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Glucose
A DiabetesTeam Member asked a question 💭

Why my blood sugar is low at bedtime and high in the am? I’m new to diabetes.

posted December 8, 2018
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A DiabetesTeam Member

Have a snack with protein at night...some cheese and crackers or pnut butter and crackers instead if just cheap carbs. When you sleep, your body keeps going and towards morning you start to run low on fuel (carbs). Your liver will dump some into your system so you don't get too low. This signals the pancreas to release insulin and there you are, swearing at the damn meter in the morning. Check out "dawn phenomenon" on the internet and you will find a more detailed version. It sounds like you're on the right track though.

posted December 16, 2018 (edited)
A DiabetesTeam Member

Before I started insulin, it depended on what and how late I ate before bed. I am a nightowl, and would have something carb laden or sweet before bed and then suffer from reflux and my sugar would still be high in the am. Now if I have a sweet tooth I have a sugar free popsicle or jello. Maybe some ready whip on it. My blood sugar is anywhere from 60 to 80 in the morning and since I am eating earlier with good protein and good fats and minimal carbs it is in the low 100's at bedtime. Before August it was in the 300's on a regular basis, and I was taking 3 different pills.

posted December 8, 2018
A DiabetesTeam Member

You are experiencing the Dawn Effect; it has other names. I couldn't understand that either when I first became diabetic. While you sleep, your glucose levels drop too low so the brain signals the liver to release glycogen, sugar reserves stored in the liver to raise the level. Otherwise, you'd go into a diabetic coma because the brain needs lots of glucose to function.

posted January 20, 2019
A DiabetesTeam Member

You need a medication adjustment. I would call your Dr.

posted January 14, 2019
A DiabetesTeam Member

Seems to be. Put me back on Trulicity. Now I get in to the 60’s in the middle of the day...

posted January 27, 2019

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