Guest guest Posted November 15, 2011 Report Share Posted November 15, 2011 well i must say i hav never heard of this. wen i next go to see my nerse i will ask her about this. it is verry entresting interesting issue greetings all lately i have noticed that my sugar tends to spyke when i awake. i went on line and did a google search came up with this has anyone heard of this. s I understand dawn phenomenon, it occurs because the night body senses a low BG during the sleep period, and causes the liver to output glucose to keep the body nourished. The real question is this. The body tends to develop " set points " , and to " set " the " set points " based upon recent history. This is evidenced by the fact that someone with high BG is hungry.... because a BG of even 250 may be lower than his average. So, the body reacts by wanting to raise it. The same person with well-controlled diabetes will find himself not hungry at all when his BG is 250, but he will feel hungry as it goes down to 100 if his A1c is 7 (corresponds to an average of about 150). So, if your average BG is high during the day, the body will react at night to maintain this high average. Your doctor is betting on lowering your BG average by increasing your sulfonylurea dosage. After time on this drug, the body stores residuals and the output becomes almost " time-released " . In that respect, adding exercise to your regimen, whether done at night or even in the morning, may lower your fasting reading. The suggestion of diabeticpumper is quite good. I would be interested to know what this result is, and some more data, if you are comfortable to share it here.... such as your recent HbA1c and your 14-day average BG from fingersticks and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2011 Report Share Posted November 16, 2011 Yes, the dawn phenomenon is a well documented event experienced by many type 1 (insulin dependent) diabetics. Even though my A1C has been at or slightly below 6.0 for a while now, I continue to wrestle with my body's tendency to elevate blood glucose in the mornings. Also true is the second experience you refer too, or in keeping with the operative word of this thread, phenomon. Both of these subjectds apply exclusively to insulin dependent diabetics I believe. Speaking from my own experience, the body does adapt to a certain range of blood glucose. High or low, or both. For many years, I ran anywhere from 30 to 400, and felt pretty normal most of the time. I didn't know I was running in that range until I began using a meter in the mid 1980s. It took me a long time to get to the point where I am today, where readings on the low end in the 60s are rare, as are highs in the 200s also rare. My new normal range is probably 70 on the low end to 170 on the high end, on averatge. And my A1C numbers for the last couple years have been between 5.8 and 6.2 for my efforts. Dave " ...In this world you will have trouble. But take heart! I have overcome the world. " [ 16:33] interesting issue greetings all lately i have noticed that my sugar tends to spyke when i awake. i went on line and did a google search came up with this has anyone heard of this. s I understand dawn phenomenon, it occurs because the night body senses a low BG during the sleep period, and causes the liver to output glucose to keep the body nourished. The real question is this. The body tends to develop " set points " , and to " set " the " set points " based upon recent history. This is evidenced by the fact that someone with high BG is hungry.... because a BG of even 250 may be lower than his average. So, the body reacts by wanting to raise it. The same person with well-controlled diabetes will find himself not hungry at all when his BG is 250, but he will feel hungry as it goes down to 100 if his A1c is 7 (corresponds to an average of about 150). So, if your average BG is high during the day, the body will react at night to maintain this high average. Your doctor is betting on lowering your BG average by increasing your sulfonylurea dosage. After time on this drug, the body stores residuals and the output becomes almost " time-released " . In that respect, adding exercise to your regimen, whether done at night or even in the morning, may lower your fasting reading. The suggestion of diabeticpumper is quite good. I would be interested to know what this result is, and some more data, if you are comfortable to share it here.... such as your recent HbA1c and your 14-day average BG from fingersticks and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2011 Report Share Posted November 16, 2011 Yes, the dawn phenomenon is a well documented event experienced by many diabetics. In keeping with the operative word of this thread, phenomenon also applies to the second topic you refer to. Both of these subjects apply exclusively to insulin dependent diabetics I believe. Speaking from my own experience, the body does adapt to a certain range of blood glucose. High or low, or both. For decades, I ran anywhere from 30 to the mid and upper 400s, and felt pretty normal most of the time. I didn't know I was running in that range until I began using a meter in the mid 1980s. It took me a long time to get to the point where I am today, where readings on the low end in the 60s are rare, as are highs in the 200s also rare. My new normal range is probably 70 on the low end to 170 on the high end, on average. And my A1C numbers for the last couple years have been between 5.8 and 6.2 for my efforts. Even though my A1C has been pretty good, I continue to wrestle with my body's tendency to elevate blood glucose in the mornings. Knowing about the dawn phenomenon and overcoming it are two different things. This is one area where pumpers have a definite advantage I suspect. Dave " ...In this world you will have trouble. But take heart! I have overcome the world. " [ 16:33] interesting issue greetings all lately i have noticed that my sugar tends to spyke when i awake. i went on line and did a google search came up with this has anyone heard of this. s I understand dawn phenomenon, it occurs because the night body senses a low BG during the sleep period, and causes the liver to output glucose to keep the body nourished. The real question is this. The body tends to develop " set points " , and to " set " the " set points " based upon recent history. This is evidenced by the fact that someone with high BG is hungry.... because a BG of even 250 may be lower than his average. So, the body reacts by wanting to raise it. The same person with well-controlled diabetes will find himself not hungry at all when his BG is 250, but he will feel hungry as it goes down to 100 if his A1c is 7 (corresponds to an average of about 150). So, if your average BG is high during the day, the body will react at night to maintain this high average. Your doctor is betting on lowering your BG average by increasing your sulfonylurea dosage. After time on this drug, the body stores residuals and the output becomes almost " time-released " . In that respect, adding exercise to your regimen, whether done at night or even in the morning, may lower your fasting reading. The suggestion of diabeticpumper is quite good. I would be interested to know what this result is, and some more data, if you are comfortable to share it here.... such as your recent HbA1c and your 14-day average BG from fingersticks and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2011 Report Share Posted November 16, 2011 wow that is great I thought I could also apply to those not on insulin I am a type 2 diabetic. interesting issue > > > > greetings all lately i have noticed that my sugar tends to spyke when i > awake. i went on line and did a google search came up with this has anyone > heard of this. > s I understand dawn phenomenon, it occurs because the night body senses a > low BG during the sleep period, and causes the liver to output glucose to > keep the body nourished. > > The real question is this. The body tends to develop " set points " , and to > " set " the " set points " based upon recent history. > > This is evidenced by the fact that someone with high BG is hungry.... > because a BG of even 250 may be lower than his average. So, the body > reacts by wanting to raise it. The same person with well-controlled > diabetes > will find himself not hungry at all when his BG is 250, but he will feel > hungry as it goes down to 100 if his A1c is 7 (corresponds to an average > of about 150). > > So, if your average BG is high during the day, the body will react at > night to maintain this high average. > > Your doctor is betting on lowering your BG average by increasing your > sulfonylurea dosage. After time on this drug, the body stores residuals > and the output becomes almost " time-released " . > > In that respect, adding exercise to your regimen, whether done at night > or even in the morning, may lower your fasting reading. > > The suggestion of diabeticpumper is quite good. I would be interested to > know what this result is, and some more data, if you are comfortable to > share it here.... such as your recent HbA1c and your 14-day average BG > from fingersticks and > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2011 Report Share Posted November 16, 2011 I sent a revised message where I tried to shift from the stance that this is only for t1 diabetics. I don't know to be honest. I don't think it effects type 2's, but am not positive. Any type 2's experience the dawn phenomenon? Of course, this means you'd need to check your bg when you get up, and then sometime a little later, before eating. Dave " ...In this world you will have trouble. But take heart! I have overcome the world. " [ 16:33] interesting issue > > > > greetings all lately i have noticed that my sugar tends to spyke when i > awake. i went on line and did a google search came up with this has anyone > heard of this. > s I understand dawn phenomenon, it occurs because the night body senses a > low BG during the sleep period, and causes the liver to output glucose to > keep the body nourished. > > The real question is this. The body tends to develop " set points " , and to > " set " the " set points " based upon recent history. > > This is evidenced by the fact that someone with high BG is hungry.... > because a BG of even 250 may be lower than his average. So, the body > reacts by wanting to raise it. The same person with well-controlled > diabetes > will find himself not hungry at all when his BG is 250, but he will feel > hungry as it goes down to 100 if his A1c is 7 (corresponds to an average > of about 150). > > So, if your average BG is high during the day, the body will react at > night to maintain this high average. > > Your doctor is betting on lowering your BG average by increasing your > sulfonylurea dosage. After time on this drug, the body stores residuals > and the output becomes almost " time-released " . > > In that respect, adding exercise to your regimen, whether done at night > or even in the morning, may lower your fasting reading. > > The suggestion of diabeticpumper is quite good. I would be interested to > know what this result is, and some more data, if you are comfortable to > share it here.... such as your recent HbA1c and your 14-day average BG > from fingersticks and > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2011 Report Share Posted November 16, 2011 Hi, Several years ago we discussed this topic and I believe we decided that the " Dawn Effect " occurs in most people. It is the body's way of waking you up after sleep. When your body decides that it is about time for you to wake up due to enough sleep or the time you usually arise the body gives you a good shot of sugar to help you come out of your slumber. Cy _____ From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of dave Bond Sent: Wednesday, November 16, 2011 6:32 AM To: blind-diabetics Subject: Re: interesting issue I sent a revised message where I tried to shift from the stance that this is only for t1 diabetics. I don't know to be honest. I don't think it effects type 2's, but am not positive. Any type 2's experience the dawn phenomenon? Of course, this means you'd need to check your bg when you get up, and then sometime a little later, before eating. Dave " ...In this world you will have trouble. But take heart! I have overcome the world. " [ 16:33] interesting issue > > > > greetings all lately i have noticed that my sugar tends to spyke when i > awake. i went on line and did a google search came up with this has anyone > heard of this. > s I understand dawn phenomenon, it occurs