Dawn Effect | Diabetic Connect
This was often a point of great aggravation for me as well. I have found intermittent fasting to help me greatly along with very low carb eating and also getting a good night's sleep. That can be hard to get all at one time. Keeping an eye on things and maybe it's just a fluke kind of thing. But if it persists, then I would talk to your doctor about ways to combat it. The reason fasting works for me is that it depletes the stores of glycogen in my liver. When there is not a lot in there, then my rise in the morning is not as bad. There are lots of discussions posted on the topic that you can search through to read more. Welcome. Sorry your numbers are up. I was having that problem a couple of weeks ago and since I upped my exercise not having that problem. Hope you will be able to find a solution. Welcome to our group, we are glad to have you on board. Now for your questions and our advice. Your body is always changing and from what I have found out on myself we have to make changes with it. There can be many reasons why you are experiencing the change you describe. God only knows how much I have had to adapt to maintain control. These things went from changes in diet and mealtimes, fasting, changing medications and also learning about how much to change my doses according to my daily numbers. I know with a pill form of medication you may not can change your dose but you can discuss the change with your doctor and maybe change your medication or dose. I chased my control using many medications that would work for a while only to lose that control. I was diagnosed with Type 2 only later to find out I was a Type 1.5 that required insulin. It took additional testing to find out what the problem was and then a period of time to learn how and when to change my insulin level Continue reading >>
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Diabetes? Dont Let Dawn Phenomenon Raise Your Blood Sugar
As morning approaches, your sleeping body begins preparing to rise. Your body releases a surge of hormones, and they can work against insulin to cause blood sugar to rise slightly. When this happens, it is known as dawn phenomenon. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy In most people, dawn phenomenon is typically harmless; the body creates a small amount of insulin to correct the problem. However, for those with diabetes , it can become a bigger challenge, says endocrinologist Sana Hasan, DO . If you have diabetes, here’s what you need to know about regulating your blood sugar at night so you don’t have to worry about managing it first thing in the morning. For people with diabetes , dawn phenomenon is problematic because your body isn’t able to naturally correct for insulin changes during the night. This often creates consistently high blood glucose levels in the morning. Estimates show that dawn phenomenon occurs in about 50 percent of people who have type 2 diabetes. If you find that your blood sugar is consistently high when you wake up, you can help diagnose the issue by checking your blood sugar levels during the night. Dr. Hasan suggests that you set your alarm for 2 or 3 a.m. for a few nights in a row to see what the levels are like during that time. If they’re high then, that’s probably a sign of dawn phenomenon, she says. Low blood sugar at night — a different problem But if you find low blood sugar levels during the night, that is another issue altogether. If this is the case, you likely have what is known as the Somogyi effect, or rebound hyperglycemia . This happens when blood sugar drops during the ni Continue reading >>
15 Grams O' Carb: Controlling The Dawn Phenonemon By David Mendoza
Controlling the dawn phenonemon by David Mendoza One of our most stubborn challenges is to control the dawn phenomenon. Thats when our fasting blood glucose readings in the morning are higher than when we went to bed. The dawn phenomenon is a normal physiological process where certain hormones in our body work to raise blood glucose levels before we wake up, as we wrote inThe New Glucose Revolution: What Makes My Blood Glucose Go UpAnd Down?Professor Jennie Brand-Miller of the University of Sydney, Kaye Foster-Powell, and I co-authored that book (Marlowe & Co., first edition 2003, second American edition 2006). These so-called counter-regulatory hormones, including glucagon, epinephrine, growth hormone, and cortisol, work against the action of insulin. They stimulate glucose release from the liver and inhibit glucose utilization throughout the body. The result is an increase in blood glucose levels, ensuring a supply of fuel in anticipation of the wakening bodys needs. If you take insulin injections, it could be that the effect of insulin you took is waning. Your blood glucose will rise if you didnt take enough to keep your insulin level up through the night. The dawn phenomenon varies from person to person and can even vary from time to time in each of us. That much was clear when our book came out. But how to control it was a different story. A couple of years ago here I wrote about several efforts for Taming the Dawn Phenomenon. People have tried everything from eating a green apple at bedtime to high-maize grain to uncooked cornstarch. None of these remedies that I have been able to try ever worked for me. I always thought that the most promising remedy was one that a correspondent named Renee suggested vinegar capsules. I am still using vinegar tablets (usually ea Continue reading >>
