A rant on the joys of the dawn effect:
I've always had to deal with the dawn effect -- BG climbing shortly after I wake up in the morning, regardless of food. For example, this morning (a fairly typical one), I woke, around 6:30, with BG at 97. A good start to the day. By the time I got to work and was ready for breakfast around 9, I was 237. I had not eaten anything. I had not exercised, but I had been puttering around the apartment. Of course, I corrected with breakfast and was down to the 180s by noon, and then better in the early afternoon.
Still, it is so frustrating to watch the BG go up, and so quickly. I've increased my morning basal rates now -- twice in the last 3 months, but the morning climb is still there. Some days, it is an extreme and rapid climb, like today, some days slower, but it is always there. And, of course, it takes a long time to bring my numbers back down, which really pushes the a1c up.
There was a discussion recently about things I resent about diabetes, and this is certainly one of them. If I am trying to get an average BG reading of 125 and I am at 237, I'm going to have to be under 100 for a long time to achieve that average goal, particularly when it takes several hours to get that 237 down. No wonder it is so miserably tough to maintain a good a1c. Frustrating beyond words.
And yes, that is one of the many things that I resent about diabetes. But, I am thankful that it is a condition that I can manage -- everyone, at some point in their lives, has some medical issue to deal with or some major family or personal stress. At least mine is something I can live with and work to control. I have a job, a home, my daughter is healthy. I have love in my life. Can't ask for much more.