My A1C Is High In The Morning But Low Just Before Bedtime. | DiabetesTeam

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My A1C Is High In The Morning But Low Just Before Bedtime.
A DiabetesTeam Member asked a question šŸ’­

My doctor just explained what happens during the night hours while asleep so I understand why I wake up with high numbers; around 170+. After I eat my evening meal I wait about 2 hours then check my blood sugar, and I'm at around 140. I'm wondering if anyone has this issue and if so, what do you do? Take your Metformin just before bed, eat a few bites of something in the middle of the night, or ??? I have Type 2 and take a total of 4 Metformins daily. My doctor wants me to take Insulin if Iā€¦ read more

posted September 9, 2021
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A DiabetesTeam Member

There are ways to lower your morning blood sugar without meds.see verywellhealth.com Real life with diabetes by very well
1 limit carbs at evening meal ( higher fibre,lower fat)
2exercise in afternoon
3 supplement with vinegar after dinner(apple cider caps)
4 watch dinner time fat
5 prevent night time hypos .glu at or more than 6/108 at bedtime
6 consult health care professional
None guaranteed to work as we all different but worth looking at

posted September 10, 2021
A DiabetesTeam Member

For me breakfast and lunch are bigger meals than dinner. I eat to my meter my spreadsheet and food journal. That has lowered my after dinner and morning numbers.

I am on no diabetes medications, my choice. I am limited to less than 20 carbs a day. Until a couple of months ago I was limited to 10 carbs. Since I eat to my meter, I found I could eat more carbs, if I ate them earlier in the day.

I've also found for me, my lowest number is somewhere between midnight and 0200 and is in the 80s. It rises till about 0400. I get up, test my vitals, take my morning medications, make breakfast and go to work. My morning number is usually between 105-115.

Beat down your diabetes monster one baby step at a time daily. Baby steps. I can do baby steps.

Never give up, never surrender, never ever.
You got this.
Have a blessed day.

posted September 9, 2021
A DiabetesTeam Member

Thank you so much.

posted September 10, 2021
A DiabetesTeam Member

Thank you so much for taking the time to answer my question. I sincerely appreciate it.

posted September 9, 2021
A DiabetesTeam Member

You stated your A1C but I believe you meant your Blood Sugar (A1C is a 90 day average).

There is three basic blood sugar numbers that your doctor will be interested in and if there is a problem they are medicated differently.

Your morning number when you wake up is the result of your own metabolism when it's running on auto-pilot. There is almost nothing "YOU" can do to effect that much one way or another - certainly nothing that would mitigate needing medication to control it.

You after meal numbers can be very much effected by watching what you eat.

(your pre-meal numbers and after meal numbers would be treated with a number of meds "but not metformin" or a short acting insulin)

However, your Fasting Numbers (first thing in the morning) appear to be the issue.

If you are taking 4 metformin a day then you are "maxed out" on them and the only other "viable medication" to deal with them is a long acting (Basil) insulin.

It doesn't matter "when" you take the Metformin. It takes about 4 to 6 hours to "get into your system" and then stays there for about 48 hours so whatever pills you took in most of the past two days "are working at this very moment".

Personally, I would take the insulin. Not dealing with those high fasting numbers can shorten your life, lead to debilitating complications, destroy your kidneys or heart, lead to blindness and vision loss.

Next to all the "downside" a jab of insulin shouldn't look too bad...

posted September 9, 2021 (edited)

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