% club...</p></blockquote><p></p>
[QUOTE="jopar, post: 93478, member: 11712"] I see that you are taking Gliclazide twice daily... which basically increases the insulin that the prancreas produces... Looking at your results, I think that it would be a worth while eexercise to have a look at what your BG's are doing overnight! There could be several reasons to what is causing your increased blood surgar over night... It could be that at some point your levels are going a tad bit low, and causing a liver dumped (but in general this doesn't happen every night of the week) One way of looking to if this is part of the problem, is to eat some protien (no-carb) based food for supper and see if your morning blood glucose improves.. It could be that your medication is losing its effect and running out of steam overnight hence the increase of blood glucose... This one possibility really needs to be disgused with your DSN or doctor, as changing times of your medication might improve things... The other one is cause by the Dawn Phanomnon (sp) effect, this is to do with hormones, the lowest ebb for hormone production is around 2-3am in the morning, and then they raise for most people this has very little effect on there blood glucose, but for some it can have an major effect rasing the blood glucose level quite a bit... To check this out, it's easier if you spread it over several days or even weeks to build a picture of what is happening to your blood glucose overnight.... 1st night take a BG at 2am, then on another 3am, another 4am etc, don't forget to take some after your bedtime and the 2am one as well... You can if you are game for it, set the alarm for every hour and take one... But I for one don't enjoy a constantly disturb night sleep... But this will help to build a picture to what is happening, and give a better indicator what to try to reslove it... As to your daytime readings, there would be one hell of a lot of diabetics who would be well chuffed to have those come up on there meters, and be estatic with an HbA1c of 5.8% hitting the so called 5% club... If you can reslove the night-time part of it, I suspect that you will get into the 4% club... [/QUOTE]
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