Just a quick question...

My morning fasting numbers have gone from 90 - 108 over the last 6 months and just wondering if there is anything I can do to help with this. I know its probably DP but I'm wondering if there is anything I can do that would reduce this? Is it better to have a small snack before bed or no snack?

I'm a thin type 2 or 1.5, exercise 5 times a week and already on low carb diet. I take 2x500mg of met each day but I'm not sure they do anything as my a1c has averaged 5.9 - 6.1 over the last couple of years with and without the met...

Thanks for any advice...

Paul

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Well, I know you worry about it, but I think you should also ask yourself "Should I worry about it?" The AACE guidelines after all are to keep your fasting blood sugars < 110 mg/dl, which you are doing. If your fasting blood sugars are good during the day and your blood sugars come down well in the morning, perhaps it is not something to fret all that much over.

Hmmm. Maybe your right. I see on here many type 1s and yourself who manage to have their a1cs in the mid 5's. I would like to get there but not sure what elese I can do.

Maybe you are right and I should just keep doing as I am...

What do you think about stopping my met? I not sure it does anything for my numbers and do get that "slightly bloated" feeling. I've read that it is a "safe" medication but could do without the bloated feelings.

Thanks again, Paul

Gerri gives you things to try for your DP. My favorite is of course the red wine. But you have to realize that your A1c is like 6%, corresponding to an eAG of 126 mg/dl. In order to get that average, you need to be spending time higher than your morning DP. It is likely that your after meal numbers are having the biggest influence, driving your average blood sugar up far more than your morning DP.

How are your fasting numbers during the day and your postprandial numbers?

ps. I actually consider your morning numbers "right on target" for myself. You can see where my A1c is right now.

I find red wine and cheese helps.

Hi Paul,

Only way to know if a snack will help DP is by experimenting to see if it makes a difference for you. Try it for several days to see if a snack improves fasting. Eat a small amount of protein, not carbs, before bed. Protein digests slowly, of course.

I'm T1 & what helped my DP is not eating at least 5 hours before bed to be sure food isn't digesting overnight causing high fasting. Meals that are protein & fat heavy digest take a while to digest, especially in the evening as the body slows down for rest.

Some people have success with a small glass of dry wine before bed. This didn't do anything for my DP.

Could very well be that you are LADA since Metformin isn't having an effect. Unfortunately, doctors wait until BG & A1c is high before prescribing insulin. They don't want to risk hypoglycemia.

Thanks Gerrie,

I'll experiment with/out snaks before bedtime.

Its tough for me sometimes. I'm not complaining about my numbers but I've always been in control of my health in the past (perfect BMI for over 20 years), never smoked and I never eat at fast food restaurants. I see some of the a1c averages on here (congrats on your 5.2!) and just want to try and achieve the same for me :(

I also deal with my slightly elevated cholesterol and SVT heart palps :(

Thanks, Paul

I know that you have probably heard my story, but I follow a very strict diet and exercise regime and also wanted an A1c below 6%. And nothing seemed to work. I tried metformin, and then added medications eventually trying two different triple regimes. But I had constantly elevated blood sugars. These drugs can often really help with the blood sugar rises after meals, but they did little for me. In the end I started insulin and now my A1c is in the 5s. If you eat a strict low carb diet, you may find the metformin of little benefit and not see much change dropping it. But that doesn't bring your A1c into the 5s. If you really want to drop your A1c, then you need to get more aggressive with treatment, diet, exercise and more medication. If you are LADA as Gerri suggests, moving to insulin is certainly something to consider.

Thanks bsc...

Fasting numbers during the day are typically 5.0-6.5. My post meal numbers are usually 6.5-8.0. I just checked now and I'm 6.0 after my morning jog. I only check at 1 hour because I'm usually back down at 2 hours. I do occasionally go past 8.0 but this isn't normal and I know I ate too much of something.

Does Metformin have any effect for people with LADA? Since dx about 3 years ago my a1c has been around 6.0 +/- .3. If I am LADA how long does it take to progress into requiring insulin, or will it?

Please note, I'm not complaining about my numbers I'm just a control freak when it comes to my health. I want to grow old with my wife and watch my kids grow up and be complication free when I'm 65 ;)

Thanks again, Paul

I know that you would like to improve things, but it is not like your numbers are bad. There are people here who would gladly drive all the way up to Canada and pay you for your numbers.

If you are LADA, it might take you literally years before you require insulin, especially if you keep your A1c down at 6%. I've heard the number that 80% of LADA progress to insulin within 6 years. But some of that may be accelerated when your blood sugar gets high. I've also heard from the same literature that some patients have gone as long as 12 years without requiring insulin.

Sometimes, you we just have to accept that we do the best that we can.

ps. And Tim's suggestion to have breakfast is really good. I found a breakfast helped stabilize my morning blood sugars averting further rise.

Sorry, didn't realize you answered the pp question here already.

Metformin won't help LADA.

Paul,

Know you're not complaining:) You work so hard staying healthy & understand your frustration. You're doing everything you can. Wish you had more cooperation from your doctor. Low doses of basal would probably greatly assist. Hard to keep lipids in-line when BG goes high, not that yours is way high at all.

Something I forgot to mention & don't know if it applies to you. I've found that if I don't eat breakfast soon after waking, my BG increases as a continuation of DP. Learned that the hard way.

Yes, mine too :(

If I have blood work and don't eat until I'm back from the lab (9:30ish) I am always higher (7.0-8.0). This has always skewed my fasting results because I usually eat first thing in morning (7am). I told this to my Dr and she just told me this is your true fasting number.

I agree, I remember one of the members on here started using a pen? I think for post meal numbers this would be a benefit for me.

Thanks Gerri :)

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