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High readings in A.M. to low in A.M. and afternoon. Why?

Posted by @retiredteacher, Aug 10, 2017

For the first year (2016) of my diabetes I had high A.M. numbers (130’s to 140’s or higher). After lunch the numbers would come down to the 100’s (120’s or 130’s). In the mornings it was always higher than what my endo said it should be.
Now for the last two days my readings are the lowest they have ever been. I know it’s only two days, but I cannot find what’s causing the drop. Yesterday numbers were 96 and 113. Today they were 108 and 96. Those are A.M and after lunch respectively. I have not changed anything—eating the same foods.
Has anyone had this type of switch? It was high for over a year and now it seems that it is almost too low.
Thanks for any help.

retiredteacher

REPLY

Hello @retiredteacher

It has been a while since we you last posted and I was thinking about you. Did you ever try the bedtime snack of protein and carbs that was discussed a few weeks ago?

Teresa

@hopeful33250

Hello @retiredteacher

It has been a while since we you last posted and I was thinking about you. Did you ever try the bedtime snack of protein and carbs that was discussed a few weeks ago?

Teresa

Jump to this post

I am sorry, but I fell a second time. I don’t know why I fall. I have no sensation that it’s going to happen. This time I fell on my back and twisted it, so I have been out of commission. But, I am doing better; my arthritis is bothering me, so stuff is going on.
My main concern is the switch in numbers for my sugar. I don’t know if it’s a good thing or not. The numbers are now in range, but it’s so different from what it was that I don’t know if it’s just a quirk of the disease or what. I ate a regular supper—more protein than usual, so I’ll see in the morning.

Thanks.
retiredteacher

@hopeful33250

Hello @retiredteacher

It has been a while since we you last posted and I was thinking about you. Did you ever try the bedtime snack of protein and carbs that was discussed a few weeks ago?

Teresa

Jump to this post

@retiredteacher

I am sorry to hear of your falling, that must be concerning you. Does your doctor have any answers for your falls?

Teresa

I didn’t see a dr. I called her office when I fell the first time, and she said they were closing for me to go to the ER. She doesn’t care. I don’t go to ER unless it’s life or death, so I doctored myself. I figure it’s my age and sometimes just get off balance.
My AM blood today was back to 126 this morning so I guess the last two low days were just flukes. My endo would say, “Everyone is different.” No use to call him.
I have to laugh when I read “See your diabetes team.” There’s no such thing for me. My team is my husband and me. The endo only sees me three times a year and the primary only twice. They are definitely not on the same team. I have had to get the majority of my info from the internet and forums like this one. It’s very frustrating.

retiredteacher

Hi, I haven't been active in the forum for awhile but would like to ask the moderator if there is someone I can contact at the Mayo Clinic to ask about my morning numbers which are getting high even with metformin and glycoside. All other numbers are controlled , only morning is problematic.Im wondering if I s/b overly concerned as others have indicated their health care teams don't consider it alarming.

@vanin11

Hi, I haven't been active in the forum for awhile but would like to ask the moderator if there is someone I can contact at the Mayo Clinic to ask about my morning numbers which are getting high even with metformin and glycoside. All other numbers are controlled , only morning is problematic.Im wondering if I s/b overly concerned as others have indicated their health care teams don't consider it alarming.

Jump to this post

Hello, @vanin11 — just wanted to let you know I moved your post over to this current discussion re: high morning numbers so that you might be able to interact with @retiredteacher @hopeful33250 and others who've talked about this issue.

