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Posted 5/1/2005 10:56 AM (GMT 0)

Hi Everyone

I have recently been diagnosed as pre-diabetes and am doing my best to diet control my BG levels i.e eating low GI foods, exercising like i'm doing the next olympics!!!, avoiding high sugar foods etc etc! When i test b4 bedtime my BG level is fairly low i.e 5.8-6.2 but when i test first thing in the morning it has risen sometimes to as much as 7.1 mmol. I don't understand how it rises over night as i don't eat after about 7pm and then we walk the dogs for about 45mins. My Doctor says i should be aiming for a morning reading of 5.5 and its really frustrating when its too high. I am eating lots of fresh fruit and veg and am following a 12 week diet plan from Jennie Brand-Millers The Low GI Diet.

Any help or information anyone can give would be most appreciated.

Susie

Posted 5/1/2005 3:30 PM (GMT 0)
I'm not a doctor but I've been injecting since

1964 so I'm offering this information based on

personal experience.

I too deal with elevated blood sugars at night.

I've since learned that the liver stores carbs

during the day and processes and releases the

sugars overnight. My last meal is 4pm. I inject

NPH before going to bed and wake up next morning

with normal blood sugars. Oddly enough, I inject

more insulin before bedtime than any other time,

and have been for over 5 years with no negetive

effects. The key is to test before going to bed!

If your sugars are low - extremely low use caution

when injecting. When my sugars are high - extremely

high, I include 5 units of Regular....

Talk to your doctor (a specialist is ideal).

Good luck!

Posted 5/1/2005 3:57 PM (GMT 0)
Hi modfos

Thanks for your reply i don't actually inject or take any medications for pre-diabetes its purely diet controlled at the moment. I try to have my last meal as early as possible and don't have any snacks before bedtime. I only drink water during the night if thirsty. I will give it another week or so and if my AM sugars are still high i will contact my Dr.

Many thanks Susie

Posted 5/1/2005 9:19 PM (GMT 0)
Hi Susie, I have been type 1 diabetic for almost 24 years. Your higher sugars in the morning could be because of something called the dawn phenomenon which is the release of certain hormones through the night that signal your liver to release more glucose. But 7.1 sugars really aren't that bad. I try to aim for anything between 4-7 before meals and 6-8 two hours after eating. Keep up the good work!
Posted 5/1/2005 9:24 PM (GMT 0)
PS there is a good article about the dawn phenomenon here: http://www.diabetesselfmanagement.com/article.cfm?aid=1023&sid=6&sk=5WZ4
Posted 5/2/2005 1:00 AM (GMT 0)
Hi Devine007
Thanks for your reply, i am new to all this and it seems alot to take in. I have been trying to aim for 5.5 as this is what the Dr recommends but i just get disheartened when its higher and wonder what i had done wrong to cause the level to rise in the mornings.
Cheers for the link. Ta
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