Many diabetics experience this dawn phenomenon. Physiologically speaking this usually occurs between 2:00 a.m. to 8:00 a.m. It is thought to be the release of counter-regulatory hormones such as growth hormone, cortisol, glucagon or epinephrine. The release of these hormones causes insulin resistance and your liver reacts by releasing glucose. When your nurse educator was speaking of something having to do with your liver, this is what she is talking about. She was not talking about liver enzymes.
Do you know how many carbohydrates you are consuming when you eat that huge bowl of popcorn? Check that out. Same thing with the sesame sticks. Eating carbs later in the evening causes the blood sugar to rise. Have you checked your blood sugar before you go to bed?
I was an uncontrolled diabetic at diagnosis. Because of this, I was to log all food and drink daily with the amount of carbs in these meals and/or snacks. Also, I needed to keep a running tally of my blood sugar before I ate and two hours after I ate along with the morning fasting and bedtime reading. It will amaze you at how many carbs you are consuming if you do not keep a close watch.
You A1c of 7.2 indicates a blood sugar reading of 180 daily for three months. It is not just your fasting a.m. number.
Keep a food/drink log. Test more often to see how foods are affecting your blood sugar readings. When you eat that huge bowl of popcorn, test two hours later and see what your reading is. If you are not 140 or below, this is a problem.
There are new guidelines for diabetic numbers:
70-100 in the a.m. (fasting) 140 and under two hours after any given meal 70-100 before bed
You may require an adjustment in your meds and/or diet.
I use two insulins, carb watch and physical activity to keep my diabetes under control. My first A1c was 13.2 (thus the uncontrolled diabetes moniker) and I have reduced it to 5.6.
If you are not physically impaired, I hope you have made physical activity a central portion of your life. This goes a long way in reducing your A1c and living a longer, healthier life.View Thread
You need to test if you feel your blood sugar is either high or low.
I have experienced highs (very high) and lows. The symptoms you list above are not what I have experienced with either a high or a low. Everyone is different, but generally, those symptoms are not associated with blood sugar readings, either high or low.
You need to ask your doctor. These symptoms could be an indication of several things.View Thread
Your A1c is not a bad number. That being said, it is still above the average for a non-diabetic. Most doctors say that an A1c above 5.7 is an indicator of developing diabetes.
Please note that I said average for a non-diabetic. A non-diabetic will average 85 daily with an A1c of 4.6.
An A1c of 5.5 indicates an average blood sugar reading of 111 daily for the past three months. Your fasting BS is only one number taken throughout the 24 hour period. What about the rest of the 23 hours throughout the day? Do you ever test two hours after a meal? After exercise? Before bed?
As I said, a non-diabetic will average an 85 reading at any given time of day, except for right after eating any carbs. However, if that number rises after the meal, it generally returns to the 80's two hours after any meal.
This is a forum for diabetics. There are no medical professionals on board here. You will need to talk with your doctor. Does diabetes run in your family? Are you overweight? Do you exercise? If not, are you physically active?
Familial history of diabetes, inactivity, overweight, high blood pressure, high cholesterol, etc. are risk factors for developing diabetes. If any pertain to you, it would be a good idea to talk with your doctor.View Thread
Fruits have a lot of natural sugar in them. Some more than others. Juice alone is pure sugar with vitamins and minerals. As Michelle stated, whole fruits are better for you.
Do you test your blood sugar? Does not hurt to experiment. Take your blood sugar before you drink that juice. Take your BS about 1/2 hour later and one hour later. See what the juice does to your blood sugar.
Everyone is different when it comes to things we can eat and drink. I sniff carbohydrates and my blood sugar goes up. That's me. You might be different.
I am just generally speaking when it comes to fruit juices. It raises the blood sugar of many. That is why when a diabetic or anyone else has a hypoglycemic (low blood sugar) episode, fruit juice is recommended as a therapeutic agent to bring the blood sugar up.View Thread
There is something going on here if you cannot get your numbers below 199.
I am not a medical professional. Only another diabetic living daily life.