Liked by drboat

I have not been posting for a while because my husband has had numerous health problems that have definitely overshadowed my diabetes. I have been stressed and worried and afraid as I watch one problem after another cause him to have to wonder what is coming next. My diabetes has also taken some hits because having to go with him to dr. appointments and hospital tests don't always put me in a position to eat right, worry about diabetes, or even care about me.
Before all of his problems started, I was making progress and had a good report from my appointment with my endocrinologist. My A1c was going down; I had lost a little weight, and I had figured out foods that work for me and those that do not. During this visit I reminded the dr. that my morning numbers were still very erratic, and I could find no reason for the swing from day to day. I could eat the exact same food three meals each day and the morning number would be within range one day and out of range the next. He doesn't seem to be concerned. He said, "As long as the numbers go down, that is okay."
I don't see him again until August, unless there is a problem. Every time I go, he still seems to look at me as if he's not sure why I'm there. He treats people who have numbers in the 400, 500 range who take all kinds of medicine and are ill with side effects from diabetes. I just marked my two years of having diabetes 2, and I do not take any medicine; I mostly eat the right foods for me and have a routine that keeps me stable. So, I'm not worried about diabetes at the moment. My concerns are for all that's going on with my husband. I don't have any answers for why my numbers are high in the A.M. I wish I could find someone who knows. I once again have to be my own doctor.
For all who need an answer for the fluctuation in morning numbers, I wish I could tell you where to go to find out. I have asked; I have researched. There are always different answers. Dawn syndrome has never been mentioned to me by either my PCP or my endo. I don't think that is a situation high on the list.
Good health to all. I wish I could help, but I am just overwhelmed with my husband's problems and trying to be his caregiver. I'll check back in later.

retiredteacher

@retiredteacher

I have not been posting for a while because my husband has had numerous health problems that have definitely overshadowed my diabetes. I have been stressed and worried and afraid as I watch one problem after another cause him to have to wonder what is coming next. My diabetes has also taken some hits because having to go with him to dr. appointments and hospital tests don't always put me in a position to eat right, worry about diabetes, or even care about me.
Before all of his problems started, I was making progress and had a good report from my appointment with my endocrinologist. My A1c was going down; I had lost a little weight, and I had figured out foods that work for me and those that do not. During this visit I reminded the dr. that my morning numbers were still very erratic, and I could find no reason for the swing from day to day. I could eat the exact same food three meals each day and the morning number would be within range one day and out of range the next. He doesn't seem to be concerned. He said, "As long as the numbers go down, that is okay."
I don't see him again until August, unless there is a problem. Every time I go, he still seems to look at me as if he's not sure why I'm there. He treats people who have numbers in the 400, 500 range who take all kinds of medicine and are ill with side effects from diabetes. I just marked my two years of having diabetes 2, and I do not take any medicine; I mostly eat the right foods for me and have a routine that keeps me stable. So, I'm not worried about diabetes at the moment. My concerns are for all that's going on with my husband. I don't have any answers for why my numbers are high in the A.M. I wish I could find someone who knows. I once again have to be my own doctor.
For all who need an answer for the fluctuation in morning numbers, I wish I could tell you where to go to find out. I have asked; I have researched. There are always different answers. Dawn syndrome has never been mentioned to me by either my PCP or my endo. I don't think that is a situation high on the list.
Good health to all. I wish I could help, but I am just overwhelmed with my husband's problems and trying to be his caregiver. I'll check back in later.

retiredteacher

Jump to this post

Hi, @retiredteacher — nice to hear from you. Wanted to let you know I moved your post over to this previous discussion you started on high morning numbers so that you could interact with the others on this thread. @archer8119 @mollyb1968 @maurtura @masugahau @contentandwell may also have some thoughts about the continued high numbers in the a.m.

I am so sorry about your husband's health problems. He is so lucky to have you as his caregiver. That's completely understandable that your caring about yourself and eating right have taken a hit, as you say, with your husband's doctor appointments, hospital tests and being a busy caregiver.

How is your husband doing, @retiredteacher?

@retiredteacher

I have not been posting for a while because my husband has had numerous health problems that have definitely overshadowed my diabetes. I have been stressed and worried and afraid as I watch one problem after another cause him to have to wonder what is coming next. My diabetes has also taken some hits because having to go with him to dr. appointments and hospital tests don't always put me in a position to eat right, worry about diabetes, or even care about me.
Before all of his problems started, I was making progress and had a good report from my appointment with my endocrinologist. My A1c was going down; I had lost a little weight, and I had figured out foods that work for me and those that do not. During this visit I reminded the dr. that my morning numbers were still very erratic, and I could find no reason for the swing from day to day. I could eat the exact same food three meals each day and the morning number would be within range one day and out of range the next. He doesn't seem to be concerned. He said, "As long as the numbers go down, that is okay."
I don't see him again until August, unless there is a problem. Every time I go, he still seems to look at me as if he's not sure why I'm there. He treats people who have numbers in the 400, 500 range who take all kinds of medicine and are ill with side effects from diabetes. I just marked my two years of having diabetes 2, and I do not take any medicine; I mostly eat the right foods for me and have a routine that keeps me stable. So, I'm not worried about diabetes at the moment. My concerns are for all that's going on with my husband. I don't have any answers for why my numbers are high in the A.M. I wish I could find someone who knows. I once again have to be my own doctor.
For all who need an answer for the fluctuation in morning numbers, I wish I could tell you where to go to find out. I have asked; I have researched. There are always different answers. Dawn syndrome has never been mentioned to me by either my PCP or my endo. I don't think that is a situation high on the list.
Good health to all. I wish I could help, but I am just overwhelmed with my husband's problems and trying to be his caregiver. I'll check back in later.

