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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Lower Morning Blood Sugar Level In A Type 2 Diabetic?

Hi

I am a type 2 diabetic and on Diamin 500mg. I try my best to keep a low carb intake and I am generally successful in keeping my blood sugar levels below 180 mg/dl (10 mmol/L) however I have dawn phenomenon and I have it bad. I wake up in the mornings with an average level of 280 mg/dl or above, and then struggle the rest of the day to get it down to acceptable levels. Is there anything I can do?
Fri, 9 Oct 2015
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Internal Medicine Specialist 's  Response
Welcome to health care magic. certainly your sugars are very high in the morning and you already know about the dawn phenomenon. I hope you got ur endocrinologist on board to help you.

Stress is the biggest cause for this along with poorly controlled diabetes. try to take your evening meal early between 5-6 pm and have a snack prior to going to bed. take insulin per carb count. this will certainly avoid hypoglycemia at night and hyperglycemia during the morning.

other thing you should do is to keep you sugar levels little high before going to sleep that means decreasing the dose of meal time insulin during the supper time.

do regular exercise after eating to prevent post prodial high sugars.

good luck
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How To Lower Morning Blood Sugar Level In A Type 2 Diabetic?

Welcome to health care magic. certainly your sugars are very high in the morning and you already know about the dawn phenomenon. I hope you got ur endocrinologist on board to help you. Stress is the biggest cause for this along with poorly controlled diabetes. try to take your evening meal early between 5-6 pm and have a snack prior to going to bed. take insulin per carb count. this will certainly avoid hypoglycemia at night and hyperglycemia during the morning. other thing you should do is to keep you sugar levels little high before going to sleep that means decreasing the dose of meal time insulin during the supper time. do regular exercise after eating to prevent post prodial high sugars. good luck