Taming The Dp Monster
So much of diabetes management is finding that perfect balance between meds, low carb diet and exercise. Each one of us is totally different. How many carbs are you eating a day? I thought I was doing good 6 months ago ( 80-90) but I wasn't getting the numbers I wanted. I'm closer to 50 now and it works a lot better. But we are all different. I also find adding certain foods like avacado seem to help regulate bg much better (maybe it is the potassium). For example last night I made Tacos. I had mine on a bed of lettuce, with chopped up avacoado, tomato, cheese and sour cream. My before bed numbers were 84. I've never seen a number that low and this morning fasting was 92. At first it was hard to give up the tortillas, crackers, bread and potatoes but these numbers are fantastic. I guess I should have paid more attention to Bernstein earlier in my disease. Hope you find what works for you. Joy of Diabetes Diagnosed D at 9 months, on pump 21 yrs CGMS 7 yrs As one with a huge Dawn Effect, I get what youre saying. I go from .5 units an hour to 2.9 units an hour at 12 am and stay jacked up until 8 am. with a few tweaks up and down. The Dawn Effect can have serious results over time... Think about it ...if not under control....you could have hundreds of highs every year as you sleep or in the a.m...........times 10 years can equal trouble. D.D. Family T2 dx 3/07, tx w/very lo carb D&E Met, bolus R OK, I'm new, so please pardon this question--what is "DP"--is it your morning bg reading? DP, or dawn phenomenon, refers more to the hormonal effect of cortisol and your liver producing glycogen as your body gears itself up for the energy needs of the day--in an excessive way. This causes your fasting reading to be elevated and eating/injecting insulin will bring it back down to yo Continue reading >>
Taming The Dawn Phenomenon
Just like diabetes itself, we don’t have a cure yet for the dawn phenomenon. But unlike diabetes, you can’t completely control it. The best you can do is tame the dawn phenomenon. There are a lot of definitions for what the dawn phenomenon is, but the simplest is the government’s one, "the early-morning (4 a.m. to 8 a.m.) rise in blood glucose level." The best way to see if you have it is to test your blood at bedtime and then when you get up, and if it’s higher then you probably have the dawn phenomenon. But if you take insulin, maybe the effect of the insulin you took the night before is wearing off. There is even a third possibility, although it is much less likely. It is a rebound from a low blood glucose level in the middle of the night. You can see if this is happening by checking if your blood glucose is low at 2 or 3 a.m. It’s important to know what causes your high morning blood glucose. If you have night-time lows, you might need to reduce the dose of insulin you taken in the afternoon or add a bedtime snack. On the other hand, if you aren’t running low at night but are high in the morning, you might need to take more insulin. A lot of people who aren’t taking insulin also experience the dawn phenomenon. It varies from person to person. And sometimes you might have it and other times you won’t. We know what causes the dawn phenomenon. Some of our hormones tell our liver to release glucose to give us the fuel we need when we wake up. But when these hormones are out of balance with the hormone insulin, the liver releases too much glucose. We don’t know a way for everyone to control the dawn phenomenon. It would be great, but we can’t just put a lid on our liver. The only report in the professional literature of a treatment for the dawn phenom Continue reading >>
Dawn Phenomenon (liver Dump)
Tweet Dawn phenomenon is the term given to an increase in blood sugar in the morning caused by the body's release of certain hormones. It is a relatively common phenomenon amongst diabetics. Although often confused, Dawn Phenomenon is different from Chronic Somogyi Rebound, because it is not brought on by nocturnal hypoglycemia. How is dawn phenomenon caused? Dawn effect occurs when hormones (including cortisol, glucagon, epinephrine) are released by the body, causing the liver to release glucose. The dawn effect therefore describes abnormally high early morning increases in blood glucose: Usually abnormally high blood glucose levels occur between 8 and 10 hours after going to sleep for people with diabetes Why does the dawn phenomenon occur? Researchers think that the release of the above-mentioned hormones may give rise to a brief period of insulin resistance which would also explain a rise in blood glucose levels. How is dawn phenomenon treated? Typically dawn phenomenon is treated by avoiding intake of carbohydrates at bedtime, adjusting how much insulin or medication is administered, switching to other medications or using an insulin pump. Tweet Type 2 diabetes mellitus is a metabolic disorder that results in hyperglycemia (high blood glucose levels) due to the body: Being ineffective at using the insulin it has produced; also known as insulin resistance and/or Being unable to produce enough insulin Type 2 diabetes is characterised by the body being unable to metabolise glucose (a simple sugar). This leads to high levels of blood glucose which over time may damage the organs of the body. From this, it can be understood that for someone with diabetes something that is food for ordinary people can become a sort of metabolic poison. This is why people with diabetes ar Continue reading >>
