FBG question

First: was diagnosed T2 in April 05 with a blood glucode of 651 in the
doctor's office. I have been on Metformin 850mg x 2 since, and A1c's have
been in the high 5's ever since '05. I test,test,test--thanks to you good
people--and rarely exceed the 1hr/2hr recommended limits.

My fasting BG before the evening meal is nearly always <90. However, my
morning FBG's are never lower that 110, and are typically 120-130. This,
despite avavry conceivable permutation of advice gotten here about nightime
snacks: none, protein, carbs, protein-carbs, etc.

So here is my question: I have a doctor appointment on Friday, and I am
wondering--given some things I have read here--if I should ask him about
doing something about the higher morning FBG numbers. (BTW, my doc is a
splendid internist and for financial reasons an endo is out of the
question).

Thanks in advance, and for all the good advice shared in the past.

Gary in Milwaukee

On Apr 9, 6:47 am, "Gary, T2" <ganderso...@wi.rr.com> wrote:
> I am
> wondering--given some things I have read here--if I should ask him about
> doing something about the higher morning FBG numbers.


I have the exact same problem. My FBS is always the highest number of
the day for me. 128 this morning. Exercise doesn't help; late-evening
snack doesn't help, etc. Just saw a new physician (best one to date)
who has a) increased Metformin to 1000 mg 2x from 500 mg 2x a day,
taking the second dose before bed in initial attempt to help get the
number down.
Sarah

On Apr 9, 6:37?am, "Sarah548" <bagged63...@mypacks.net> wrote:
> On Apr 9, 6:47 am, "Gary, T2" <ganderso...@wi.rr.com> wrote:
>
> > I am
> > wondering--given some things I have read here--if I should ask him about
> > doing something about the higher morning FBG numbers.
>
> I have the exact same problem. My FBS is always the highest number of
> the day for me. 128 this morning. Exercise doesn't help; late-evening
> snack doesn't help, etc. Just saw a new physician (best one to date)
> who has a) increased Metformin to 1000 mg 2x from 500 mg 2x a day,
> taking the second dose before bed in initial attempt to help get the
> number down.
> Sarah
Gary: Your Doctor may make a decision of dose/med change based on your
A1c alot more than your FBG levels. Since your FBG is almost "normal"
nothing may be done until your FBG levels start climbing over the
couple years. I know this can be frustrating and just depends how
aggressive your doctor is. The "right" add on drug like Amaryl did a
good job lowering FBG for me after several years ramping up metformin
and Actos with no effects that I could tell with improved FBG levels.
I was not impressed particularly with the Actos.

Larry

Gary, T2 <ganderson26@wi.rr.com> wrote:
: First: was diagnosed T2 in April 05 with a blood glucode of 651 in the
: doctor's office. I have been on Metformin 850mg x 2 since, and A1c's have
: been in the high 5's ever since '05. I test,test,test--thanks to you good
: people--and rarely exceed the 1hr/2hr recommended limits.

: My fasting BG before the evening meal is nearly always <90. However, my
: morning FBG's are never lower that 110, and are typically 120-130. This,
: despite avavry conceivable permutation of advice gotten here about nightime
: snacks: none, protein, carbs, protein-carbs, etc.

: So here is my question: I have a doctor appointment on Friday, and I am
: wondering--given some things I have read here--if I should ask him about
: doing something about the higher morning FBG numbers. (BTW, my doc is a
: splendid internist and for financial reasons an endo is out of the
: question).

: Thanks in advance, and for all the good advice shared in the past.

: Gary in Milwaukee

In a similar situation my endo gave me 1 mg of Amaryl, a sulph, or beta
cell pusher, to take before bed. this has solved my problem with rising
FBG's tht, also didn't respond to all kinds of permutations and
combinations off diet adjustmet, along with a low A1c. It works for me.

The 1 mg is about a quarter of the usual dose and 1/8 of the maximum.

Wendy

Hello Gary:

you are still very new to this game. alot of your control may (and
probably will) come from changes you make your activity level.
When I was first diagnosed 110 felt great as time went by and I became in
better shape my FBS and everything else just lowered. Now i hardly ever get
about 90. unless of course I dont have the right bed time snack.
all diabetes wants you to do is become healthier. for some diet is the
whole battle for others is only half the battle.
i am very happy that I followed my doctors advice on exercise and my
dietitians advice on nutrition. Exercise.

