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Avatar universal

Blood sugar levels

My question is i have type  2 diabetes, and in the morings before i eat my blood sugar reading is 140  to 162
my meds are metformin 1ooo mg in the morning, and 1ooo in the eaving with meals. i allso take
dlipizide 5 mg in the morning before i  eat  and 5 mg in eaving before i eat.my last ac1 was 7.3
up from 6.9 my urin creatine was 116. and creatine was 1.5 fasting bllod work at lab was 158
so  dont think  i am on the righ medicaton, I go to va hospitital and , my Dr,usulay all he does if i tell him i might need to med is increase my meds, last time he ddint do ny thing diff. I ahev asked him to send em to the dibetic clinc
but wot any sugestion out there i am white male past 50.
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Avatar universal
Thats correct  That is called DP (dawn Phenomenon)  your body getting ready for the day.  your liver dumps glucose so you can go chase down the antelope.   for some a high protein and fat snack before bed helps.  for some eating (low carb) as soon as you get up helps.
Helpful - 0
15 woman5
roklifterExternal User
High sugars in the am mean you were eating high sugar in the pm prior night. Usually when diagnosed with Diabetes, docs want you to schedule with a Diabetic Nutritionist. Very surprised if you haven't done this yet. 1000mg 2x daily isn't surprising. Def include exercise after a few weeks getting your food intake under better control. Sugar comes in many forms so be careful. You really want to get your sugars and other medical matters under xontrol. Living unhealthy affects every aspect of our lives. I'm fighting to lose this weight and watching required meds be removed by docs as the fat drops. At the same time, watching my 44 yo brother w/2 past heart attacks and 2 stints just return from the hospital from an extremely close call at experiencing a massive heart attack (99% blockage 1 side) and now diagnosed as Diabetes type 1 due to his ignoring doc orders to change. He WAS Type 2 but after continued lack of change...he damaged his pancreas enough that now he's type 1 and must use insulin. And now he's more disgruntled b/c the cost is $170/MO vs. $4. Meds alone won't fix our problem. Lifestyle change is critical and possible. I'm 38 lbs down as of today. Don't give up and don't let your circumstance define you.
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Avatar universal
I was told my liver sent out too much glucose during night time. All readings were fine but morning BGL were still high.  So i was given metformin and now my morning readings are good.
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231441 tn?1333892766
COMMUNITY LEADER
You could also ask your doctor about the option fror starting on insulin.  Actual ideal blood sugar levels should be in the range of 80 - 120 all the time.  Fasting should be < 100.

You are only 50, young, and it is important to control your diabetes well to be sure you don't face complications down the line.

Diet for diabetes should be low carb / high fat / moderate protein.  This is the most recent recommendation.  You can research this online easily.

Exercise daily will also help with blood sugar control.

Use oral or injectable meds to control sugar levels.  Best practice for diabetes is to start even persons with Type 2 on insulin early.  Starting insulin while your pancreas is still working means lower doses of injected insulin - enough to support your pancreas rather than replace it, which is safer than having to depend totally on insulin.

Please research and  read up on diabetes.  This is something we as patients need to manage aggressively for ourselves and to be our own advocates.

Hope this helps.
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Avatar universal
It's not uncommon for a type 2 diabetic's glucose to be high in the AM.  It's called the "dawn effect."  Make sure you start looking at food labels.  Try not to eat carbs after 6PM or so.  If you want a snack, eat cheese or some other protein--no carbs.  Find out the difference between "good carbs" and "bad carbs."  (White bread, processed food, ice cream, regular soda, candy, etc.= bad carbs)  Also, the best thing you can do for yourself is start a regular exercise program.  It doesn't have to be strenuous.  A good brisk walk for 30 min a day 5 or 6 days a week and maybe 2 days of simple weight lifting, even if it's just a couple of light dumbbells with exercises you can find on the internet.  Do the weight exercise for 30 to 60 minutes.  If you're at all overweight, start targeting weight loss.  You don't have to go on a "diet."  Just quit going back for seconds if that's what you do.  Cut your portion size and keep away from high carb deserts.
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Avatar universal
Start watching your carbohydrate in your diet.  That could be the big culprit for you.  Exercise even if its a 30 minute walk.  Watch your portions at meal time.....eat to live and not live to eat will help, and  hopefully without insulin injections.  Good luck.  You can do it if you get serious.
Helpful - 0
Avatar universal
It sounds like you're doing a good job taking care of yourself.  Yeah, your numbers could be a bit lower.  But they're better than mine, and I've been managing my diabetes for 7 years!

I am now insulin dependent, so I guess I'm not managing it too well.  I don't get enough excercise (I'm very heavy, and 46).  Instead of getting on more meds, how about taking a look at what excercise you're getting?  What kind of foods you like to eat?  

If you'd like to talk, drop me a line.  I'm no "superman", just stumbling along, but it's nice to have someone to talk to about this!

Morrowville
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