I am type 2 diabetic. My glucose is 200 or 220 in the morning when I get up. I sometimes have a protein snack at bedtime. I eat a healthy dinner. I dont know why it is so high only in the morning. It gradually goes down to about 120 to 140 at noon then stays lower all day. I am not eating the wrong things. Can you please tell me why this is? I am taking four 500 mg Metformin, two 5 mg glyburide, and one 25 mg Januvia daily.
I am an avid racing-level cyclist. I currently use a pump and find that after 2 hours, no matter what, I always go low, unless I use zero basal. I finish races and rides with normal glycemia. I am wondering what evidence is there for or against this practice? What do you advise patients at this level of intensity to do, other than consume tons of calories (which I am sure you can appreciate is hard to do when riding)? Thanks for your time.