Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Diabetes - Adult Type II (Expert Forum)
Morning Sugar Levels/Lean Type 2's
Answered by
Anita Ramsetty, MD - GeneralEndocrinology, Diabetes Type 1, Diabetes Type 2, Thyroid Disorders, AdrenalInsufficiency, CF-Related Diabetes
Endocrine Care Group
Questions in the Adult Type II Diabetes forum are answered by Dr. Anita Ramsetty. Topics covered include Type 2 Diabetes, blood glucose monitoring, diabetes and heart disease, diabetes and pneumonia, diabetes and pregnancy,
diabetes and vision problems, diabetes and wound healing, diabetic complications, hyperglycemia, hypoglycemia, and insulin.
Morning Sugar Levels/Lean Type 2's
by Tink70, Mar 27, 2008 07:57AM
I, too, like Rogue621 always seem to have higher fastings. I am a LEAN, Type 2 Diabetic (I only weight 116lbs and stand 5'5" tall with a slender build) and do not respond to oral medications. Only within the last 4 months did my sugar levels start to reach the 200s and that was usually at night or after any meal with sweets. I was put on insulin (Lantus - 2 units in the AM) and it seems to be helping - my levels are down by 10 points and I usually run a postprandial of anywhere between 135 - 151 depending on what I eat. (Before the insulin - I was usually in the 165-185 range at the 2 hour mark) What I dont understand is that most of the time - if I go to bed with a "higher" sugar level than the recommended 140 or below then I wake up with a fasting in the high 120s to the mid 130s. If I go to bed with a sugar level as recommended by the ADA then I wake up with a 130s to 140s fasting.
What is that all about????? Also, I should note that I was diagnosed with fibromyalgia 2 months ago (prescribed Lyrica but afraid to take it) and that I am a recovering alcoholic (2 years sober) and have no gallbladder and I am a smoker. I realize that these things play into the diabetes but how? why? My current endo. is absolutely useless! I have posed these questions to him and he has no answers. And why am I so THIN???? I have had a test on the Islet cells and they ruled out Type 1. My last HC1A was 6.1 with no medication or insulin. My pancreas is still producing insulin - at last count (back about 6-8 months ago) I believe the number was 5. I have been tested, prodded and poked and no one can seem to figure out what is going on....Please help!
Thanks
What is that all about????? Also, I should note that I was diagnosed with fibromyalgia 2 months ago (prescribed Lyrica but afraid to take it) and that I am a recovering alcoholic (2 years sober) and have no gallbladder and I am a smoker. I realize that these things play into the diabetes but how? why? My current endo. is absolutely useless! I have posed these questions to him and he has no answers. And why am I so THIN???? I have had a test on the Islet cells and they ruled out Type 1. My last HC1A was 6.1 with no medication or insulin. My pancreas is still producing insulin - at last count (back about 6-8 months ago) I believe the number was 5. I have been tested, prodded and poked and no one can seem to figure out what is going on....Please help!
Thanks
Doctor's Answer
by Anita Ramsetty, MD, Mar 28, 2008 01:56PM
, Mar 28, 2008 01:56PM
Hi,
There are certainly thin people with Type 2 even though the majority of them are overweight. The two tests we use for determining Type 1 diabetes are anti-GAD antibodies and Anti-islet cell antibodies. Sometimes one is positive but the other is not, so you should have both tested if one alone was negative(especially if you did not respond to oral medications).
The recommendation by the ADA for BS at night is to help guard against hypoglycemia while sleeping while still trying to keep levels controlled. Individuals can go higher than this or lower by morning, depending on many factors including what medications they take, how much insulin they produce on their own, the "dawn effect" where our bodies normally produce more glucose in the early morning hours, and sometimes (strangely) as a reaction to a low that may have occured in the middle of the night. It may take some detailed questions and even some middle-of-the-night testing to fugure out the cause of your particular pattern. The effect of your Lantus may be running out before morning(it is not necessarily a true "24 hour insulin"), so discuss moving it to night instead of the morning to bring those AM sugars down.
Hope this helps, take care.
There are certainly thin people with Type 2 even though the majority of them are overweight. The two tests we use for determining Type 1 diabetes are anti-GAD antibodies and Anti-islet cell antibodies. Sometimes one is positive but the other is not, so you should have both tested if one alone was negative(especially if you did not respond to oral medications).
The recommendation by the ADA for BS at night is to help guard against hypoglycemia while sleeping while still trying to keep levels controlled. Individuals can go higher than this or lower by morning, depending on many factors including what medications they take, how much insulin they produce on their own, the "dawn effect" where our bodies normally produce more glucose in the early morning hours, and sometimes (strangely) as a reaction to a low that may have occured in the middle of the night. It may take some detailed questions and even some middle-of-the-night testing to fugure out the cause of your particular pattern. The effect of your Lantus may be running out before morning(it is not necessarily a true "24 hour insulin"), so discuss moving it to night instead of the morning to bring those AM sugars down.
Hope this helps, take care.
Post Comment