I have type II diabetes and take oral medication. I have learned over time that the pattern my blood sugar takes is to rise overnight and throughout the morning, even if I eat nothing in the morning (as is usual for me).
Because of this, I split my medication between night (before bed) and morning. Lately, I've found that, even when my blood sugar is normal in the morning and I take my medication, it rises steeply and is often around 170 by lunchtime.
Is there anything I can do about this? Is there a medication that will prevent it or control it better?
Right now I'm on a combination Actos, Metformin and sulfanyl-ureas.

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Originally Posted by alankess

I have type II diabetes and take oral medication. I have learned over time that the pattern my blood sugar takes is to rise overnight and throughout the morning, even if I eat nothing in the morning (as is usual for me).
Because of this, I split my medication between night (before bed) and morning. Lately, I've found that, even when my blood sugar is normal in the morning and I take my medication, it rises steeply and is often around 170 by lunchtime.
Is there anything I can do about this? Is there a medication that will prevent it or control it better?
Right now I'm on a combination Actos, Metformin and sulfanyl-ureas.

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I think you should consult your doctor about your medication, sometimes the medication may need to be changed.
Sometimes stress could be a factor too.

I am not a medical practitioner nor an expert but my mom is a diabetic but she is insulin dependent,has been for the past 20 or so years and that is where my advise comes from.

Remember that the liver dumps glucose in the body typically in the early morning hours and this is the reason why the blood sugar goes up even when not eating anything. Metformin at bedtme works, but is generally not recommended. Diabeta, a sulfururea, a believe, at bedtime without eating isn't recommended either, but doc and I have an understanding. That keeps the fasting levels at bay.

It's important to keep track for fasting levels (80), levels before a meal (150) and 2 hours after a meal (150) and bedtime (150). The actual ranges, you should consult with your doctor.

Diabetes will always get worse over time. It won't get better.

I'm also insulin dependent TYPE II and I am taking a wonderful medication, off label, Byetta injection. There is no data available for people on insulin, but it's use requires you to be on a drug such as metformin. The drug slows gastric emptying and therefore glucose spikes don't occur and you end up losing weight.

I'm glad your concerned. Talk to your doc. I totally recommend seeing an Endocrinologist and not anybody else to treat your diabetes. I learned the hard way.

Quote:

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Originally Posted by alankess

I have type II diabetes and take oral medication. I have learned over time that the pattern my blood sugar takes is to rise overnight and throughout the morning, even if I eat nothing in the morning (as is usual for me).
Because of this, I split my medication between night (before bed) and morning. Lately, I've found that, even when my blood sugar is normal in the morning and I take my medication, it rises steeply and is often around 170 by lunchtime.
Is there anything I can do about this? Is there a medication that will prevent it or control it better?
Right now I'm on a combination Actos, Metformin and sulfanyl-ureas.

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As you well know, blood sugar is usually up in the early morning, before you start moving due to the circadian rhythm of your body. It is helpful for you to wrk closely with the MD to find the best way to regulate your blood sugar. Having breakfast is VERY important as starving is one way that your body stores sugar and spikes happen. Eat three meals a day, watch your high glycemic food intake. You may need to redistribute your food intake to 6 meals a day. Rice/potatato/pasta,banana, carrots etc contains sugar, including grapes, etc that floods your body immediately w/ sugar. Check internet on high glycemic index to understand about food intake that would be more beneficial. Monitor your food intake, activity and blood sugar to understand how best to regulate it ,as we are all different. That is why a working relationship w/ you/self/and MD are crucial. Hope this helps. Take care

alankess:

Here is a reference I hope you find helpful:
Somogyi effect VS. Dawn Phenomenon

You may also have your medication doses maximized and /or
Reduce carbohydrate grams at breakfast .
The sulfonylureas work best 15-30 minutes before eating, if you don't already take it this way.
If you don't want an injection [ byetta and or insulin ] your doctor may consider adding
Januvia / sitagliptin, which is a pill and also increases incretins like byetta, if your bood sugars and hemoglobin A1C, are not to goal.



Grace and Peace