I am a Type 1 Diabetic. I exercise at least 5 nights a week and I wake up with bad blood sugars.?

Question

I count my carbs on a sliding scale. I can go to bed at 80 and sometimes i wake up over 300. And if i give myself insulin it still seems to go up. I don't eat bad. Before i go to bed i may have a yogurt, or something lite. I know i can rebound with fruits and ice cream so i stay away from that. Any suggestions as to why my blood sugars are being soo high?

Answer 1

You may be having a dawn phenomenon where blood sugars tend to spike in the early AM hours. I would talk to your doctor about an adjustment in your insulin to cover that.

Answer 2

I am a type-2, and had to learn about a proper diet through my own research, and trial and error. My doctor just told me to eat less, so maybe I can offer a trifle of advice from what I found out. One of my teachers was a T-1 brittle, 47 and still with all her parts, and what she recommenced was a little bit of fruit about 20 minutes before eating or sleeping, cause it tends to prompt the production of insulin, which might tend to fend off this problem.
But the advice that you tell this to your physician is good--especially if you aren't intaking a large amount of carbs before you go to sleep, and assuming this is the only time you're having this heightened sugar level, it's not so much lack of insulin as it is the natural output of sugar by your liver. Perhaps you might ask the doc if he thinks metformin might help with this difficulty, since it inhibits the liver's release of sugar.
Also, are you read up on glucose indices? It may not be so much how much you eat, as what you're eating--some stuff is just so high in GI that it makes its own problems. Also, you might try reading Sugar Busters, any of the many volumes, which is aimed at helping even T-1's control their sugar levels without insulin, if possible. I tried some of their advice, and it's worked great for me.

Answer 3

You need to get up in the middle of the night and test your blood sugar. You could be experiencing what is called the dawn effect. Your body actually raises your blood sugar during the night.
Show these readings to your doctor so you can get an insulin that will prevent this.
You should also keep track of your bloodsugars before and after exercising. For some people exercise can raise their blood sugars. Adjusting the time of day that you exercise and possibly having a small snack before can help.
Again show all readings to your doctor before making any changes.

Answer 4

2 possible causes
1) Dawn phenomenon - Cortisol is released the most around 3am or so. This makes your morning sugars high. The fix for this is to adjust the timing/dose/both of your evening long acting insulin.
2) Smyogmi (sp?) phenomenon - Your sugar drops in the middle of the night, and then rebounds high d/t your body's production of glucagon. The fix for this is to eat a snack at bedtime that has fat/protein/both and carbs in it. The fat/protein help to keep the sugar up.

The insulin pump is great for these things if your insurance will pay for it.

Unfortunately, the only way to tell which is happening is to check your suagr around 3am or so for a few mornings to see what it's doing between bedtime and morning. (Unless you happen to be in the lucky few that have the Guardian RT from minimed.) Given the fact that you excercise at night, my gut says it's gonna be number 2): Exercise can affect your sugar several hours afterwards.

Answer 5

I have been told that if you exercise while your blood sugar is rising it will continue to go up. If you exercise while your blood sugar is dropping, it will continue to drop.

If you exercise after meals, your body may believe (with the insulin in your system), that you need more glucagon (liver produced glucose). Therefore, when you begin exercising at 80 it may send a signal to your liver to start making glucose. Hence, your exercise, but your blood sugar goes up.

I am also a Type I and this has held true for me. You need to figure out what you are eating (lots of fats and proteins begin to digest later and spike later) or carbs (spike early). Then match that up with your insulin dose and timing, and then test to see when you have attained the best amounts of all.

Answer 6

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Answer 7

Tell your doctor it goes up at night. Try not eating yogurt at night.
It would seem your body isn't processing the food you are eating before bed. Try a drink instead.
You may need a change in your diet. The new guidelines for diet don't work for everyone, and the older stricter ones maybe what you need. Find a book that has a true strict diabete diet and see if that diet helps. I also heard they now have special exercises for diabetes, you may want to check into that.

Answer 8

Same thing use to happen to me. It was explained by my doctor that your blood sugar is getting to low at night and becasue you are not awake to feel the effects of low blood sugar your body starts feeding on muslce to get the sugar it needs. I kept taking more and more insulin and it would be higher and higher in the morning until I discussed it with my doctor and that is what they told me. I actually had to reduce my insulin at night, eat a snack and it worked!!. My sugars for morning became regular again

Answer 9

I am a type 1 diabetic of 40 years. The only thing I can think of is your blood sugar is dropping during the night and coming back high in the morning with out you knowing it. It has happened to me.

Answer 10

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