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Blood sugar being erratic
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titans13 posted:
I an a 65 year old male who has type 2 diabetes.I exercise regularly(I walk 6 miles per day) I am on glycobide(sp) twice a day(5:30 am and 7 pm) Recently my blood sugar has me confused.I take it once per day unless I feel light headed and then I retake it. Recently my morning reading has been high for me- 130 to 150. Yesterday morning it was 146 and I retook it at 10 pm and it was 104. This morning it was 156 and there was no food intake after dinner. How can that be and should I be worried?
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davedsel57 responded:
Hello.

The best thing to do is to discuss this with your doctor. Are you also following a healthy diet with controlled carbohydrate intake? Exercise is very important, but even more important is what you eat in relation to controlling Type 2 Diabetes.

You may want to consider seeing a dietician, nutritionist or the best would be a Certified Diabetes Educator (CDE).

There is also a conditions known as "Dawn Phenomenon" that caused fasting blood glucose readings to be higher than expected. Often times this is resolved by having a healthy snack of a mix of protein and the proper carbohydrates late in the evening or right before bed. Here is a link to an article in the WebMD Diabetes Health Center regarding Dawn Phenomenon: http://diabetes.webmd.com/tc/dawn-phenomenon-and-the-somogyi-effect-

I hope you can work with your medical team to get your blood glucose readings in better control.
Blessings,

Dave
 
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candy352 replied to davedsel57's response:
I agree. Talk with your doctor or a diabetes specialist. I know that blood sugar levels can increase while you sleep. This is because if your sugar goes low during the night, your body will protect itself and create sugar. This is why it is good to have a bedtime snack.
 
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titans13 replied to davedsel57's response:
Thank you so much for the input- I guess being new to all this makes it difficult to understand the nuances- I'll getright on it !
 
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reitze responded:
My impression is that even if you use drugs to keep the nubers low the "glucose" blasts might have a hysteresis to them. Thus if you've had any diet-change toward carbs/sugars/starches you'd get the result you report.

So I'm sugggesting the drugs maybe masking your ability to see the effects of your diet.

Of course this is coming from someone who rejected the drugs and used a diet-only solution (worked for me). My profile has "my story" if that interests you. That's the only reason I'm here 3 years after recovery.
 
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phototaker responded:
Titans, I'm a type 2 diabetic, and have been on diet and exercise for four years. When I eat a low carb diet, not going over 35-40 carbs at one time, my blood sugar levels stay lower. With you eating pretty healthy, exercising, and on medicine, you might go lower(and not know it), and then higher again. I have to have a snack around 8:30 P.M. or my numbers will be higher in the morning. I usually have a "small" piece of fruit with nuts like almonds or walnuts. Being that you're exercising, too, you might be going lower and your liver is kicking in saying you need more insulin, which is making your numbers going up in the morning. If that doesn't work, talk to your doctor about possibly lower the dose of your medicine, which I believe lowers the bs numbers, correct? You also need time to regulate your medication, from what others have said with Metformin.

Good luck!
 
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Johnvc responded:
Test your BG at bed time and 3 am, then talk to your medical provider. To see wath you can do.

Type 2 1975

John C.
 
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macame responded:
it could be the 'dawn' syndrome. my readings are always higher in the morning. one merck health care rep explained it the readings are higher in early a.m. because the body rejuvenates itself overnight releasing hormones which in turn causes the liver to release stored glucose. this makes sense but i'm not sure if it has been medically proven. my own experience is that my early a.m. reading maybe be 150 or higher sometime. but after getting active for 30 minutes it comes on down approaching the normal range.
 
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YumaMamaLama replied to titans13's response:
Hi, there --

What you've been doing has been working because that's where your diabetes was. But, diabetes and how it affects your body changes over time. It could be that you need to be doing some other "right things" -- things that are right for you with any changes that have been going on.

As the others have suggested, yes, do go talk with your doctor. But, for a week or so, without changing anything you've been doing, check and record your glucose four times a day: first thing in the morning, right after you pee (activity causes your fasting BG to rise, but everyone has to go first thing when they wake up), before and two hours after you start your biggest meal of the day, and at bedtime. Then, for another week, try having the bedtime snack as the Dave (above) suggested, and keep testing. Yes, I know it's a lot, but not as often as lots of type 1 folks have to do.

With this info, the doctor should get a good picture of what's going on and be able to advise you on changes that might be needed.

