morning blood sugars

By 2catty Latest Reply 2009-03-24 07:05:01 -0500
Started 2008-09-04 07:22:36 -0500

I have the most trouble keeping my sugars down in the morning. It usually is in the 200's. I take 120 units of lantus for this and it still is high. I take byetta and gluburide in the day and most of the time it is under control. It is that dang fasting blood sugar. It is really frustrating. If anyone has a similar situation or suggestions please share them.

20 replies

jsd2005 2009-03-23 14:16:07 -0500 Report

Did you just see the note re: Dawn Phenomenon? Might try reading it. Do you keep a food log? May be something you had last noc. Maybe you need to add a pm dose of insulin to control that morning sugar.

2009-03-23 13:34:11 -0500 Report

Just bringing this back up for the new people that are asking this question too!!


NamVet - 21894
NamVet - 21894 2008-10-19 11:47:44 -0500 Report

I did till I went on the Pump. Now I am more even.
I do not eat anything after 8 p.m. either.. Which helps.
I do get up and do my 2:00a.m. BS checks.

jmv 2008-09-22 07:09:13 -0500 Report

my doctor just took me off of byetta informing me it is recalled.

caspersmama 2008-09-23 05:06:03 -0500 Report

Ok this is nowhere scientific or anything but from reading all the posts last 2 weeks I tried something. I am on 70/30 mix insulin, metformin 2 times a day and amaryl in the morning. So i was having morning highs too so this was my experiment. Had read about the red wine thing and the cinnamon thing. So this is what I have been doing at night. After dinner I have a 1/2 glass of red wine. I found I like Sutter Home Merlot the best. It is inexpensive too. Then about 10pm I take my metformin with a snack. I have been eating an apple sprinkled with grinder cinnamon. Morning blood sugars have greatly improved one morning was 105, then 102 and this is the lowest my mornings have ever been. So I talked to my Doctor and he said everything is fine what I am doing. So you just have to find what works for you and experiment if you have too. This site has been great for advice and motivation. Good Luck to us all.

NamVet - 21894
NamVet - 21894 2008-09-15 09:03:05 -0500 Report

I am having same problem. My Dr. has changed my Insulin at evening now and has ask me to take some readings at 2AM for few nights to see exactly where and when it is going on.

caspersmama 2008-09-11 03:32:30 -0500 Report

Ok now get this. I went to bed sugar was 148. Good for me. Had taken my shot and nightime meds. About 2 a.m. was up feeling a little quesy so I decided to take my sugar it was 128. Still good. Did not drink anything or eat anything, Got up this morning it was 158. So this Dawn Effect is really a real and serious thing. because now I have eaten breakfast and taken my meds and insulin shot and sugar is back down to 125. I want a pancreas transplant. LOL. This get so frustrating.

kdroberts 2008-09-11 04:18:21 -0500 Report

This is interesting. Dawn phenomenon seems likely here. Unfortunately its nothing to do with your pancreas so a transplant wouldn't help much. It happens to every single person in the world, diabetic or not. Unfortunately diabetics notice it more. Cortisol is a big culprit and unfortunately the mechanism doesn't work right for diabetics. It doesn't shut off when it should, it releases more glucose that it needs to, insulin resistance can add to that. You may have found that eating a small snack at 2am may have helped. Of course, something else could have happened, but it's less likely. You went low before 2am and rebounded. Your blood sugar was on the rise at 2am. It hit a peak and then started to come down again. It would have been interesting for you to have taken your fasting reading, waited an hour without doing or eating anything and then testing again. If the 2nd number was higher then the DP is a very good candidate. If it was lower then somogyi may be a better fit.

GabbyPA 2008-09-11 10:45:26 -0500 Report

The dawn phenomenon is in every person as it is what gets you up in the morning and on your way. I read that your release usually begins around 3:00 AM and runs thru 11:00 AM. This is in our genitic make up to allow us the energy needed to go out to find food in a new day for our ancestors. Now that all we have to do is open the frige, this is not needed so much. What I do is test early in the morning and get a grip on it as early and as consistantly as I can. It has helped me a lot. I used to think the longer I waited, the lower my number would go. That is not the case for me at all. So I nip it in the bud as early as I can.

caspersmama 2008-09-09 04:53:00 -0500 Report

I also have this problem. I have tried all the snacks at night but nothing has worked so far. I take Insulin and 2 diabetes pills. I can control during the day but mornings are high. let me know if you find something that works, and I will do the same.

