what does it mean when FBS first thing in the morning is about 145 when night before I was at 108??

My doctor just prescribed Kombiglyze XR 5-500???

I've never been on diabetic meds. I was diagosed with type 2 about 18 months ago

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Let me add that about an hour later, my blood glucose was 115??

Is this dawn phenomenon??
Dawn Phenomenom is when your own natural hormones are produced in the morning. This happens to everyone. The difference is diabetics have a weakened pancreatic response. So when these hormones are produced they signal liver to convert stroed glyogen into glucose to wake us up. In a normal non D then they would produce Insulin to counter the glucose. Metformin will help with this. I find I need to take my metformin right before bed and as soon as I wake up in the morning. I also find eating rather low carb helps lower the amount of glycogen you have stored in liver.
notsure, if your medical team is like mine you may get to hear that a lot...not sure. The one thing I had learn when I started in 1995 was that all diabetics are not created equal. I certanly wasn't. I still have periods where, for some unknown reason, my morning fast and bedtime numbers would reverse. It would stay like that for 7 to 10 days and then go back. Drove me crazy. I was seeing a diabetes specialist in Delaware at the time and his answer was; "I just don't know."

Now actually things have changed for me. I was actually having to use a high strength insulin U-500 R just so I could fit my insulin needs in one syringe. That steadied out my control a lot. 18 Months ago a doctor where I live now took me off everything diabetes related and put me on Lantus. 100 units AM and that is all. My HgA1C is now constantly below 6 and I don't have the flip-flops any longer.

With diabetes there are occassions where there is no answer. It is just how your diabetes is.




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