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Dawn Phenomenon And The Somogyi Effect - Overview
The dawn phenomenon and the Somogyi effect cause high blood sugar levels, especially in the morning before breakfast, in people who have diabetes. The dawn phenomenon is a normal rise in blood sugar as a person's body prepares to wake up. In the early morning hours, hormones (growth hormone, cortisol, and catecholamines) cause the liver to release large amounts of sugar into the bloodstream. For most people, the body produces insulin to control the rise in blood sugar. If the body doesn't produce enough insulin, blood sugar levels can rise. This may cause high blood sugar in the morning (before eating). If the blood sugar level drops too low in the early morning hours, hormones (such as growth hormone, cortisol, and catecholamines) are released. These help reverse the low blood sugar level but may lead to blood sugar levels that are higher than normal in the morning. An example of the Somogyi effect is: A person who takes insulin doesn't eat a regular bedtime snack, and the person's blood sugar level drops during the night. The person's body responds to the low blood sugar by releasing hormones that raise the blood sugar level. This may cause a high blood sugar level in the early morning. The Somogyi effect can occur any time you or your child has extra insulin in the body. To sort out whether an early morning high blood sugar level is caused by the dawn phenomenon or Somogyi effect, check blood sugar levels at bedtime, around 2 a.m. to 3 a.m., and at your normal wake-up time for several nights. A continuous glucose monitor could also be used throughout the night. If the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon. Continue reading >>
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Taming The Dawn Phenomenon
Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. Just wondered how you tame the Dawn Phenomenon if you have that experience. For example, yesterday my BS readings were 166 6am, 101 12noon, 132 2hr after lunch, 98 6pm 141 8pm after dinner.....then nothing to eat till I woke up at 5am with a BS of 193. I realize that we are all different and on different medication plans. I just wondered how people manage their own situations. I wish I knew the answer. My numbers are always bad in the morning. Only ONCE has it been below 130 and usually around 180 Completely frustrating. My numbers are very good from a couple hours after breakfast up until and including bedtime numbers, but that morning one makes me want to SCREAM! The one time it was good in the morning, the night before I had had too much pasta for dinner and fell asleep w/o testing. I woke up at 11:30 starving. I tested at 210 BAD! But was hungry and had an oreo cookie thinking that was really dumb but "whatever". Then that morning, I woke up to my best number ever -- and honestly that only adds to the total frustration. What I "think" is my body pumps out glucose at night and that one night I found just the exact right time to give it some carbs before it started pumping out its own glucose to save me from whatever it thinks it's saving me from. Since, I have tried a couple of times to duplicate that result without ANY luck. You don't say what your regime is - how much basal (Lantus or Levemir) and when. Have you got your basals set correcty? The book "Using Insulin" by John Walsh (available from Amazon) will show you how to do it. Your high morning BG's could be due to DP or you could be Continue reading >>
Taming & Controlling Your Morning Blood Sugar
Guest Blogger: Dr. Jody Stanislaw Naturopathic Doctor Jody Stanislaw has spent decades successfully helping clients dramatically improve their lives via her E.A.S.Y. Lifestyle Transformation Formula. She can teach you simple strategies for how to improve your: E.ating, A.ctivity, S.leep, and Y.ou (mental health). Each one of these Four Essential Pillars of Health is necessary for creating a life overflowing with well-being—and best of all, a life you enjoy! Dr. Jody Stanislaw is a Type 1 Diabetic since 1980. You can visit her on the web at: www.DrJodyND.com You go to bed and your blood sugar level is perfect….Ahhh. Then you wake up and it’s awful?! What happened?? My name is Dr. Jody Stanislaw and I’ve had type 1 since I was 7 years old. When I was diagnosed in 1980, blood glucose testing didn’t even exist. I had to pee in a cup twice a day and test how much sugar was in it, which only told me if I had been high over the past few hours. There was no way to ever know what my glucose level was in the moment…we’ve come a long way! Being able to know what your glucose level is at any time is a fabulous advancement that allows you to have better care. But more information can lead to new frustrations. Back then, if I woke up and didn’t feel low, all was good. Today, we can know exactly where our level is at anytime and if it’s in good range we’re happy and smiling! But if it’s not, we’re likely frowning and not feeling so hot. Over the years via my own trial and error and through working with many others who have diabetes, I have learned life-changing tools. I’ve learned that a key part of achieving healthy management is thorough understanding why blood sugar levels do what they do. So here you go… 4 Reasons Why Blood Sugar Can Be High in the Morn Continue reading >>
Controlling The Dawn Phenomenon
