Going to bed frustrated

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cooperazi
Regular Member


Date Joined Feb 2007
Total Posts : 47
   Posted 5/24/2007 1:02 AM (GMT -7)   
OK,  I was patting myself on my back after dinner.  Made good choices all day today. My after dinner number was 108, real good for a diabetic, no meds, right?  Well, was on computer in the chat room until after 12 am, so around 12:45 I take my bs, it is 126.  I have not eaten anything after dinner, nada!  I do not understand this stuff.  Also did not  have carbs earlier today, so do not know what is happening.  So, I am going to bed without eating a snack and see if I wake up with good numbers.  Or is the Dawn phenonomen already working, and like my morning numbers it would go down if I eat something?  I see doctor in a couple of weeks, however, he is an internist, and not even my regular doctor at that (maternity leave).  My last ACI was 6.6, up a little from the last time 6.1.  However, I have been sick for a while, so I am not being too hard on myself.  I think he is going to try and get me to take oral meds, but I still do not want to do that yet.  I do have good numbers all day IF I make good choices, and I am doing that more and more each day.  Everytime I make a bad choice, and I suffer the higher numbers, it really makes me pay attention.  Ok, done venting, going to bed.  Take care everyone, I am sure you will not see this tonight, LOL.   Donna

What's his name?
Regular Member


Date Joined Feb 2007
Total Posts : 24
   Posted 5/24/2007 4:53 AM (GMT -7)   
The first thing I would try is to discontinue the snack before going to bed. There is no reason you need one, so see what happens without it.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 5/24/2007 8:23 AM (GMT -7)   
Donna,
If you stop and think about how long your intestines are and how long it takes for foods to move through them you may understand this a bit better. Each food we eat has to be broken down in the small intestine. Some foods are so fibrous that they don't get broken down at all and show up in the stool looking much the same as the way they went in. (Think corn.) Other foods dump their glycemic load quite easily and spike the sugars a lot. All of the foods you eat all day will affect your sugars for the next 2 to 24 hours depending upon the mobility of your GI tract and the food's glycemic load.

Orange juice will give you a spike right away. A small orange will need hours to get thru the tract and some of the little orange pieces may not even get digested. The orange will be putting out fructose through the whole digestive tract so it may be raising sugars long after it's eaten. This is why vegetables are so important to diabetics. They contain essential nutrients, have fibrous cell walls to slow their absorption time and lead to level sugars.

This doesn't mean that you should stop eating fruit, just be sure that your fruit is taken with some protein and fat to accompany it on its GI tract trip. The body works well when things are in balance. 1/2 an apple with peanut butter is a good example. Fructose, nut protein and nut fat (good monounsaturated fat :-) ) make a great snack combo. And I disagree with the above post. Eating small meals all day long and having your bedtime snack is a good way to keep sugars level and hunger down. Skipping your evening snack will cause the brain to panic when the sugar levels drop overnight. It runs on pure glucose and demands that its needs are constantly met. If your BS drops the brain orders your liver to convert some stored glucogon (a kind of supersugar that the body makes and stores for emergencies)into glucose and dump it into the bloodstream. Your brain doesn't know how long it will be without food so it reacts as if you maybe won't be eating for a while. Add to this the fact that it normally does this anyway to prepare for the morning food search and you have high morning sugars.

What I would do if I were you is to take my waking sugars each morning and then take another reading before one other meal each day, alternating meals. This is what my doc had me do when I started on my Lantus. AM check and then pre- dinner one day, AM & pre-lunch the next, AM and pre bedtime snack the next and so on. I recorded these on a little chart until she saw that the overall pattern was pretty good and I had my meals figured out.

It's not just the individual readings that should direct your plan but the overall pattern of foods vs. sugars that you need to become aware of. Perhaps take fewer readings for a bit and just start averaging them out. And be sure that if you are doing post-meal readings you are taking them two hours after a meal. In normals a 2 hr. postprandial reading would be about 110. Diabetics who are not medicated will often see 125 or so... Then at this point you can do some exercise (a couple of flights of stairs?) to enhance the movement of the glucose into the cells and lower insulin resistance.

Hope this helps.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


cooperazi
Regular Member


Date Joined Feb 2007
Total Posts : 47
   Posted 5/24/2007 9:19 AM (GMT -7)   
Hi Jeannie,   Thank you for your help and patience.  The above poster does not know I was advised as many who have higher than normal bs in the morning, but good bs all day, to perhaps have a snack as you mentioned, peanut butter, etc.  However,  My morning bs this morning was 118, not optimal but among my best, and as I mentioned no Meds.  As for the day,  I did well, yogart (light) Breakfast, some thin ham, and a zone bar for lunch, my pre meal was 78 at lunch but it went to 136, ( those zones bars maybe not be the best choice) but I was at my daughters, and it was easy.  So my dinner was salad, with ranch, bbq sauce, chicken poached and baked and some rib meat.  My two hour after dinner at 9 PM was 108.  I did not eat anything after that, nada, so when I went to check my bs at 12:45 AM and it was 126, I was frustrated, because I was sooooooooo pleased with my after dinner bs.   I know the bbq sauce has sugar in it, but at 12:45 AM, that was over 5 hours after dinner. For some reason my body just kinda of wants to not work as well at night.  So I am going to try and keep my bs at 126 or lower before bed and see what happens.  I know I can achieve that, if I try.  I also will confess, because of being sick, and having knee pain, I have not been faithful to do my treadmill.  I am doing better with the knee, and my virus has gone, so need to get back in the habit of the treadmill.   Having this board and all you nice people helps tremendously.  You keep us honest, and you also incourage.  And then sometimes maybe I will be able to help someone also. Again, Thank you, Donna

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 5/24/2007 1:32 PM (GMT -7)   

Donna,

I also struggle with Dawn Phenomenon- I can go to bed with a BG level in the 70's and will wake up at 120 unless I eat a snack before I go to bed.  I tried exercise right before bed, not going to bed until my BG was down to pre-meal levels; taking extra metformin at night - and nothing worked to reduce that AM level until I started eating. 

I have been traveling for the last 10 days and my best AM number occurred after I ate a very late (10PM) dinner that included plenty of carbs, protein and fats. I expected to wake up at about 150, but I was only 81!!!!!(my usual is 92-98). There have been other posts here where folks ate fries or burgers in the middle of the night and woke up to excellent numbers. (Not that I am advocating eating burgers or fries to solve the problem!)

Jeannie gave you some excellent suggestions- I generally drink a glass of 2% fat milk with my bedtime meds- it has protein, fat, and carbs- and it keeps my stomach from wrenching up from the metformin.

sandy

 



I just want to live happily ever after-every now and then. Jimmy Buffett

Post Edited (gelchick) : 5/24/2007 2:35:30 PM (GMT-6)

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