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Real members of DiabetesTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A DiabetesTeam Member asked a question 💭
Johannesburg, ZA

I am struggling with morning highs and seem to be needing to take much more insulin which I really dont want to do. I go to sleep at night with a certain reading, take insulin Apidra and Lantus and wake up in the morning with the high reading. I have also noticed that the reading does sometimes drop during the course of the night but is high again when I wake up. Also have put on weight. I dont know whether this is a result of wrong eating or whether medication can also stop being as… read more

March 28, 2017
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Answer Summary

Members connected over the frustrating challenge of high morning blood sugar readings despite controlled evening numbers, with many... Read more

Members connected over the frustrating challenge of high morning blood sugar readings despite controlled evening numbers, with many identifying the "dawn phenomenon" as the culprit, where the liver releases stored sugar overnight in response to dropping glucose levels. Several members shared practical strategies that have worked for them, including eating a small protein or carb snack before bed (such as peanut butter on crackers, cheese, or 20 grams of carbs), adjusting the timing or dosage of long-acting insulin like Lantus, and working closely with doctors to fine-tune medication. A recurring theme was the complex balancing act of managing insulin, weight gain (which many noted as a side effect of Lantus), carb sensitivity, and the emotional toll of constantly monitoring numbers, with members encouraging each other to do their best without letting the daily ups and downs cause undue stress.

A DiabetesTeam Member

For dawn phenomenon, the way to prevent morning highs requires you to prevent middle-of-the-night lows. If you're using insulin, using a little less of the long-acting type of insulin usually works. If you're not using insulin, you'll have to eat SMALL bedtime snack containing a small amount or carbs - try various amounts until you find the right amount.

April 4, 2017
A DiabetesTeam Member

The liver stores sugar as glucagon then when level goes down in the night the liver fires off glucagon so that's why it is high in morning. As for weight I it on weight after starting lantus. I looked up side effects but weight gain not mentioned

April 2, 2017
A DiabetesTeam Member

I don't get it either! I'm at a healthy weight, walk four times a day and don't eat desserts or snack at night and for the past few months my blood sugar levels in the morning are outta control!!! 8.2 this morning!!! BTW I take Metformin twice a day.

May 6, 2017
A DiabetesTeam Member

I have type 2 and on tablets. My levels are higher in a morning but lower if I have a snack before bed. I usually have some prawn crackers. Plus I have lost a lot of weight. I had a small Apple the other night and my sugars were really high the next morning. Back to the crackers!!! I don't let it worry me anymore I just do the best I can and seems to be working.

April 23, 2017
A DiabetesTeam Member

I do 3 Novolog before each meal, and Lantus before bed. I check BC 4 times a day. I am having constantly high BC when I get up.

December 10, 2017

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