[Diabetes-talk] question

Wed Mar 31 21:02:59 UTC 2010

my doctor has called this the dawn effect it affects about 90 percent of diabetics, you may need to speak to your doctor especially if you are taking pills or are not on lantus or any other meds, your meds my need to be adjusted

Cheryl Echevarria 
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  ----- Original Message ----- 
  From: Vincent Chaney<mailto:vgc732 at optonline.net> 
  To: Diabetes Talk for the Blind<mailto:diabetes-talk at nfbnet.org> 
  Sent: Wednesday, March 31, 2010 3:58 PM
  Subject: Re: [Diabetes-talk] question

  Debbie,

  We of course should always say confide in any ideas with your doctor first. 
  You need your diabetes team to truly determine what is happening.
  The reason for high blood sugars in the morning when you wake can be many 
  reasons. As I am an insulin pumper now for almost 11 years, I have had to 
  think levels around the 24 hours of the clock. I have been a diabetic for 
  almost 48 years now.
  Have you tested yourself when you were waking during the night to determine 
  what your level was at that time? If not that would be necessary 
  information. Say your sugar is high as one possible point, you may be eating 
  a snack before bed with too many carbs, protein and/or calories. Believe it 
  or not, if you have a high protein or fat level at dinner, as you digest 
  these slower than carbs, they may be elevating your sugar throughout the 
  evening.
  Would you let us know what time you go to sleep and get up? Why I ask is, if 
  you go to sleep around 9 PM for example and your insulin and diet are off, 
  you could also be dropping low during your early sleep time. What the body 
  would do then is to release hormones to elevate the blood sugar which does 
  not stop until you are out of the low level, but generally then for our 
  blood glucose level too high. Your sugar would be climbing at your 2:30 to 3 
  AM if you tested normal at that time. If you did not make the correction 
  adjustment your sugar would be higher in the AM.
  One other thing that I've learned as an insulin pumper may also be involved. 
  If you are a late riser, there is a phase during sleep known as "The Dawn 
  Phenomena". this is when the body naturally releases a hormone which works 
  on us as a steroid. This is to lubricate our joints but like a hormone, will 
  elevate our sugars. So if you arise in the morning late, you may not be 
  administering insulin early enough to catch this "Dawn Phenomena" affect.
  As you can see, there could be many possible reasons so working with your 
  diabetes team is critically important.

  Vinny
  Vincent Chaney Jr
  NFB Diabetes Action Network (DAN) Board
  NFBNJ Diabetes Division President
  NJAGDU Division President
  NFBNJ Technology Division Vice President
  NFBNJ.ORG Webmaster
  ----- Original Message ----- 
  From: "Debbie Fredericks" <catdancing at sbcglobal.net<mailto:catdancing at sbcglobal.net>>
  To: <diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org>>
  Sent: Wednesday, March 31, 2010 3:21 PM
  Subject: [Diabetes-talk] question

  i have been diabetic for 43 years. i recently got a new doctor in St. Louis 
  I tend to have very high glucose readings in the morning, they r normal all 
  day and high in the morning. To prevent this i was getting up around 2:30 or 
  3:00 a.m. and taking insulin to lower the a.m. blood sugar and it worked 
  very well.
  When i told this new doctor i did this she told me not to, now my blood 
  sugars are high in the morning.
  Has anyone any idea what i should do. my choice is to keep taking the 
  insulin at2:30 or 3:00 a.m.
  Debbie
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