Best of luck -- Marcie
 
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laura2gemini2 replied to macame's response:
"Dawn Phenomenon" has been medically proven to happen with some diabetics. In anticipation of the body waking up, the liver releases sugar to start boosting metabolism back to where you need it to be awake.

There is also something called "somogyi effect" (please excuse the spelling) where the blood sugar drops in the middle of the night, which then causes morning highs from your body trying to compensate. This is something I have, my insulin through my pump gets cut in half from midnight to 4am because my sugars go low.
 
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vashai responded:
You know diabetes is a progressing disease no matter what you do, it progresses over the years. Nevertheless, check what your eating because sometimes what we eat other than vegetables (and what we put on those veggies) will have those hidden spikes in it's contents, and remember to drink plenty of water (even if you get tired of drinking it). It helps to rid your body of excess sugar build up through frequent urination, its just trying to release the sugar intake that's not needed. And remember "stress" alone or some kind of anxiety will spike your levels as well so whenever this happens think if you have or going thru a stressful issue/time, even nightmares! it will certainly effect your levels. Taking a nap will help lower it also. I hope this helps. I've been a type II diabetic for 16years! Good luck my friend and regardless of your recent spiked levels, keep doing what your doing, you are doing everything you are suppose to do to live longer!
 
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reitze replied to vashai's response:
I don't agree with that at all. I reversed my Type 2 over 3 years ago and enjoy a completely normal diet with no drugs. My story of how is on my profile and a thread I shared here. Basically just food selections and testing the results of the choices - while my health continued to improve and became fully recovered.
 
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jp7358jp replied to davedsel57's response:
you mention you are exercising, but are you eating right. Maybe exercising brings your numbers down but after a while a healthy meal low in carbs still needs to be eaten.
But if you are exercising and eating right and you still have high numbers, it could be stress, or have you been sick recently, because that can affect you too. Sometimes our bodies are fighting off colds and viruses and though you might not feel it or have mild symptoms, your body does. My kids and grand kids get sick and get very sick, I only get mild versions of their illness. But i notice my numbers get higher and sometimes it takes some time to get back to normal.
 
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YumaMamaLama replied to reitze's response:
That IS wonderful!! Please know that I'm not knocking your efforts or your terrific results. But, what you've done is to apply life-style changes to your type 2 diabetes that are working for you..

However, science shows that while you have your blood sugars and weight under wonderful control, you are doing just that: controlling them. These changes cannot erase the underlying genetic basis for type 2 diabetes.

What you've been able to do might be thought of as similar to knowing that stress gives you headaches, you take yoga and stop drinking coffee, get more sleep, and then your headaches stop. But with type 2, there is an underlying genetic cause for your body's blood sugar control problems, and they're not going to go away just because of the changes that are working now.

I don't mean to harp on genetics, but it's definitely part of the picture. If it weren't there, you wouldn't have started showing manifestions of type 2. There are lots of normal weight, active people who develop type 2. There are lots of both skinny and obese people who don't eat right and don't exercise and yet do not start having blood sugar regulation problems.

Many people make lifestyle changes, but those changes are just not enough. Although their blood sugars and/or weight improves, they don't improve enough, and it takes medication to do the complete job of blood sugar control. They shouldn't be considered failures or that they have a failure of resolve. We don't have complete control of everything, and that's an important thing for us to remember.

Studies have shown that those with type 2, despite excellent blood sugar control, are still much more likely than those without type 2 to have heart disease, memory-impairment as they age, and other health problems associated with type 2. There seems to be some genetic mechanism that has this influence along with its ability to cause blood sugar disregulation.

Type 2, though, IS a progressive, genetic disease, and there probably will come a time when your control stops being as responsive to all your efforts as it is now. When that happens, don't let yourself feel as though you've done anything wrong, because you've obviously been doing the right things that your body needs you to be doing for now. And it's truly wonderful that this approach is working for you.
 
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reitze replied to YumaMamaLama's response:
My perception is the science is politically corrupted by the source of money and cherry picking of the data. It took 3 months to achieve "control" via atkins-like diet. At that time any return to carbs/suggar type foods in the bulk of my calories resulted in a rise in my average BG numbers. BUT...

Another 3 months and 30 lbs of weight loss and my "cure" was "locked in" - Type 2 is/was completely reversed.

These days my diet is high-carb, suggar, alchohol, etc... not restricted in any way EXCEPT TOTAL CALORIES. Even that I have a tolarance as I recnently posted my weight gain back from 165 to 205 and right now I'm back down to 189.

It's cured and your "science" references are flawed to achieve drug sales - as best I can tell.


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