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the Dawn effect

H

hanadr

Expert
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I have been reading everything on this forum since I found it and writing a fair bit too. I've just noticed a couple of messages which suggest people suffering from the Dawn Effect. ( where the fasting reading is higher than bedtime the night before) If I stuck strictrly to the measuring twice weekly with my rationed strips, I would never have found out trhat I do this. I go to bed with a BG of 4.9 and wake up at 6.1 in the most extreme case. I have searched everywhere and there doesn't see to be a solution.
If anyone has any tricks that work, please tell me.
 
i don,t know if you guys are one insulin and im not saying that this is the reason in your cases but this can happen when the insulin has worn off
 
Used to be on insulin but now on Byetta. This problem was even worse before I started these drugs, used to wake up with mornings of over 15. Nurse said that Liver dumps glucose overnight which causes this.

Michelle.
 
I'm no expert but usually the liver dumps because your BS is low and it dumps to bring it up again.Bringing it up as high as 15 seems a trifle too high! Cue expert please!
 
Perhaps the scale of the change between the evening reading and pre-breakfast reading (4.9 - 6.1) needs to be commented on by a 'professional'. Too much reliance on 'snapshots' perhaps. Surely, if your Hba1c results are within the 'box' this implies that good control is being maintained and its a bit silly to overly worry. My last Hba1c was nearer 5 than 6. I now sample twice a week, mornings only. On Wednesday it was 6.3; this morning 4.8. Before starting the 2*500 Metformin my readings in the morning were significantly higher. I still expect my next Hba1c due in a couple of weeks to be around 5.

Keep taking the tablets!
 
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