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im a 19 year old type 1 diabetic. with random high/low blood sugars and i need some opinions on what
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Posted 1 year ago #
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Liver dump, dawn phenomenon and dawn effect are all common terms that describe the same condition. It is an abnormally high early-morning fasting increase in blood glucose. It usually occurs between 4:00 AM and 8:00 AM. It occurs in everyone's body, but it has more impact on diabetics than normal bodies. It is more common in people with type I diabetes than in people with type II diabetes. Understanding the phenomenon can go a long way towards helping diabetics manage it.
The liver is responsible for the increase in glucose levels in the bloodstream. The brain, vital organs, the creation of red blood cells, and muscle tissue are constantly consuming glucose to function (24 hours per day). When the glucose levels in the bloodstream drop, the brain sends a message, via hormones, to release more glucose.
Also, as the result of normal hormonal changes. The body's internal clock recognizes that it is morning, and the wake-up process begins. The hormones cause the increase in blood glucose levels. No one actually knows what the exact cause of the phenomenon is, but many believe that it is increases in the hormones cortisol, glucagon and epinephrine, that causes increases in insulin resistance. Insulin resistance is a breakdown in cellular communication, resulting in reduced amounts of insulin attaching to cell membranes, which, in turn, results in the cells not taking glucose in to burn as energy. Insulin resistance is the primary cause of elevated blood glucose levels. Also, while sleeping, the body carries out a process called gluconeogenesis. During gluconeogenesis, the body converts amino acids into glucose.
There are other possible causes of the dawn phenomenon. Insufficient amounts of insulin taken, or incorrect medication amounts taken the night before, may result in increases in blood glucose levels. .
If the patient displays high readings throughout the night, it may not necessarily mean that the phenomenon does not exist. The other possible causes should be eliminated, such as the type of snacks eaten before bed, incorrect medication administration, changes in medications, and possible incorrect settings on an insulin pump if one is used. Particularly the early morning dosages settings. A diet that is high in sodium will stimulate insulin and promote hypoglycemia. A diet that is low in sodium can promote hyperglycemia.
In some cases (not commonly), the phenomenon may be the result of a rebound from a low blood glucose level that has occurred during the night. This is commonly referred to as the Somogyi effect. The dawn phenomenon, unlike the Somogyi effect, it is not the result of antecedent (preceded by) hypoglycemia; they are not the same condition. The insulin taken the night before may be wearing off, which is usually due to too low of a dosage. However, larger dosages may easily cause hypoglycemia during the night. Only experimentation with food types and dosage amounts will tell what the overall effect will be.
The practice of taking a dosage of vinegar or acidic products before bed does show a reduction in the morning blood sugars on most people. Unfortunately, the body cannot handle large increases in blood pH, without leaching calcium from the bones. This can prove to be a dangerous practice, especially for women and older diabetics. Vinegar tablets are lower in dosage, and a bit slower in conversion, which can reduce the risk to some extent.
Diabetics that have the dawn phenomenon do not have any symptoms that are associated with it. Nocturnal hypoglycemia (low blood sugars), followed by morning hyperglycemia (high blood sugars) for several nights is an indication of the Somogyi effect. It may be necessary to get help from a doctor to resolve it, because most cases are the result of medications that are mismatched to the patient's needs.
How long the patient has been diabetic; the quality of the patient's glycemic control; sleep disorders; exercise; nighttime snacks (especially carbohydrates); high or low sodium in the diet; the state of counter-regulation to hypoglycemia; and the patient's insulin sensitivity all can contribute to the dawn phenomenon. Start by experimenting with nighttime snacks. Switch to proteins such as nuts. Or, stop the nighttime snacks altogether. Make small adjustments to insulin levels and give the change several days to function. Have a doctor test the metabolic rate. Carefully monitor the amounts of sodium in the diet. If sodium is a part of the diet, it should be sea salt. Insulin resistance is caused by belly fat. It may be necessary to eliminate excess weight to eliminate insulin resistance, and improve sleep patterns. Determining if a patient has the dawn phenomenon, can require the help of a doctor if medications are responsible for the problem.
Hope this helps.
Posted 1 year ago #
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