 Glucose up in morning?
I agree with jimmys devoted that glycogen loading may be a factor, but it is not the sole reason blood glucose levels may be elevated in the morning. For a long time, I was told I must be impacted by the dawn effect, which is essentially hormonal release prior to waking. However, a closer examination revealed that was not the cause at all, it was the protein I ate for dinner. Like it or not, all protein is eventually metabolized into blood glucose. The difference is that it generally takes 6-8 hours to occur rather than the short time typically seen with refined carbohydrates. Doctors have instructed patients that basal insulin is supposed to accommodate this, but for many, this is insufficient. I learned it by carefully watching my blood glucose test results with information about what I ate for dinner the night before. When I had a larger serving of protein, the morning high was much higher, and when I did not have protein for dinner (or had small amounts derived from eggs or fish), I found my morning highs were practically non-existent.
To address the issue, I found that adjusting my basals upwards overnight (when I was pumping) was the only way to address this, and when I went back to shots, found that Lantus was a terrible solution and that NPH (Novolin or Humulin N) worked far better for me. The important thing is to get to the root cause of your morning highs and only then can you determine how best to address it! |