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New confused diabetic
Hi, I am able to control my numbers with diet and exercise, what I am having difficulty with is my fasting numbers at 5 a.m. it's 6.6 and goes up a point every 45 mins ,thereafter. I am on metformin 2X a day 500 mg and app gliclazide 30 mg 1X a day, only been a week but still high numbers in A.M. Could this be early dawn or Simogyis and is the treatment different.Cant seem to get the G.P. or specialist to acknowledge it's only a problem in the A.M.Any similar experiences or advice?
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They can be from the one teens to the 150s. Generally I average somewhere in the 130ish range every morning. They have concluded I have dawn phenomenal. My A1C is 6.1!which is pretty good
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1 ReactionHi, so what is that number on the blood glucose self check.
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1 Reaction@vanin11 My numbers are almost always in the 150 Range, which means they are actually always between 100 to 200. This is because the strips are considered accurate by FDA standards if they are withing 50 points, up or down. So We all live with that 100 point range. Most of the workers in diabetes are not doctors, but specialty trained non-doctors who get paid by the number of persons they can convince to come in for an appointment. This only happens when they can convince patients by their excitement. Keep your numbers within 50 of 150, and you are OK, according to all of my people.
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1 ReactionDo u have any contacts there that a guy could talk to.
@vanin11 I am only another patient, and have no ongoing contact with Mayo apart from this e-board. My suggestion is that you first read the tiny print flyer that comes with your strips. It will say there that "most of the strips are within 8-10 points, but the FDA approval requires them to be accurate within 50 points." Second, I don't know where you live, and all the 'knowledgeable' people here refuse to talk with people outside the area. The Dr. I see here is Dr. Swarts, with Corvallis Clinic. I think she is pretty good, but seems to work only a few hours per week. Your "Diabetes Educator" should be able to talk with you about this. You don't need a Dr. for this one unless you have a special problem.
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2 ReactionsI checked with all of "MY PEOPLE" and found that the numbers are relative to the individual. I started out believing that I needed that number to be below 100. Now my doc wants me somewhere between 150 and 200. Also my first A1C was over 12 and I was told my goal should be 6 or below so I did that . Over the next several years I crept up to
7.2 and my doc was very happy and told me the new optimum was 7. I leave all of this to my care-giver because I can't keep up. I checked with all my people (They were in my mirror) and they were happy.
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2 Reactions110- 138. In mornings
I am a diabetic, not new though, and am on 500mg Metformin bid. My fasting blood sugar each morning is 20-30 points higher than in the evening. I chalk it up to the "dawn phenomemon".
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2 ReactionsHello @sciondiva - welcome to Mayo Connect. Thank you for sharing. I'm not diabetic but have been told for many years by my primary care team I fall into the pre-diabetic group and it does run in my family. I have to confess I did not know what the dawn phenomenon was so I did a search to find out. Mayo Clinic has some info here: https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/dawn-effect/faq-20057937.
I also found some interesting information on the dawn phenomenon here that made it a little easier for me to understand:
https://idmprogram.com/dawn-phenomenon-t2d-8/
Do you use any particular diet or eating habits to help control you diabetes?
John
Hi, I was wondering if that is a concern to the Dr's.Do it's between 7 and 8?