retiredteacher

Jump to this post

Thanks for getting me in the right place. I think I have misspelled words and ignored correct punctuation too. However, I didn't take time to edit my own writing—one of the Seven deadly Sins of Composition at any level!
My husband and I are playing the waiting game at this point. We will see his cardio surgeon in two weeks to have his thoughts on the tests. He is very straight forward, which can be scary, but I do not like the sugarcoating approach. The high blood pressure caused the eye stroke and if the cow aorta is leaking or calcifying as his own aorta did, then the Dr. can help us decide what can be done. It is hard to have to choose one treatment over another because of age. I know they are weighing his age against the efficiency of his heart. Another operation of the kind he had ten years ago would be dangerous. I think about Arnold "I'll be back!" Swartz. He is younger and is good health, but he had a close call with the same type of problem we may face.

We'll know the results of the biopsy on his leg next week. he has had three surgeries to remove layers of skin on the back, chest, arm and now possibly his leg. So we have to deal with that. We go every four weeks for his eye injection procedures; another nerve-wracking procedure. So with eye, skin, and heart, we are in a doctor's office every week. He still is able, but he sleeps more than he is awake. He has a good appetite, but he sleeps long hours. He is always tired. It's just difficult. But we have been together as high school sweethearts and never waivered; that's been since 1958! We love each other and whatever it takes is what we'll tackle together. Thanks for asking about him. When we get his situations under control, then I'll be back to diabetes 2 concerns.
Sometimes, we have to do for other loves, and I put diabetes on the back burner. It's a choice I have to make.

retiredteacher

@retiredteacher

It is so good to hear from you. I remember you posting about your husband's health problems and I'm sorry to hear that he (and you) are facing so many challenges right now. It does warm my heart to hear about your love and your caring for him. You are fortunate to have each other.

I look forward to hearing from you again after you see his heart surgeon. I hope the news will be helpful and give you some plan for future treatment.

Teresa
PS: Don't be too concerned about the seven deadly sins of composition. We don't have red markers and don't look for errors – we just appreciate hearing from you.

Thank you, Teresa. We are always hopeful and pray for good reports.

@retiredteacher

I have not been posting for a while because my husband has had numerous health problems that have definitely overshadowed my diabetes. I have been stressed and worried and afraid as I watch one problem after another cause him to have to wonder what is coming next. My diabetes has also taken some hits because having to go with him to dr. appointments and hospital tests don't always put me in a position to eat right, worry about diabetes, or even care about me.
Before all of his problems started, I was making progress and had a good report from my appointment with my endocrinologist. My A1c was going down; I had lost a little weight, and I had figured out foods that work for me and those that do not. During this visit I reminded the dr. that my morning numbers were still very erratic, and I could find no reason for the swing from day to day. I could eat the exact same food three meals each day and the morning number would be within range one day and out of range the next. He doesn't seem to be concerned. He said, "As long as the numbers go down, that is okay."
I don't see him again until August, unless there is a problem. Every time I go, he still seems to look at me as if he's not sure why I'm there. He treats people who have numbers in the 400, 500 range who take all kinds of medicine and are ill with side effects from diabetes. I just marked my two years of having diabetes 2, and I do not take any medicine; I mostly eat the right foods for me and have a routine that keeps me stable. So, I'm not worried about diabetes at the moment. My concerns are for all that's going on with my husband. I don't have any answers for why my numbers are high in the A.M. I wish I could find someone who knows. I once again have to be my own doctor.
For all who need an answer for the fluctuation in morning numbers, I wish I could tell you where to go to find out. I have asked; I have researched. There are always different answers. Dawn syndrome has never been mentioned to me by either my PCP or my endo. I don't think that is a situation high on the list.
Good health to all. I wish I could help, but I am just overwhelmed with my husband's problems and trying to be his caregiver. I'll check back in later.

retiredteacher

Jump to this post

Wow, @retiredteacher — that is a lot of medical concerns with the eye, skin and heart. I'm sorry your husband is having to undergo so much. I love that you were high school sweethearts and are still going strong. The "tackling it together" approach is wonderful.

