New confused diabetic

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?

The Somogyi effect producing high fasting blood sugar is reportedly rare and seen more with type 1 than type 2 diabetes, and the Somogyi effect is not well understood. Insulin resistance together falling insulin levels and stimulation of gluconeogenesis and glycogenesis are likely factors. See https://emedicine.medscape.com/article/125432-overview#a1 If you have a condition that is rare and poorly understood, it might be difficult to find a doctor competent to diagnose it or to admit that they can't. The Hemoglobin A1C test gives an estimate of mean blood glucose level over a period of months by measuring the level of hemoglobin glycosylation. What kind of diet do you follow to control diabetes? I have long followed some variation of the Atkins diet, avoiding sugar and starches that push up one's blood glucose levels, to the extent possible. My A1C hasn't increased from where it was at about 10 years ago. I have also been taking 1500 mg longer acting metformin for nearly 10 years. There are endocrinologists who advise calorie restricted low fat / high carb (semi-starvation) diets and advise against low carb diets, which sounds insane to me. I recently saw an endocrinologist who contends that a calorie is a calorie and that fat makes you fat and that fat should be restricted in my diet. He said that a low carb diet is a very bad idea. It should be kept in mind that very little protein is burned directly. Most is first converted to glucose .

Hello @vanin11 , Welcome to the Mayo Clinic Connect.

I am diabetic, I take 1000mg Metformin 2 times and 3mg Glimiperide (2mg in the morning and 1mg before bed). I agree with everyone else, It is a battle. I'm not a doctor but from my experience your morning numbers would make me happy and I have controlled diabetes. You say your blood glucose goes up 1 point every 45 minutes which would tell me that your liver is thinking you are ready for an active day and it is pumping out Glycogen. Mine starts about 4:00 am. May I ask how high it gets before you eat a mid day meal? Do you have any low glucose readings and what time of the day?

Wishing you well,
Von @vdouglas

Hello, @vanin11. Welcome to Mayo Clinic Connect. Thanks for sharing your concerns about your fasting numbers and a bit about yourself. I can certainly hear the frustration and concern in your post. We have wonderful members on Connect who share their experiences and empathize with one another.

Unfortunately, we cannot diagnose or offer medical advice on Mayo Clinic Connect, as this is a peer support online community. We are happy to introduce you to some other members who understand what you are going through, like: @dhernandz, @mrlee43, @gailb,@kamuela, @riveroaksfarm, @hopeful33250, @bonniewhite56, @contentandwell, @maurtura @dougmann, @archer8119, @johnbishop and @retiredteacher. Would you all have any thoughts for @vanin11 about the concern with seeing high fasting numbers in the morning?

We also can offer you the opportunity to get an opinion at Mayo Clinic, if that is of interest to you at this time.

Can you tell us a little about your diet and exercise routine that you've found helpful in controlling your numbers?