because the night body senses a > low BG during the sleep period, and causes the liver to output glucose to > keep the body nourished. > > The real question is this. The body tends to develop " set points " , and to > " set " the " set points " based upon recent history. > > This is evidenced by the fact that someone with high BG is hungry.... > because a BG of even 250 may be lower than his average. So, the body > reacts by wanting to raise it. The same person with well-controlled > diabetes > will find himself not hungry at all when his BG is 250, but he will feel > hungry as it goes down to 100 if his A1c is 7 (corresponds to an average > of about 150). > > So, if your average BG is high during the day, the body will react at > night to maintain this high average. > > Your doctor is betting on lowering your BG average by increasing your > sulfonylurea dosage. After time on this drug, the body stores residuals > and the output becomes almost " time-released " . > > In that respect, adding exercise to your regimen, whether done at night > or even in the morning, may lower your fasting reading. > > The suggestion of diabeticpumper is quite good. I would be interested to > know what this result is, and some more data, if you are comfortable to > share it here.... such as your recent HbA1c and your 14-day average BG > from fingersticks and > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2011 Report Share Posted November 16, 2011 As I recall, now that you mention it Cy, we talked about how for most of man's history, some instant energy upon waking was a safety mechanism--perhaps a life saving response. Glucose is injected into the blood stream for energy, a necessary thing in times past. Food wasn't sitting in the refrigerator or pantry awaiting a sleepy-eyed cook to place it in the microwave! Dave " ...In this world you will have trouble. But take heart! I have overcome the world. " [ 16:33] interesting issue > > > > greetings all lately i have noticed that my sugar tends to spyke when i > awake. i went on line and did a google search came up with this has anyone > heard of this. > s I understand dawn phenomenon, it occurs because the night body senses a > low BG during the sleep period, and causes the liver to output glucose to > keep the body nourished. > > The real question is this. The body tends to develop " set points " , and to > " set " the " set points " based upon recent history. > > This is evidenced by the fact that someone with high BG is hungry.... > because a BG of even 250 may be lower than his average. So, the body > reacts by wanting to raise it. The same person with well-controlled > diabetes > will find himself not hungry at all when his BG is 250, but he will feel > hungry as it goes down to 100 if his A1c is 7 (corresponds to an average > of about 150). > > So, if your average BG is high during the day, the body will react at > night to maintain this high average. > > Your doctor is betting on lowering your BG average by increasing your > sulfonylurea dosage. After time on this drug, the body stores residuals > and the output becomes almost " time-released " . > > In that respect, adding exercise to your regimen, whether done at night > or even in the morning, may lower your fasting reading. > > The suggestion of diabeticpumper is quite good. I would be interested to > know what this result is, and some more data, if you are comfortable to > share it here.... such as your recent HbA1c and your 14-day average BG > from fingersticks and > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2011 Report Share Posted November 17, 2011 Everyone has a dawn effect, even non-diabetics. It is the body's response to waking up-give you a push of extra glucose. The problem with this normal body reaction is that us diabetics either do not have the insulin to keep it in a reasonable range or the body (in the case of type 2) does not put out enough insulin to keep the boost of glucose within the normal range. _____ From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of dave Bond Sent: Wednesday, November 16, 2011 5:32 AM To: blind-diabetics Subject: Re: interesting issue I sent a revised message where I tried to shift from the stance that this is only for t1 diabetics. I don't know to be honest. I don't think it effects type 2's, but am not positive. Any type 2's experience the dawn phenomenon? Of course, this means you'd need to check your bg when you get up, and then sometime a little later, before eating. Dave " ...In this world you will have trouble. But take heart! I have overcome the world. " [ 16:33] interesting issue > > > > greetings all lately i have noticed that my sugar tends to spyke when i > awake. i went on line and did a google search came up with this has anyone > heard of this. > s I understand dawn phenomenon, it occurs because the night body senses a > low BG during the sleep period, and causes the liver to output glucose to > keep the body nourished. > > The real question is this. The body tends to develop " set points " , and to > " set " the " set points " based upon recent history. > > This is evidenced by the fact that someone with high BG is hungry.... > because a BG of even 250 may be lower than his average. So, the body > reacts by wanting to raise it. The same person with well-controlled > diabetes > will find himself not hungry at all when his BG is 250, but he will feel > hungry as it goes down to 100 if his A1c is 7 (corresponds to an average > of about 150). > > So, if your average BG is high during the day, the body will react at > night to maintain this high average. > > Your doctor is betting on lowering your BG average by increasing your > sulfonylurea dosage. After time on this drug, the body stores residuals > and the output becomes almost " time-released " . > > In that respect, adding exercise to your regimen, whether done at night > or even in the morning, may lower your fasting reading. > > The suggestion of diabeticpumper is quite good. I would be interested to > know what this result is, and some more data, if you are comfortable to > share it here.... such as your recent HbA1c and your 14-day average BG > from fingersticks and > > Quote Link to comment Share on other sites More sharing options...
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