You are making admirable sacrifices for your husband with his health right now.

If the Connect community can help by being a sounding board when you need to talk about his health or yours, hope you'll keep popping in for a visit.

Also tagging @colleenyoung, who I'm sure would like to see your update.

@retiredteacher

I have not been posting for a while because my husband has had numerous health problems that have definitely overshadowed my diabetes. I have been stressed and worried and afraid as I watch one problem after another cause him to have to wonder what is coming next. My diabetes has also taken some hits because having to go with him to dr. appointments and hospital tests don't always put me in a position to eat right, worry about diabetes, or even care about me.
Before all of his problems started, I was making progress and had a good report from my appointment with my endocrinologist. My A1c was going down; I had lost a little weight, and I had figured out foods that work for me and those that do not. During this visit I reminded the dr. that my morning numbers were still very erratic, and I could find no reason for the swing from day to day. I could eat the exact same food three meals each day and the morning number would be within range one day and out of range the next. He doesn't seem to be concerned. He said, "As long as the numbers go down, that is okay."
I don't see him again until August, unless there is a problem. Every time I go, he still seems to look at me as if he's not sure why I'm there. He treats people who have numbers in the 400, 500 range who take all kinds of medicine and are ill with side effects from diabetes. I just marked my two years of having diabetes 2, and I do not take any medicine; I mostly eat the right foods for me and have a routine that keeps me stable. So, I'm not worried about diabetes at the moment. My concerns are for all that's going on with my husband. I don't have any answers for why my numbers are high in the A.M. I wish I could find someone who knows. I once again have to be my own doctor.
For all who need an answer for the fluctuation in morning numbers, I wish I could tell you where to go to find out. I have asked; I have researched. There are always different answers. Dawn syndrome has never been mentioned to me by either my PCP or my endo. I don't think that is a situation high on the list.
Good health to all. I wish I could help, but I am just overwhelmed with my husband's problems and trying to be his caregiver. I'll check back in later.

retiredteacher

Jump to this post

@retiredteacher @lisalucier I wish I could suggest something but I have never had this problem. My bg tends to be reasonably low in the morning, generally around 80, +/-, yesterday it was 71. Because my diabetes is pretty mild my doctor does not even insist on my taking my bg daily.
JK

Hi, I have the same issue.Its called early dawn syndrome. As we sleep our body towards dawn dumps more sugar into our system to prepare us for getting up and getting ready for the day. Traditionally we would have been very active so that was good, these days we don’t go hunting for food so we don’t need that sugar spike which happens to everyone except more to type 2,As we age out pancreas becomes less efficient and thus type 2.
The one thing I learnt was it’s not necessary to ake your numbers 5 times a day. What is relevant is your overall A1C numbers taken every 3 months.
My morning numbers are slightly high but my 3 month A1C with medication shows that my numbers are at the level of a non diabetic.But Bi used to panic at my morning numbers. You could try having a snack of lightly peanut buttered toast .

Thanks @vanin11 for your response. I am aware of early dawn syndrome, but my endocrinologist doesn't think that is my situation. He doesn't seem concerned but agrees with the aging as cause. I have tried different foods at supper, but that doesn't seem to matter. Endo told me I didn't need to take my blood but once a week, but he doesn't know me very well. I'm obsessive about checking and take blood twice a day every day and have since I was diagnosed in April of 2016. I also plan meals and write everything down for every meal. I have to know. My morning numbers have remained in the 120's or 130's of late; that doesn't seen to concern endo either. The numbers always go down after lunch, so I don't worry as long as there is a drop. I watch my averages and can pretty well know my A1C, but I do go twice a year so that his technology can check everything and run all the blood profiles. I have been a little higher the last two weeks because I am trying to wean myself off of a medicine I do not need. I think the change has affected my readings. Once I get used to not taking it at all, I hope the numbers will once again settle down.
Keep up the good work.

@retiredteacher

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