The post is a bit vague. Exactly what is "watch everything that I eat." Were you given a carb count per meal by your doctor and/or a dietician? Do you eat more complex carbs than any other carbs? Carb counting diligently is essential in maintaining your glucose numbers.
When do you test? Is is just once a day? Do you test two hours after a meal? Before bedtime?
If you cannot figure out what is going on, the first step would be to write down EXACTLY what you eat per meal and how many carbs are in that meal. Take your BS reading before you eat. Test exactly two hours after that meal to see where you stand. That two-hour post-prandial number should be under 140. Also, read all the nutrition labels on everything you purchase. Invest in a carb counter, so you know exactly how many carbs you are eating.
I do not know what kind of insulin you take or what the dosage might be. There are different kinds of insulin. Basal insulin, which is a 24-hour acting insulin designed to keep your numbers within range. If you take this insulin and your numbers are not within range, you need to talk with your doctor about this dosage. 199 is too high on a daily basis. This is probably doing organ and vascular damage. The right dosage of the right insulin should bring your numbers down.
I take two insulins, the basal and a rapid-acting insulin with my meals. The rapid-acting insulin is designed to keep your BS numbers from going up if you eat carbs. My doctor gave me a ratio of 1 unit of insulin to every 12 carbs I eat. I am supposed to test before I eat to see if my BS is above 120. If that is the case, I need to take an additional unit of Humalog besides the carb ratio dosage. Essentially, I adhere to the insulin-carb ratio along with a sliding scale, if needed.
Regarding the basal insulin - it may take some time for you and your doctor to get the dosage correct. You need to let him/her know that your numbers are not coming down where they should be. My doctor started me out on Lantus, injecting 18 units every morning. That dosage did not touch my BS readings. He upped the dosage in increments until I reached 40 units every morning.
I have been able to bring down the dosage of Lantus because of being very active at my job. I also don't need to take the rapid-acting insulin at lunchtime thanks to this activity.
Talk with your doctor. Everyone is different in how they manage their diabetes. It is important to bring your numbers within range to avoid doing any damage to your body.View Thread
Ann, your numbers are indicative of diabetes. You are concerned, otherwise you wouldn't have posted here. Also, you are testing and watching. If diabetes runs in your family, you may be predisposed. Any extra pounds will show in your blood sugar readings. Being sedentary does not help your blood sugar numbers. I do not know your age and/or physical capabilities, but keeping your blood sugar readings within the normal range entail being active and eating right. Eating right for most of us requires attention to the amount of carbs we ingest.
As we are all individuals, our diabetes is individual. Many can get their numbers under control by eating right, exercising or keeping physically active and being within their weight range. They require no medication. Others do the same but need meds to help control their numbers.
Since you have not been diagnosed, I don't know if your doctor would refer you to a registered dietician.
A non-diabetic's average blood glucose will be around 85 at any given time of day. The blood glucose will rise right after eating meals with carbs but soon returns to normal.
An A1c of 6.2 indicates an average blood glucose of 131 daily. Ann, that is not normal. Your BS can be any given number throughout the day, but you are still averaging 131. That is a far cry from the non-diabetic average of 85.
Ann, lose the weight as your doctor has asked you to. You might find your numbers dropping as your weight drops. You can also get a second opinion from an endocrinologist (specialist in glandular disorders) if you wish. He/she will probably tell you the same thing about losing weight in order to get your numbers under control.
Watch your nutrition labels carefully. Diabetes is a disease of carbohydrate metabolism. Your body is not using the glucose properly which may be due to several reasons. The TOTAL CARBOHYDRATE line is the one to watch.
If your insurance permits, ask your doctor for a referral to a registered dietician. We are all different in how many carbs we can eat throughout the day. I, myself, am restricted to a lower number than many because I was diagnosed as an uncontrolled diabetic. For example, my dietician recommended 35-45 carbohydrates per meal. These numbers were given to me when she looked at my BG numbers and my A1c. My first A1c was 13.2. Little bit out there. LOL. By watching my carbs and being much more active, plus insulin, I have been able to get it down to 5.6.
If you can, get active. It does not have to be formal exercise. I am very active because of the job I have. For 3-4 hours per day, I am constantly moving. This keeps my numbers where they should be.View Thread