Fasting is higher than PP!

[svkrishnan]

My fasting blood sugar ( 215 ) is higher than PP ( 184 ). Everytime I test, the fasting is higher than pp! Why is this?

[Activity2004 Administrator]

What do you usually eat for breakfast, lunch and dinner? Do you have snacks during the day/before bedtime? Do you count carbs at each meal and.or snack? Are you type 1, 2 or LADA (1.5)? Are you on insulin? If so, how much? When?

What has your doctor said about the issue? When was your last appointment? What was your last A1c results?

[svkrishnan]

I am a type II diabetic. Do brisk walk of 5 Kms daily. Have a fair control on food. Do not take insulin. I am 69 years old and diabetic since 1981. My question is generic. How can fasting blood sugar be higher than PP blood sugar. No doctor has given me an explanation so far.

[Activity2004 Administrator in reply to svkrishnan]

It might be if you are not feeling well. Blood sugars can bounce around when a person is under the weather.

[tofumom in reply to svkrishnan]

The "dawn phenomenon" largely accounts for high fasting bg in the morning. Google it.

[suramo Star in reply to svkrishnan]

svkrishnan

😁😁😁😁

We have a pancreas which is doing overwork. During the day time our blood sugar rises depending on the food you take. Higher blood sugars if you have taken a carby meal. Everytime you eat, your pancreas has to work. It tries to bring your blood sugar level down below 100. But, because of ir it has to overwork the whole day because we don't achieve below 100 levels. At night we don't eat and our pancreas takes a rest still trying to clear the backload.

In the middle of night start a circadian release of " stress hormones " like cortisol, adrenaline, growth hormone etc. The nature's intention is good to prepare our body for the daytime activities. But all these hormones tend to raise our blood sugar in attempt to doing so - preparing our body for daytime work. So that is an additional force that tend to increase our blood sugar. Our exhausted pancreas which has not yet cleared the daytime burden can't stand this additional push. So in all there is summation of blood sugar numbers.

Also there is a liver dump "dawn effect as our admin says " wherein our liver dumps sugar by neoglucogenesis into the blood at around midnight probably under influence of these hormones.

There can also be "somogyi effect " wherein drop in blood sugar is below a certain level - 70/60 ( since we don't take food but our medications are working on our blood sugar ) the glucagon, cortisol, adrenaline, etc. come into action and start raising blood sugar. Our tired horse can't run out to keep the blood sugars under control and morning blood sugar is high.

Actually, the nature wants to help us and all the mechanisms are set to protect us. But you know there are many hormones to raise our blood sugar for stress responses - fight, fright and flight - but only one hormone to keep our blood sugar in check.

Hope this satisfies you. My personal advice to you as a friend. Don't look for all answers from the docs. Surf net. I assure you that you will find more answers. Only you have to take up "kshir" - milk and leave behind nir - "water". cure , what do you say about it? Diabetes will be controlled more efficiently by yourself. Doctors will scribble few medicines for you.

Try IDM and you will be able to control your fasting blood sugar. There are many posts here and elsewhere where you will know the principles of diet management.

By the way, both of your numbers are very high. Take care.

Wish you good luck.

[svkrishnan in reply to suramo]

Thanks a lot Suramo for your detailed explanation. Thanks to all in this group for your valuable inputs. Regards. svkrishnan.

[suramo Star in reply to svkrishnan]

svkrishnan

You are welcome.

[Hidden in reply to suramo]

How suramo

Can you explain more about IDM? thank in advance

[suramo Star in reply to Hidden]

Hidden

For that you have to take little pain. Just print IDM or "intensive dietary management " on google and you will get plenty of posts there. Only take care to separate kshir and nir / the milk and water from them.

Good luck. There are many posts on this forum.

[naqui in reply to suramo]

very good reply...pls tell what is IDM

[suramo Star in reply to naqui]

naqui

intensive dietary management

[wrongan in reply to suramo]

your reply is highly explanatory. I too had this problem .I am 72 with 20 years of diabetic. fasting 140 and pp 125 I .at times it rises to 200 So I am advised insulin at bed time. My readings are 100/120 and feeling comfortable

[suramo Star in reply to wrongan]

wrongan

I'd suggest you to do diet management. Try various diets at dinner and see which diet keeps your fbs under control. Insulin will aggravate your t2d.

[nyonyo in reply to suramo]

Insulin will aggravate T2D?? How come??

[suramo Star in reply to nyonyo]

T2d is the result of IR leading to high insulin levels. This high insulin levels generate more fats from sugar especially in and around abd. This further aggravates IR.So a vicious cycle sets in. To avoid hypos when External insulin is given added sugar need to be taken. So more fat is generated. Thus t2d is aggravated.

[nyonyo in reply to suramo]

Hmmm....i don't think so, not all cases of t2d due to insulin resistance, because my Homa IR is 1.7 which means i have no insulin resistance, but yes my homa B is below 70%, so in my case of t2d it's not IR that cause the problem, but my pancreas can not produce enough insulin anymore

[Praveen55 Moderator in reply to nyonyo]

You are right, if you are insulin deficient, you have to take external insulin. However, in a large number of T2D cases, they produce excess insulin but because of IR insulin has lost its effectiveness. For such cases suramo 's logic is perfectly valid.

[suramo Star in reply to nyonyo]

1.7 ir is in my view high.It'd be 1 or less.Get your s insulin and c peptide assays done. You would know if you have ir or insulin deficiency.

[nyonyo in reply to suramo]

Oh...you mean Homa IR 2, in my case that's absolutely perfect 1.0 here is my number, fasting insulin 7.42 and fasting glucose 102, what i wrote above is Homa IR 1 which formula is: (fasting insulin x fasting glucose)/405, and my mistake it is 1.87 not 1.7 but still below the cut-off point of 2.0, oh...and c-peptide is 1.16

[suramo Star in reply to nyonyo]

You are taking insulin. I don't know how to translate your insulin readings.

[nyonyo in reply to suramo]

Oh..i know your point, but if HOMA and QUICKI is affected by the use of insulin injection, what about TyG? My triglyceride is 71 and glucose 102 that makes my TyG index = 4.44 still below cut off value of 4.49 and NOT indicative of insulin resistance

[Luckysugar in reply to svkrishnan]

You mentioned you have a fair control on food and a daily-5 km walking which seem to be healthy- can this routine keep your BSL after meals under control? By the way, are you on any medication for diabetes? What's your recent HbA1c?

The potential cause of high BSL in the morning should be one of the mechanism in our body that suramo kindly explained for you. It is your job to figure it out what is triggering it? Check BSL after dinner and also bed time. Some people who are on antidiabetes medications and have high blood sugar may find that their medicines wear off overnight. In this case, they need to speak with their doctor about either changing the medicines, doses or times.

[tofumom]

If your fasting bg is high (a.m.), it is due to the "dawn phenomenon." Look this up to understand the dynamics and what to do about it.

[suji]

I have also had the same problem. I had been takin tab in the morning (glysofage SR 500). Friends from this group suggested to take tab in the night instead of morning. I have changed the medicine accordingly and yesterday I took a blood test. The result was FS 99 & PP 82. I am thankful to all friends for your valued suggestion.

[suramo Star in reply to suji]

suji

And you stopped morning dose??!!

[Activity2004 Administrator in reply to suji]

Had you talked to the doctor before stopping the morning dose, suji ?

[suji in reply to Activity2004]

No, before I have been taking 1 tab in the morning only. Now, I changed the timing to evening.