interesting issue

[Guest guest]

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