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vanin11
@vanin11

Posts: 36
Joined: Nov 16, 2017

New confused diabetic

Posted by @vanin11, Nov 15, 2017

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?

REPLY

@vdouglas

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

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Thanks, for ur kind words, let me know how the pasta thing goes, I’m sure ur aware but pick the highest fiber content pasta u can.
My A1C has not been 10.
What do u snack on that’s high protein?
I was told by my Dr. to have a toast with peanut butter.ehat do u think.
I’m very happy to have found this forum, it’s sure nice to get ideas from experienced people.

@lisalucier

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?

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Thanks, much appreciated. Wayne

I currently take 45 units of Levemier at night to help control high fasting glucose in the morning. You may need something similar. Also, as I have learned controlling blood sugars is a never ending problem. As your body ages, so may your medication need to be changed to help control glucose levels.
Discuss with your MD. Good luck.

@oldkarl

@vanin11 Hi, and welcome to the club. For most of us on this whole system there are two major problems which are tough to deal with. First, our bodies are breaking down in some way which we do not understand, and , two, our doctors are not willing to put their own egos aside long enough to both understand our problems and to tell us what we can do. And until we understand fully, which relies on the doctors who refuse to admit they are stumped, we get sicker and sicker and spend more of our money on wasted search and treatment. Good luck. I have some of the same stuff as you, and you know the rest of the story.

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You and I think like minded I was some how getting along much better until drs became involved.

Has your doctor suggested a diabetes educator? If not, i would suggest that you call and ask for a referral. It should be covered by your insurance. Most diabetes educators are nurses or dietitians with special training in managing blood sugar. In my experience, they really understand what it is like to live with this disease and can help interpret your numbers and suggest practical solutions. I have worked with several over the years and they were very helpful and unlike the doctor, have time to really get to know you and what your challenges are.

@coloradogirl Great suggestion! Thanks for your input.

Teresa

@hopeful33250

@coloradogirl Great suggestion! Thanks for your input.

Teresa

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Thanks, Teresa! I remember being in this situation as a new diabetic and really struggling. My main problem was reactive hypoglycemia and my doc put me on a medication that actually made me even more hypoglycemic. My first diabetes educator was a life saver – she knew what we needed to do and got the doc to put me on the right medication. I’ve worked with several since and they have all been wonderful. They are also much less expensive than an endocrinologist consult, especially if the issue is really about learning how to manage your specific blood sugar challenges. I think all newly diagnosed patients with diabetes should be sent to diabetes education straight away but a lot of doctors don’t think to make the referral.

@hopeful33250

@coloradogirl Great suggestion! Thanks for your input.

Teresa

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@coloradogirl

Yes, this is so true! Doctors don’t have a lot of time to spend with patients. Health care providers, other than MDs, can be invaluable in helping you to put the pieces together and most of all to educate you. Asking your MD for a referral to an educator, like a dietician, is a great plan.

Teresa

I have that also. Higher blood sugar in the morning. I think they call it dawn phenomenon. I am in a 5 year Washington University study and they are not concerned about it.

Hi, thanks, I wonder why these Dr s panic, they only look at that fasting numbers and make a conclusion of diabetes.
Can I ask what your morning numbers are?
Thanks so much for posting.

@vanin11

Hi, thanks, I wonder why these Dr s panic, they only look at that fasting numbers and make a conclusion of diabetes.
Can I ask what your morning numbers are?
Thanks so much for posting.

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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

@vanin11

Hi, thanks, I wonder why these Dr s panic, they only look at that fasting numbers and make a conclusion of diabetes.
Can I ask what your morning numbers are?
Thanks so much for posting.

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Hi, so what is that number on the blood glucose self check.

@vanin11

Hi, thanks, I wonder why these Dr s panic, they only look at that fasting numbers and make a conclusion of diabetes.
Can I ask what your morning numbers are?
Thanks so much for posting.

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@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.

@vanin11

Hi, thanks, I wonder why these Dr s panic, they only look at that fasting numbers and make a conclusion of diabetes.
Can I ask what your morning numbers are?
Thanks so much for posting.

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Do 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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