Re: Re: Dawn Effect and other stuff

[Guest guest]

In a message dated 10/25/04 11:31:13 PM Eastern Daylight Time,

kpaulmt@... writes:

I told

my doctor I was not happy with my numbers and so she started me on

an insulin injection <Lantus> at night. She said my numbers should

be no higher than 120 in the morning. Now with the Lantus they are

around 135. It's better than 160, but still not good enough. We

are slowly increasing the dose trying to get me in the correct range.

I started Lantus because of this too, but still can't get my morning number

down low enough. I realize that I can't counteract the morning rise with

lantus or I'd go low in the middle of the night, but my fasting is still high -

raning from 150 (rarely) up to 200 or more. Then it will go up another 50 for

the few hours between 7 or 7:30 and 10-10:30. I inject humalog when I get up to

deal with the morning high number and the rise, but I don't know how to deal

with the high fasting number.

Maybe Ron's right and UL works better for this, but during the day my numbers

finally are making some sense and are in a good range, so I hate to tinker

too much with that. I'm wondering about other solutions.

Another problem I have is that I'm using twice as much lantus as I was using

at the end of July, but the results are very much the same. Can't quite

figure that out at all.

Stacey

[Guest guest]

Good point, SulaBlue...In the post I responded to, Patti didn't mention

the Avandia or how long she'd been taking it and my senior citizen brain

doesn't remember past messages too well. (Well, it was there at the very

bottom but I didn't see it). So you made a good point. Yes, by all

means, give the Avandia a chance to work.

Vicki

Dawn Effect and other stuff

>>

>>

>> >

>> >

>> > Hi all,

>> > I have noticed that I have high BS's early in the mornings and

>> > about

>> > 11am they tend to regulate not quite normal but close enough. The

>> > morning at 6am my BS was 266 and by 11am it was 163. This is near

>> > about the same thing every morning.

>> > I'm still taking the avandia at 6am after I check my BS.

>> > I have cut caffine, sugar and reduced my salt intake. I STAY away

>> > from rice, potatoes, white bread, grits, sugar etc..

>> > I sweeten my decaf tea with splenda it taste pretty good. Since I

>> > have cut out the caffine I sleep better and longer without waking

>> > up

>> > sometime in the night.

>> > Since I have cut back on all these foods and switched to splenda

>> > ..i

>> > thought that i would see my BS get closer to normal. Maybe I'm

>> > wrong

>> > in my thinking or maybe I need to go on some other

>> > medications..what

>> > do you all think.

>> > Patti aka patti_cakes70

>> >

[Guest guest]

In a message dated 10/27/04 12:46:30 AM Eastern Daylight Time,

rayconf88@... writes:

>

>I had real bad dawn effect. I am also on Lantus. It took a few weeks for

>it to kick in for me, but my daytime numbers didn't really improve to the

>normal level, where they are now, until my endocrinologist added Avandia to

>my pill regimen.

>>>>>

It was getting off glucatrol that really did me in. I'm already on avandia

and metformin. I'm on 4 mg of the avandia because at 8 mg, I got swelling of

ankles and such. I think the avandia is contributing to my weight gain since

diagnosis and kind of want off it. I'd rather increase the metformin. I go in

for my three month check up in a couple of weeks so will address all this and

more there.

My a1c will certainly be up, which ticks me off, since one of the reasons I

chose to go on insulin was to have improved numbers, not worsening ones. I did

restart alpha lipoic acid and evening primrose oil last week after a month's

hiatus, and I am seeing a difference with them, hard to make averages yet, but

it looks like about a 20-30 lower number in the morning thus far.

Stacey