Diabetes Type 2 Support Group

Type 2 Diabetes is a condition in which the body either does not produce enough insulin or does not make efficient use of it. Insulin is a hormone needed to convert food into glucose, a sugar that the body uses for energy. Without enough insulin, glucose can accumulate in the blood, and can cause serious health problems such as heart disease and strokes and organ damage...

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Endocrine System
/ Diabetes Type 2 Support Group

The morning effect

aunt2all
aunt2all
I have heard that the liver releases insulin during the night, was told between 2 and 3am. I think mine may be later than that. I have been awake at 3am the last 2 mornings do to being hot and have felt hungry. I've taken my readings and both times the readings were in the mid 80s but when I get up for the day its over 110. Today it was 123. I'm also wondering if its higher because I am getting ready for my day. I took it again about 1 1/2hrs later and it came down to 108, still had not eaten breakfast.

I'm on Janumet 100mg/1000mg at night. I've noticed that I'm nauseous after taking it, even when taken with a meal and have diarrhea all the time now. Is this a side effect of the meds and something I just have to get used to?

Thank you, Barb
grannie
grannie
I am going to guess here. Maybe eating at a regular time and having a protein snack at bedtime would change those numbers.

The numbers don't seem bad but that waking up hot and hungry doesn't sound good and that 80 is questionable at that time in the wee hours. Have you mentioned this to your Doctor?
aunt2all
aunt2all
I see my pcp tomorrow morning and diabetic educator afterwards. I sleep hot and was in a hotel room where I couldn't get the ac right. Eating regularly is an issue due to my work. I am a commercial bus driver and eating is when my group wants to stop. I do carry granola bars and other carb snacks and trying to get in the habit of having some beef jerky with me to snack on. I'm tired of the nausea and diarrhea. I don't feel like eating because of the nausea but am forcing myself to.
MsBlank1
MsBlank1
hhhmmm....your numbers don't seem bad except like grannie said....80 in the middle of the night.
I too suffer the morning effect, but my numbers are the same as yours and my doctor said it was fine......there are others with much higher....like over 200.

The regular hours for eating cause me problems too. I found granola bars too high in carbs unless you use it to replace a meal.....not very substantial though. I found the Atkins bars (they are in the pharmacy section) to be the best. I find the Oatmeal cinnamon bars to hold my numbers steady the best and they are yummy :)
I found myself in crisis tonight and immediately ate two cuties and a spoonful of peanut butter...lol. I guess you just do what you have to under the circumstances. If I had been in my right mind I would have just eaten the peanut butter with some wheat crackers.

Good thing you are going to your doctor in the morning....good luck :)
mzizgayle
mzizgayle
the dawn effect can pretty much happen any time in the wee hours, sounds like you do have that. Try as Grannie said a protein snack at night, it could help. and if you are on metformin that can be a side effect of the meds. If they continue too long or too much see if your doctor will switch you to the ER (extended release) version of metformin, easier on the stomach
aunt2all
aunt2all
My pcp appt was for a dmv physical and he advised me not to discuss the diabetic issues with him at that time. He would have had to document it to dmv SO I left one exam room and went to another to meet with my diabetic educator and discussed it with her. Result was I decreased the Janumet XR to 50mg/500mg and am taking my prilosec at night with it. That seemed to help this morning and my morning numbers were good. She didn't want to mess with the Janumet because my numbers have been good. She wasn't concerned with my 80s at 3am or the 77 I had at 6am Monday morning. I had a candy snack 28g on my way home from work Sunday night. So for now I keep doing what I'm doing and we see what happens.

Thank you all for your help.