High Fasting Blood Sugars:
At heart I have always known that my Diabetes was not caused by my life style nor was it a genetic hand down from my parents. Doctors did not want to hear about this, especially from people like me learning things from the internet
Did not matter what I ate or did not eat my fasting blood sugars in the mornings were 8.0 and above and at times were even as high as 10.0. I have even tried not eating anything after 6.00pm except drinking water and to my dismay my fasting blood sugar level next morning was not 5.0 but 9.6.
Dawn Phenomenon
All people have the “dawn phenomenon,” if they have diabetes or not. The dawn phenomenon is a surge of hormones that the body produces daily around 4:00 a.m. to 5:00 a.m.
People with diabetes don't have normal insulin responses to adjust for this, and may see their fasting glucose go up.
The rise in glucose is mostly because your body is making less insulin and more glucagon (a hormone that increases blood glucose) than it needs. The less insulin made by the pancreas, the more glucagon the pancreas makes as a result. Glucagon signals the liver to break down glycogen into glucose. This is why high fasting blood glucose levels are common in people with type 2.
Steps that may help:
- Eat dinner earlier in the evening
- Do something active after dinner (such as going for a walk)
- If your fasting glucose continues to be high, your health care provider may prescribe medication
Again it was the autoimmune system making the liver pump glucose into the blood stream but why ?
One possibility was that I was diagnosed with severe sleep apnea in 1989 and have used CPAP mask since. The treatment was not most effective as most of the masks leaked and the sleep apnea index was as high as 7.5. Did this mean the Brain was not getting enough oxygen from the blood and the autoimmune system was trying to fix the problem by adding sugar to the blood stream.
I joined a Diabetes Forum called dLife to see if there were others having high fasting blood sugars.
It is absolutley amazing what one can find out from such fora and support groups. An amazing truth emerged from a lot of noise from Type 2 diabetics who believed they knew it all. One member wrote to me and said I don't believe you are a Type 2 Diabetic from what you say. I'd say you are a Type 1.5 Diabetic. I said to myself you ought to be kidding. She told me the treatment for LADA was steroids. My endocrinologist did not know what I was talking about.
LADA or Type 1.5 Diabetes as it is known in USA is Latent Autoimmune Diabetes in Adults also called Metabolic Syndrome
which results in increased Insulin resistance.
Again it was the auto immune system that got hit by the stroke playing games with my health. First the thrombocytosis to save me from bleeding to death and now the same autoimmune system was making the liver dump glucose to the blood stream. It is possible the autoimmune system does not know how to add more oxygen to the blood stream in my sleep and substitutes sugar for oxygen to keep the body alert so I did not pass out in my sleep.
This explains why even 90 units of fast acting insulin a day has little effect on me. It is not that the islets are dead and not producing insulin, the body cells have developed very high insulin resistance. Now the question is do I want to take steroids ?
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