Connect with others who understand.

  • Learn from expert-reviewed resources
  • Real advice from people who’ve been there
  • People who understand what you’re going through
Sign Up Log In
Powered By
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.
August 16, 2024
 · 
Reactions
A DiabetesTeam Member

Why is my blood sugar higher than at bedtime. Nothing to eat 4 hours before bedtime. at bedtime 6.4 and rising 7.9.

It is possible that you may be affected by the phenomenon of dawn. This phenomenon is characterized by a rise in blood sugar levels early in the morning, even if you haven't eaten anything for several hours. This may be due to the release of hormones that raise blood sugar levels to prepare your body to wake up. It is important to discuss these fluctuations with your doctor to adjust your treatment plan if necessary.

I also have the same problem. My blood sugar is higher at lunch. There can be several reasons. There is the phenomenon of dawn. This happens to everyone even without diabetes, when we sleep several hormones are at their lowest, it allows us to sleep better, our heart rate, our blood pressure, our breathing, and many other functions are slowed down. The phenomenon of dawn are the hormones that our body releases in the morning about 1 hour before getting up (this also happens to non-diabetics), these are the hormones that allow us to wake up and move forward in our day, the energy we need to start our day. There are also other factors such as the foot to the floor, as well as the effect of Somogyi (it is when in the night our sugar drops too low, our body releases the sugars that are stored in our liver, this helps to raise the sugars.

Whatever the cause, it is always good to talk to your doctor, sometimes adjustments in the medication must be made. Below is an article in French that explains 2 of these factors. The Somogyi effect is very apparent when someone has a blood glucose device such as Un Libre or Dexcom you can discuss with your doctor if such a device that is installed on the back arm can help determine Somogyi or Dawn

https://www.diabete.qc.ca/le-diabete/la-gestion...

Alimentation | Diabète Québec
Alimentation | Diabète Québec
August 18, 2024
DiabetesTeam

Il est possible que vous soyez affecté par le phénomène de l'aube. Ce phénomène se caractérise par une augmentation de la glycémie tôt le matin, même si vous n'avez rien mangé pendant plusieurs heures. Cela peut être dû à la libération d'hormones qui augmentent la glycémie pour préparer votre corps à se réveiller. Il est Show Full Answer

Il est possible que vous soyez affecté par le phénomène de l'aube. Ce phénomène se caractérise par une augmentation de la glycémie tôt le matin, même si vous n'avez rien mangé pendant plusieurs heures. Cela peut être dû à la libération d'hormones qui augmentent la glycémie pour préparer votre corps à se réveiller. Il est important de discuter de ces fluctuations avec votre médecin pour ajuster votre plan de traitement si nécessaire.

August 16, 2024
A DiabetesTeam Member

Maybe this may help...
The dawn phenomenon is
a natural, early-morning (4 a.m. to 8 a.m.) rise in blood sugar, or hyperglycemia, caused by the body’s release of hormones like cortisol and growth hormone that increase insulin resistance. It causes high fasting blood sugar in people with diabetes because their bodies cannot produce enough extra insulin to counteract this surge.
Symptoms

High blood glucose readings early in the morning.
Feeling thirsty or needing to urinate upon waking.

Causes

Hormone Surge: Natural, pre-dawn release of growth hormone, cortisol, glucagon, and adrenaline that tells the liver to produce glucose.
Insulin Resistance/Deficiency: People with diabetes (Type 1 or 2) cannot produce enough insulin to manage this surge, resulting in hyperglycemia.

Diagnosis

Monitoring: Measuring blood sugar levels at 2 a.m. or 3 a.m. for several nights. If levels are high or rising, it is likely the dawn phenomenon, according to Cleveland Clinic.
Monitoring: If levels are low at 2-3 a.m. and high in the morning, it may be the Somogyi effect.

Treatment

Medication Adjustment: A doctor may change the dosage or timing of long-acting insulin, or suggest an insulin pump, notes Cleveland Clinic.
Lifestyle Changes:
Reducing or changing the composition of dinner, such as reducing carbohydrates.
Exercising in the evening, as recommended by Cleveland Clinic.
Eating a lighter, lower-carb breakfast to prevent further spikes, according to Beaufort Memorial Hospital.

Risk Factors

The dawn phenomenon is common in both type 1 and type 2 diabetes, with a prevalence exceeding 50% in studies, says National Institutes of Health.
It affects all age groups, including older adults with type 2 diabetes, notes National Institutes of Health.

Key Differences
Unlike the Somogyi effect, which is triggered by low blood sugar (hypoglycemia) overnight, the dawn phenomenon occurs despite normal or high blood sugar levels early in the morning, notes Cleveland Clinic.

Dawn Phenomenon: When Your Day Starts With High Blood Sugar | Beaufort Memorial
The dawn phenomenon is a spike in blood sugar levels that occurs in the early morning hours. It can affect people with both Type 1...
Beaufort Memorial Hospital
The dawn phenomenon: What can you do? - Mayo Clinic
Can anything be done about it? The dawn phenomenon is an early-morning rise in blood sugar, also called blood glucose, in people w...
Mayo Clinic
Dawn Phenomenon: What It Is, Causes, Symptoms & Treatment
The most effective treatment for dawn phenomenon is taking insulin with an insulin pump. Other treatments include: * Increasing th...
Cleveland Clinic

March 25
A DiabetesTeam Member

@A DiabetesTeam Member Hi I am doing great I posted this is a great site all the people that respond give hugs
prayers sent for you

March 25
A DiabetesTeam Member

My French is very limited and I won't insult the language by trying to respond in French (I think it's a beautiful language) In my experience, what it sounds like is the dawn phenomenon. I agree with other answers as to the cause and what to do about it, but I think it might be trial and error to find the right solution. Good luck! Please respond back how you are doing.

March 25

Related Questions

View All
A DiabetesTeam Member asked a question 💭
Inverary, ON