2catty 2008-09-09 14:00:06 -0500 Report

Still haven't found anything yet to control those pesty morning blood sugars. Snacks before bed so far hasn't helped. But I'll keep you posted

GabbyPA 2008-09-09 14:13:45 -0500 Report

My mom reversed her meds and found that helped. I don't know what you take, but you might want to ask your doctor. She just looked at what each one was for, and flipped one to a night time take, and it has helped her a lot.

caspersmama 2008-09-10 07:37:45 -0500 Report

Well i am trying sonething new this week. i had usually taken my metformin right after my evening meal but this week I am taken it with my late night snack before bed. Well it works with my morning highs (this morning 105) but I feel like crap. I really think I am one of those people that does not feel well when my sugar is low like this. I feel tired, hungry and depressed. And then I ate breakfast, took shot and other meds I take and feel better. So I think I crashed too fast at night. Bedtime sugar was 204 and then 105 this morning. Isn't that too fast or is this all in my head.

ldybugg47 2008-09-04 16:59:45 -0500 Report

Sorry it's so high in the morning. Maybe some peanut butter on some celery. Maybe a small bowl of oatmeal with some cinnamon. I have read those posts. ~: )
Whatever you like the best I would try a few nights and then see how it turns out. Let us know.

GabbyPA 2008-09-04 14:40:40 -0500 Report

I have this issue also and here are some things I have done to help me control it.

I test at the same time every morning, usually between 5:45-6:00. I used to wait until I was ready to eat after I did my morning routine, but it would just escalate. (I am one of the people who asked this question in a previous post)
Then I make sure to eat something within an hour of testing to prevent it from rising any more.
I also find that a bit of carb and fat at night helps. I test two hours after my dinner, then eat my snack any where from 1-3 hours before I go to bed (depending on how late I get home from work. LOL)
John is correct, there are many posts on this topic. If you use our new feature "search discussions" you will find a wealth of information on it. It was a source of frustration for me too. It still is sometimes, but at least I know I will be ready to go tackle my morning. I think this is why I am a morning person and others are not...atleast not before they have had a cup of coffee.

Half Sunflower
Half Sunflower 2008-09-04 16:25:58 -0500 Report


I agree with Gabby that a night snack that is comprised of a little protein, fat, and dairy may be helpful. I usually have a slice of turkey from the deli with a piece of cheddar and a spoonful of peanut butter. Choose the snack you like, tell me if this works for you.

Half Sunflower

caspersmama 2008-09-10 07:40:56 -0500 Report

I did find a snack I really like. Have you all heard of the laughing cow cheese. One little wedge is 35 calories and I eat it with 6 triscuits. The wedge is just enough to cover the wedges.

GabbyPA 2008-09-10 13:09:57 -0500 Report

I love Laughing Cow. My grocer kept moving it around and it drove me crazy. You can also get coupons for it on line. I subscribe to a couple of coupon sites, and it shows up as a regular...every little bit helps.

morris.js 2008-09-04 10:45:30 -0500 Report

Not to be rude, but there have been several discussions started about this very same topic. you might want to review them for additional information.
now to answer your question, it is probably due to 'Dawn Effect". that is when our bodies release stored glucose to kind of prepare us for the start of the day. Some have had success with eating a snack like peanut butter on crackers right before bed to lower those morning numbers. Again, there are a lot more comments in the other discussions that may help you also.
I hope this helps,

Mom and boys
Mom and boys 2009-03-24 07:05:01 -0500 Report

I have been having high blood sugars in the morning but was recently reminded of the snack thing…so last night I did it. We had an early dinner and 2 hr. was 127 About 8:30 I nibbled on mixed nuts. This morning 101!

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