It seems no matter how much (or little) I eat and exercise, I'm seeing my blood sugar rise almost 50 mg/dL between midnight and 5:30 follow by a spike of 25 or so once I wake up. All said, between my lowest point after dinner and my highest point before breakfast I'm seeing a rise of almost 100 mg/d
It's kind of complex unfortunately.
Tons of things can be contributing to this. Maybe your quality of sleep is really poor for whatever reason, and your body isn't able to properly rest. Maybe your digestion is slower than you thought and when you go horizontal your body digests the rest of what you ate. Fasting for too long can also cause your body to get a little weird and start releasing more stored glucose than usual.
Or maybe your diabetes can't be managed with just diet and exercise alone if you're not on any medications. If you are on medications, the dose might be wrong.
Human bodies are not simple and diabetes isn't simple either. If you haven't already, a certified dietitian might be able to shed some light on what your food intake is doing. Or you may need to talk to your doc
Yeah, just wondering if anyone experienced a similar pattern. My averages are still slowly dropping so diet, exercise, and metformin is at least doing something. I need more bloodwork but couldn't get an appointment with an in person doctor until early Feb.
Oh every diabetic experiences this at some point. But that's because we're diabetics and bodies do body things like this. :) I read you just got started, so be kind to yourself and give your body time. This didn't happen overnight and it won't be fixed overnight either, you're on the right track. Keep at it for a while longer and review with your healthcare team to see where any changes can be made once you have collected more data.
Yeah, still kind of bummed I'm getting downvoted and no one has actually answered the question (ie how much increase do other diabetics experience overnight).
I mean, 'yes' is the only answer you're going to get I think? It's so wildly different between individuals, and most people see different things overnight to begin with, but what you're seeing is very common. So you're not a wild outlier or anything.
If the reason you're asking is "Is this normal?" then yeah, it's normal. If the reason you're asking is to figure out what people are doing to help avoid or reduce it, then you have to remember that their bodies are not yours and your first stop should really be with your care team after you give your body time to get used to the meds and changes. Metformin takes some time to build up in your system.
The one thing you can try it playing around with the timing of when you take your meds to see if that helps or is more comfortable in terms of
It is unfortunately a thing we type 2 have to deal with. To my understanding, it is tied to how much glycogen your liver dumps in response to rising cortisol. Certain medication tends to dampen that, and so does your metabolic state (eg how much glycogen is stored in the liver). Are you on any medication? How is your sleep? Is your diabetes well controlled?
Sorry too many questions. But the good news is when the diabetes is well controlled, it does tend to reduce the dawn effect and fasting sugar.
I just started trying to control blood sugar around Christmas (with metformin, diet, exercise, and a CGM) and I'm still making steady progress downward so I'm not super worried but curious. Cortisol should start rising in the morning (and bring blood sugar with it) but I'm seeing a pretty steady increase of blood sugar starting around midnight.
I'm still waiting to get in to see an in person doctor and get more blood work done. My ALT was also high so some of this is probably my liver overproducing in general (and thus a stronger response to cortisol). I also spike really high if I do intense exercise.
My sleep doesn't seem all that bad but it's probably not great either.
I have adrenal insufficiency (secondary) so my blood sugar doesn't start to rise in the morning until after I've taken my hydrocortisone. depending on how much hydrocortisone is needed for each dose will depend on what my glucose spike is.
I try to take my first amount of hydrocortisone between 4 a 5am of between 2.5 and 7.5mg depending on how I'm feeling- if sick, I get more and if not then I get less.
I rarely see any increase through out the night, usually the opposite I dip sometime to 70s-80s, with about a 15-20 point bump when I wake up. It was explained to me the ‘dawn phenomenon’ where your liver can dump glucose in preparation for waking up.
I remember nights when my sugar crept up 40 mg/dL even after a light dinner. I learned to track patterns and realized stress and sleep quality mattered more than I expected. Waking up with a high reading always felt frustrating but taught me patience and careful monitoring.
I would really like some feedback. Newly diagnosed last week in the ER with a 622 blood sugar. They are saying it’s type 1 induced by my Keytruda cancer treatments which have apparently been stories about this happening. Sucks….because I can’t kick my own butt for getting this disease. Was in hospital all last week with DKA and finally got to a point where I was given a protocol to help somewhat.
It’s been impossible to get a good sugar reading in the morning. Nighttime reading has been around 155-170 but every morning, the reading is over 400. WHY? Last night, it spiked by 300 points! And I didn’t eat anything after night result.
There are two things I think may be possible causes: My Lantis (long lasting) I take in the morning at 5 units. Maybe this dosage is not enough and not las
I'd guess both of those combined.
Stress raises cortisol which encourages the liver to produce glucose. Cortisol isn't innately bad and is part of the natural waking up process as well but if you get up in the middle of the night and turn on a bright light you might kick that off early (especially if you're particularly light sensitive). Mine definitely goes higher on the nights where I end up having to get up for something.
I'd guess your long lasting insulin is running out as well but that's not something I have experience or did much reading on since I think I'm just dealing with insulin resistance.
That's "Dawn Phenomenon." Gets worse when you get older. Sorry.
Went to bed at 5.8 and woke up to 9.2 after a perfect linear rise through the night.
Mine usually drops at night. I’d check with your doctor. Maybe insulin?
It's normal.
google "dawn phenomenom"
In general, there's nothing to worry about.
Yeah, the 25 spike when I first get up is normal but the natural morning cortisol spike doesn't explain the full trend.