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My Diabetes 2 Backwards Numbers---Anyone else?
I was diagnosed one year ago and as an educator I have researched and read everything I could find about diabetes. I have never been sickly or had a disease before this reared its ugly head. I have the Mayo book with explanation and information. My PCP doesn't do anything with diabetes so I made an appointment with an endocrinologist. My A1c was 6.0 and all testing profiles were normal except triglycerides. I do not take any diabetes medicines. I was not an exercise person, but I started exercising, using a treadmill. My situation is pretty good. I changed my diet to conform as much as possible. I don't eat fish, so chicken is my main meat. I eat beef once a week. Mostly I eat vegetables. Fruits seem to spike my blood numbers. I have experimented with some different food combinations; some have worked; some haven't.
My main problem is that my morning number before breakfast is often high (in 140's or 150's). and then after lunch, it will be in range or lower (100 to 120).
Last night before I went to bed my blood was 103. This morning it was 154. I don't understand why numbers would go up during the night. It always comes down during the day. This is backwards for what my Endo. told me. He said it should be under 120 in A.M. and below 180 three hours after lunch. I also have not lost weight even though I exercise daily. I think I am backwards, but I don't know why. I don't see Endo. for another month so don't know what all this up and down is doing to my profile numbers and don't know how to change it.
Thanks to anyone else who has had this situation and can help.
retiredteacher
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@johnnyv Welcome to Mayo Clinic Connect. You feel that you should be evaluated for medication to control your sugar but your providers have not officially diagnosed you with diabetes.
Members like @avmcbellar @elegantgem @mojosteve1961 @templely @jeannetta @contentandwell have recently discussed diabetes and may be able to help answer your question and/or point you in the right direction.
It sounds like you have a good plan as far as getting a new provider once your retires. I wonder if you have considered traveling for specialist care and if that is a possibility?
Hi @johnnyv sorry to hear of your concerns. It would not hurt to get another physician to get their opinion. Wouldn’t you have to eventually? Is it the PA(physician’s assistant) that is retiring or your physician as well? If need be the physician can suggest seeing an endocrinologist.
Years ago I worked 3rd shift for 15 months. I knew then that it affects the blood sugar levels to become higher. I have included a webmd link with an explanation. Hope it helps. Toni
https://www.webmd.com/diabetes/sleep-affects-blood-sugar#1-2
@johnnyv, I would also like to add that I have nerve damage and as a result, I noticed my fasting blood sugar was elevated from my normal before the damage. I am not a diabetic. You’re AIC levels are great. I eat a low carbohydrate diet for the benefit of less inflammation. I was never a big sweet eater so eating less carbs is not a problem for me. I exercise as well but I don’t think it has much impact on my sugar levels. I will find out in a few months when I see my PCP again. He didn’t seem concerned. At the time I was on the Keto diet. All the results were within normal limits even my blood sugar. It was a point below the high end of the range. Toni
I had seen an Endocrinologist several years ago his assistant suggested meds, but he thought it better to try diet and exercise. My doctor is retiring, so I will have to get a new primary next year. There is only one Endocrinologist in my area so I had to see her PA, they treat several patients with severe type 2 as well as type 1. I do practice low carb and exercise regularly and can push the numbers lower with what people call the 8/16 diet, limiting eating to an 8 hr period but it is a harder diet to practice. I have had the issue for probably 30 yrs, and seen a few physicians, none really have any answers other than meds (eventually) or diet and exercise. I’m lucky I have a lesser version of hyperglycemia or type 2.
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2 ReactionsYes I have considered traveling, the nearest other areas are 150, and 300 miles away respectively. It is an issue I plan to address with my next primary. I have good insurance so traveling should not be a problem.
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1 ReactionI find my reading is highest in the morning before I eat breakfast and lower during the day. Of course, if my reading is above normal in the AM and I take insurline. Whenever my reading is real low I drink a Pepsi with sugar. It works everytime. I always keep an unopened Pepsi by my bedside should I have a hypo moment. I've only had to use it once in many years. I always take my insuline in the AM. Never at night.
I asked my endocrinologist n she explained that it’s stress that caused the sugar to go up when you wake up .Getting breakfast ready can cause stress to the body . Using the Libre Sensor that attached to the arms is good , it tells you which way your blood sugar is going , you can see the spike ^ of blood sugar if you drink sugary drink , to stop it from going higher n higher , drink lots n lots of water . that’s my personal experienced .
Walk indoor for 10 minutes, stretch your body , all these helps to stop the blood sugar from spiking further , that’s what I experienced over the years .
It sounds as if you are experiencing the "DAWN EFFECT". Your blood sugars increase during the evening to prepare you for the "events" of the day. Your Endo should have an understanding of this and work with you on the situation. It should be a well known problem in the Diabetic 2 world.
He. does.