--
Tom

www.TomsDiabeticDiary.com
Chat in peace with other diabetes at the American Diabetes Associations Web
Site.
http://community.diabetes.org/n/pfx/...esz&redirCnt=1

Information You Can "Trust" From Your American Diabetes Association
www.diabetes.org

Information on Specific Types of Fat.
http://www.diabetes.org/nutrition-an...cific-fats.jsp
"Gary, T2" <ganderson26@wi.rr.com> wrote in message
news:461a27e3$0$24780$4c368faf@roadrunner.com...
> First: was diagnosed T2 in April 05 with a blood glucode of 651 in the
> doctor's office. I have been on Metformin 850mg x 2 since, and A1c's have
> been in the high 5's ever since '05. I test,test,test--thanks to you good
> people--and rarely exceed the 1hr/2hr recommended limits.
>
> My fasting BG before the evening meal is nearly always <90. However, my
> morning FBG's are never lower that 110, and are typically 120-130. This,
> despite avavry conceivable permutation of advice gotten here about
> nightime snacks: none, protein, carbs, protein-carbs, etc.
>
> So here is my question: I have a doctor appointment on Friday, and I am
> wondering--given some things I have read here--if I should ask him about
> doing something about the higher morning FBG numbers. (BTW, my doc is a
> splendid internist and for financial reasons an endo is out of the
> question).
>
> Thanks in advance, and for all the good advice shared in the past.
>
> Gary in Milwaukee
>

On Apr 9, 11:09 am, "Gantlet" <T...@TomsDiabeticDiary.com> wrote:
>alot of your control may (and
> probably will) come from changes you make your activity level.

I'm also new to diabetes and to date have found that the more I
exercise, the higher my FBS goes. However, the bulk of my exercise is
fast walking -- only about 5 miles a day at this point. I don't eat
anything past dinner (usually 7 p.m.) and about 80 percent of the time
I make lunch the largest meal of the day (I average between 1300-1500
calories and about 50-60 grams of carbs per day which manages weight
for me). When I was first diagnosed I was taking 1/2 of a 2.5 mg
gliburide in the evening with dinner. It was causing unpleasant hypos
(and a rash), so physician discontinued it. She is very aggressive in
her approach to diabetes and expects me to achieve an a1c of less than
5.5% by the end of May.(Started with an a1c of either 9.1 or 7.1 in
end of January -- depends on which lab results are right!) I'm not so
sure I can do it with an average FBS of 120-122 (last couple of
weeks). What I do see is a 10% drop in BG immediately after exercise
but the same rise from middle of the night to morning. What am I doing
wrong in the exercise department? I keep reading that it brings down
FBS but it hasn't worked on mine yet. Do I simply need to be patient?
Sarah

On Mon, 09 Apr 2007 06:47:37 -0500, Gary, T2 wrote:

> First: was diagnosed T2 in April 05 with a blood glucode of 651 in the
> doctor's office. I have been on Metformin 850mg x 2 since, and A1c's have
> been in the high 5's ever since '05. I test,test,test--thanks to you good
> people--and rarely exceed the 1hr/2hr recommended limits.
>
> My fasting BG before the evening meal is nearly always <90. However, my
> morning FBG's are never lower that 110, and are typically 120-130. This,
> despite avavry conceivable permutation of advice gotten here about nightime
> snacks: none, protein, carbs, protein-carbs, etc.
>
> So here is my question: I have a doctor appointment on Friday, and I am
> wondering--given some things I have read here--if I should ask him about
> doing something about the higher morning FBG numbers. (BTW, my doc is a
> splendid internist and for financial reasons an endo is out of the
> question).
>
> Thanks in advance, and for all the good advice shared in the past.
>
> Gary in Milwaukee

Sure - discuss it with him - can't hurt. FWIW - I noticed a similar trend
some time ago. My metformin was increased from 3x500 to 4x500 - didn't
seem to help. We added avandia to the mix - mixed results. What I've found
does seem to work for me is the schedule of when I take them - metformin
one each at 7am 5pm 10 pm 3am with the avandia at 5pm. My numbers are now
normally the same in morning as bedtime.

On 9 Apr 2007 09:56:29 -0700, "Sarah548" <bagged63060@mypacks.net>
wrote:

>What am I doing
>wrong in the exercise department? I keep reading that it brings down
>FBS but it hasn't worked on mine yet. Do I simply need to be patient?

Nothing, and yes. You could try strength training alternating with the
long walks and see if that helps. You could also talk to your doc
about upping your metformin one more notch - you're not yet at the
"minimally effective dose", although 1000mg works for lots of people.
FBG is all about taming your liver.

How long did you give the bedtime snacks / wine a go for?

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.5% BMI 25