David Mendosa / @davidmendosa , Patient Expert One of our most stubborn challenges is to control the dawn phenomenon. Thats when our fasting blood glucose readings in the morning are higher than when we went to bed. The dawn phenomenon is a normal physiological process where certain hormones in our body work to raise blood glucose levels before we wake up, as we wrote in The New Glucose Revolution: What Makes My Blood Glucose Go UpAnd Down? Professor Jennie Brand-Miller of the University of Sydney, Kaye Foster-Powell, and I co-authored that book (Marlowe & Co., first edition 2003, second American edition 2006). These so-called counter-regulatory hormones, including glucagon, epinephrine, growth hormone, and cortisol, work against the action of insulin. They stimulate glucose release from the liver and inhibit glucose utilization throughout the body. The result is an increase in blood glucose levels, ensuring a supply of fuel in anticipation of the wakening bodys needs. If you take insulin injections, it could be that the effect of insulin you took is waning. Your blood glucose will rise if you didnt take enough to keep your insulin level up through the night. The dawn phenomenon varies from person to person and can even vary from time to time in each of us. That much was clear when our book came out. But how to control it was a different story. A couple of years ago here I wrote about several efforts for Taming the Dawn Phenomenon. People have tried everything from eating a green apple at bedtime to high-maize grain to uncooked cornstarch. None of these remedies that I have been able to try ever worked for me. I always thought that the most promising remedy was one that a correspondent named Renee suggested vinegar capsules. I am still using vinegar tablets (usually 8) Continue reading >>
Dawn Phenomenon And The Cgm
I recently was able to borrow a FreeStyle Libre from my endo for 13 days, and thus was able to see some things about my DP. Apparently my DP is less consistent than I thought it was in both the time it starts and how many points my BG climbs. And that makes me curious . . . So for those of you who have CGMs and have had a much better opportunity to observe this, Im wondering if you have been able to reach any conclusions about what things might influence your own DP. Please share. During my trial with the Libre, a lot of days I either had a late snack that might have influenced results or had an early breakfast - like 3:30 or 4 AM. So I had too few consistent days to reach any conclusions. Ive seen a consistent rise in my BG from 4:30am on; however, the rise is slow at first and speeds up after I wake. First foot on the floor phenomenon The problem that makes it hard to track in my case is that my house is generally on the dry side and I dehydrate to some degree overnight most of the time. If I wake at 3am, or so, and take a big drink of water, I get more reliable numbers at dawn, but many nights - and lately, most nights, I sleep through that point or, even when I do wake, I forget to take that water, in which case, my CGM slowly goes out of sync with my BG at around the same time that my BG is rising. When I wake somewhat dehydrated, I see as much as a 40pt difference between my BG on the meter and the CGM. Sorry I cant give a better answer. What I can say, though is that my DP is still somewhat inconsistent, though more in magnitude than in timing. I rarely have nighttime snacks anymore. What I have seen that affects it is NOT eating enough carbs at dinner (I need at least 15-25g carbs at dinner to get better morning numbers), and an evening low-carb alcoholic drink Continue reading >>
Dawn Phenomenon Tamed : Dr.bernstein & Diabetes Forum : Active Low-carber Forums
As I had posted sometimes back about the liver and how problems with the liver causes dawn phenomenon. The reason being liver dumps more glucose than it has to. I have had normal blood sugar throughout the day except in the morning . Somedays I would sleep with 80s and wake up with 120s for no reason. Also my FBG was the highest of the day. My blood sugar in general during the day doesnt fluctuate too much thanks to low carb. So I tried liver enhancing supplements that I thought could help me since I have other problems with a sluggish liver , one being estrogen dominance. Anyways I am exstatic at this point because my blood sugar has been consistently low in the mornings now. Back to 80s and occassional 90s. Milk thistle 650mg standardized*2, ALA 300mg *2,NAC 650mg *2, lecithin *2, Actually I have been rotating the supplements in no specific order. I dont know if there was a single herb doing the trick or this combination. But I will keep you guys posted. Actually I would suggest this site from Dr Lam. It is for estrogen dominance but he has a subsection on liver detox. It gives more info regarding the amount to take and its effectiveness. I'm happy for you! That is wonderful... Perhaps you can englighten me as you may have more info on all this than I do.... I just bought some Milk Thistle (1000mg is in bold print on the face of the box), but when I got home and started reading the supplement facts a little closer, it said; Milk Thistle (Silybum marianum) (seed) 250mg (from a 4:1 Extract) (Equivalent to 1,000mg of Milk Thistle) So, when you say your milk thistle is standardized to 650mg, how do you compare that to what I'm going to be taking? As a person who has been using herbs about 2 years or so, I would think your success lies in the combination of what you're do Continue reading >>
