Guest guest Posted March 25, 2005 Report Share Posted March 25, 2005 Do you eat your snack at night? My dietitian told me that if I don't eat that snack at night it could actually make your fasting BG go higher. Don't know how much truth is in it. Micki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2005 Report Share Posted March 25, 2005 Silvers annie wrote: > > Hi all, > > I have a question and not too much info yet on it. My > Fasting BG is usually in the 135 range. Once in a > while it is within goal range. I have tried exercise > and then taking the Fasting BG and it doesn't > significantly change. Hi, It helps to eat a no/superlow-carbohydrate meal immediately you awake. (Steak and egg for example or a green pepper or mushroom omelette.) The high glucose is called the " dawn phenomenon " and it is your liver kicking in as soon as you wake as it " sees " no glucose absorbing, so it makes glucose to get by on at the start of the day. A good book is Dr Bernstein's Diabetes Solution to explain this and other metabolic effects related to glucose. Personally I also find it helps to not oversleep. If I cut my sleep hours a bit and do a nap at another time I get better fasting control. Dunno if this works for others. Namaste, Irene -- Irene de Villiers, B.Sc; AASCA; MCSSA; D.I.Hom. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2005 Report Share Posted March 25, 2005 I don't think that topic will ever be covered too much. But you haven't given us enough to go on. Does your fasting blood sugar go up under particular conditions, like illness, stress, menstrual cycle, a day without exercise and your nephew's birthday party? Does it come down under particular conditions? Are you taking any medication? And, not that you haven't, but have you asked your doctor or nurse, or nutritionist? What did he or she say? Is the doctor considering medication or another strategy, or did he say, that's cool, it's not 140?! In my experience, the diabetes educator is often teh most knowledgeable about this sort of thing. And she usually works closely with a nutritionist who knows almost as much. Yours, Dora Austin, Texas villandra@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2005 Report Share Posted March 25, 2005 Annie, If you'r ereferring to AM fasting, it sounds like the dawn effect, which has been discussed pretty extensively. Try searching the archives. On a second note, exercising can actually raise your BG a bit for a period of time. Jim > Hi all, > > I have a question and not too much info yet on it. My > Fasting BG is usually in the 135 range. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2005 Report Share Posted March 25, 2005 The dawn effect means that some people have blood sugar levels that just tend to go up when they don't eat for a period of time. After some time of not eating one's liver has to release sugar, and this can be hard to control. But I didn't see where the person who asked said enough to know this was the problem. I can see what sounded similar, but there wasn't enough specific information. If that is the problem, eating a substantial and well-balanced snack, with some starch and some protein, before bed may help. That helps some people, and makes other peoples' problems worse. Yours, Dora Austin, Texas villandra@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2005 Report Share Posted March 25, 2005 In a message dated 3/25/2005 6:46:54 P.M. Eastern Standard Time, Silversannie@... writes: The frustrating part is that it has been three months since the last doctor visit and one month between nutritionist/educator visits. I have more questions. They just keep coming into my head. The good news is that I lost 25 pounds since January. That in itself makes me feel better. Hi Annie, You may already be doing this, but if not, you may want to write down questions you will have for your doctor. You may want to mail or fax the questions to him prior to your next visit. That way, he will have a chance to look at them and will have answers ready for you during your visit and will take less time. Congratulations on the weight loss. You're doing great. hugs Eunice Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2005 Report Share Posted March 26, 2005 good evening everyone..im new here and wanted to speak up in on this. i had the same problem... my fasting in the morning was always running high. my endo wanted to blame it on the dawn effect, but i knew that it wasn't it. i started eating, say an orange before going to bed...something like fruit that will go quickly, and my bg's are excellent in the morning now. i make sure that my bg is on target before i eat the orange too. now, if i eat a bag of popcorn (65g carbs), my bg is elevated in the morning. maybe just a small glass of fruit juice, no more than 30g. something that isn't high on the glycemic index. --- earnestmick@... wrote: > > > > Do you eat your snack at night? My dietitian told > me that if I don't eat > that snack at night it could actually make your > fasting BG go higher. Don't > know how much truth is in it. > > Micki > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2005 Report Share Posted March 26, 2005 At 06:17 PM 3/25/2005, you