My fasting BG is elevated

By Michaelb2840 Latest Reply 2014-07-23 07:02:55 -0500
Started 2014-07-14 06:52:56 -0500

I am new to the board, just recently diagnosed with Type 2 (May 29: A1C 11.8% and a 364 BG). I convinced my doctor to let me try diet and exercise over the meds (read the meds can increase the risk of pregnancy and I saw my wife go thru this 6 times I am sure I can't handle that). So I have been eating around 35 - 50 carbs a day, taking Chromium (500mcg) and Cinnamon (1.5 g),and jog/walk about 20 - 30 minutes 7 days a week and my fasting BG until a week ago had a range of 123 - 145ish while after a meal I have been around 150 - 170ish, now my fasting BG has been between 135 - 165ish and my after meal checks have been between 145 - 160ish.

No expert here but what I have read is that my liver may be introducing sugar to my blood stream causing my fasting readings to go up.

A couple of questions:
Is this a possibility?
Does my liver ever get the concept that I am dieting and start to self regulate?
Also, I would love to here some tips from others that have gone this route and did it work for them?

14 replies

Michaelb2840 2014-07-23 07:02:55 -0500 Report

Been taking Chromium (500mcg) and Cinnamon (2 g) now for a few weeks and here are my avg numbers this week:
Fasting 132-134 (These numbers are before running, which is better then my last post with those numbers 123-145 after my run, the range before my run was before was between 150 - 180)
2 hrs After Meals have been 123-134

I am still running 1 mile a day (6 days a week), my diet is still 35-50 carbs a day.

What I have noticed is that I don't have the big spikes but my numbers are fairly close all the time

My BMI is 23.7 so not a ton of room for weight lose but very excited with the results of my supplements.

youngdiabetic 2014-07-14 10:23:12 -0500 Report

I am not sure on the effort of drugs on pregnancy. I am not aware of that but there are way better ways to manage that if thats your concern. Per the statistics, type 2 is a progressive disease in the end you will need some sort of meds. By the way at what age were you dxed with type 2?

youngdiabetic 2014-07-14 10:20:42 -0500 Report

Yes, if the BG is higher than 250, one shouldnt exercise. Exercise will spike the bg for a while. At that point your bg will be more. Hence it is always recommended to check the bg before exercise if the bg isnt under control.

Michaelb2840 2014-07-14 09:28:03 -0500 Report

I have lost about 10#'s since diagnosed (bmi is about 24.4). The diet and exercise is only for 3 months and at that time I will reevaluate. I am about 6 weeks into the routine, I would like to see my fasting numbers in the low 100's. I am working with an MD and a nutritionist to get this at least under control.

Glucerna 2014-07-14 18:42:21 -0500 Report

You're making excellent changes to your food choices and activity level, and working closely with your physician and nutritionist is excellent. You haven't mentioned sleep habits; often people with diabetes notice increased fasting blood sugar levels when they don't get enough sleep or not enough quality sleep. There's a good article here: ~Lynn @Glucerna

youngdiabetic 2014-07-14 10:18:18 -0500 Report

I guess you might need meds. Looks like your BMI is in normal range. I highly recommend you to discuss it with doc at the earliest and start them rather than running the highs!

Michaelb2840 2014-07-14 16:27:41 -0500 Report

My MD & Nutritionist have both said that nerve damage doesn't occur unless you are over 150 for a couple of days. Type 2 runs in my family and I know the risks are high if untreated and left out of control, my Gfather had type 2 and let his stay out of control for years landing him in the hospital for 6 months or so and then became insulin dependent, I don't want to get to that point buy I am closely monitored by both doctors.

On another note:
I am curious if anyone on this forum has been able to solve the fasting high w/out meds.

My daily routine is below:
Get up around 5:45
Run/jog 3/4 Mile
Check BG
Eat a fiber breakfast (english muffin w/peanut butter)
Morning snack around 10:30 (fiber one bar)
Salad for lunch
Snack around 4
High protein dinner
Evening Jog
Check BG
Mild protein snack before dinner

haoleboy 2014-07-14 16:51:59 -0500 Report

I developed neuropathy in my feet (bad enough I have issues walking) with an A1c under 6.0 … pretty sure I have never been "over 150 for a couple days"


Type1Lou 2014-07-14 08:17:58 -0500 Report

A book that really helped me to understand what was going on in my body was Gary Scheiner's "Think Like A Pancreas". Not only does he describe Dawn Phenomenon and Somogyi Phenomenon which can cause high fastings, he has charts about what target BG ranges should be at fasting, and after meals. He discusses oral meds as well as different insulins. I found it enlightening and informative and it helps me better deal with my diabetes.

youngdiabetic 2014-07-14 07:54:39 -0500 Report

People sometimes call this as dawn phenomenon (usually applicabl to type 1) but a similar fact is also true for type 2s, where liver comes into picture. I have read in dr. Bernsteins book. It may not work with just diet and exercise. You need medications as well to lower. The only other way to reduce it is by getting at the right BMI. also like I mentioned earlier your glucose readings are quite hazardous. Eventually a type 2 person might end up on using insulin. Why a type 2 doesnt have to use insulin at beginning is pancreas still has some beta cell function left. If one maintains above 140, possible beta cell damagae occurs and you might have to use insulin sooner. I am taking about years down the line. Also a study shows that a bg slightly above 100 also causes beta cell damage. Hence it is critical for you to use medications. Also nerve damage (neuropathy) occurs when bg is greater than 140. Diet exercise plus medications are the right choice for you according to me. Target fasting less than 100 and after 1 hour of meal it shouldnt spike over 140 and after 2 hours not more than 120. Again this strict control will prevent long term complications. But this strict level is recommendes only if you dont have any heart or other critical ailments. I am no doctor, please use act only based on your wise devision .

Chris Combs
Chris Combs 2014-07-14 07:04:51 -0500 Report

good question…mine is all over the place too. yesterday my fasting bg was 137, today it is 151. I was diagnosed at 317BG and 14%A1C June 26, 2014. I want to know..does it take some time for the meds (Metformin, 1000 mg, twice a day, and 5mg Glipizide) to actually kick in? Is everything still "flushing out" and regulating? Glad you started this topic!

youngdiabetic 2014-07-14 07:02:40 -0500 Report

Please use medications. They might bring your glucose much lower. This will preserve beta cells. Once you get optimum control then reduce medications or avoid them as per doctors recommendation. Also it is not advisable to exercise if your bg is greater than 250. Lower the glucose the better, consider medications as a life boat rather than a failure.