Know why you're high when you arise?
- the liver making glucose at night and your body producing hormones in the morning that fight the insulin, whether you inject it or make your own.
- taking too much insulin in the evening. When you go low, your body reacts with hormones to bring it back up.
- not taking or making enough insulin to cover you through the night.
So what can you do?
- Understand your body by checking your blood glucose more often, even in the middle of the night to see if you are unusually high or low.
- Check your food, activity, and stress levels.
- Learn how your medications work and when they work the hardest.
If you can't figure it out, talk with your health care team, so that together you can come up with a solution for you.
For more information on morning highs, read Somogyi Effect vs. Dawn Phenomenon.
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My diabetes is changing. Until a few years ago, my morning readings were reasonable and within the desired range of under 100 mg/dl. About two years ago, they started slipping upwards into the less-desirable but apparently not-worrisome range of 100-110 mg/dl. Now, this was what was recorded by my Abbott Freestyle Lite meter, which is known to record at the lower end of the home-glucometer variability range, but with my A1c firmly in the high 5s and low 6s, the meter's tendency to...