wrote: >Thanks for the many responses so far. To answer the concerns that I did >not address, I am a newly diagnosed T2. I am keeping a food diary and BG >testing diary for the first time. I have not seen my doctor and have an >appointment for April 18. I have my blood work done April 11. I will see >the nutritionist/educator also on April 11. She is having me do the >diaries. I don't have some of the answers because this is all pretty new. The combination of the diaries and your meter reading will tell them worlds to start with. If they've got you waiting that long, then you're not that serious - i kno... you *feel* that serious, scared and all the rest, but if your numbers were life threatening (mine were) you'd be in a hospital and they'd have you eating *their* diet (regulated strictly) and seeing a diabetes educator immediately (I was and did..). Right now the best they can do to get you into some kind of equilibrium is to see how your food balances with your blood sugars. That takes a week or so of seeing how they react. It's hard but be patient. They'd have to do nearly the same thing no matter what unless they hospitalized you for upwards of a week (not an enviable situation). > I will try your suggestions. My thoughts in this case are follow the doctors suggestions unless they start sounding totally crackpot and even destructive in effect. Then think 3 or 4 times before heading off to *another* doctor for another opinion. It's extremely vital that at the start you do ****everything**** exactly as you're told to do it. Every bit of food in your mouth onto your diary. All the exercise, everything. If they don't know they can't do their best with you. Don't a lib anything and don't use anyone else's techniques until they've got your system nailed down to give YOU the best treatment!! VERY VERY Important!! >You all do make much sense and bring much wisdom and experience to this >group. That is why I asked. I will try the evening snack. And some of us have to totally forgo any snack that was usual to prescribe in the typical diabetes diet of 15 years ago. It all depends. Do what they expect you to do. If you change things around day to day they can't get an 'average' of your system! This can lead to either your not getting enough meds or even getting too much. > I only sleep 5 or 6 hours tops per night, but I will pay close > attention to those times when the reading is within range. You'll be surprised at how you'll feel overall better and your general conditions (including sleep) may go back to more 'usual' patterns once aches and pains caused by the diabetes are alleviated somewhat. Don't assume that some of this won't clear up, possibly all of it. > I exercise moderately for an hour each day, no matter what. The > frustrating part is that it has been three months since the last doctor > visit and one month between nutritionist/educator visits. Doctors can't do much except look at the overall numbers and correct your prescription meds. Your diabetes educator should be able to get into contact with them if necessary and she sees something out of line. Personally, I'd rather have a good diabetes educator than a really top notch doctor. They can head off problems long before a doctor is necessary! Learn to depend on *this* person for primary care. You should be able to call them or get into them if things really get whacky suddenly. If you're doing ok, they won't really need to see you until there are enough readings (days) to base some kind of evaluation on. Being anxious about not seeing them is counterproductive in such cases and can even drive up your sugars - or even drive them down - unnaturally (stress and travel drives my super low). In either case it won't give a good reading on what your 'baseline' is going to be. > I have more questions. They just keep coming into my head. The good news > is that I lost 25 pounds since January. That in itself makes me feel > better. I'm sure it's everyone's pleasure to give what experience and support they can. We've been there and it's frightening at best to have to start this!! In matter of fact the whole chemistry of your body can change (right down to the way you smell) getting your sugars back into line again. Expect to have emotional effects too. When your body chemistry is swinging wild for a time expect the unexpected.. Good luck. > >Thanks for being here, >Annie > >__________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2005 Report Share Posted March 26, 2005 earnestmick@... wrote: > > Do you eat your snack at night? My dietitian told me that if I don't eat > that snack at night it could actually make your fasting BG go higher. Don't > know how much truth is in it. I eat a small high protein meal before bed time, that is about 1 to 1.5 hours before bed. It ensures that my fasting BG in the morning is relatively decent. The protein works because it absorbs slowly and keeps some glucose there for longer, so that the liver does not get enthusiastic making more too soon :-)) Namaste, Irene -- Irene de Villiers, B.Sc; AASCA; MCSSA; D.I.Hom. Quote Link to comment Share on other sites More sharing options...
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