Taming the Dawn Phenomenon

David Mendosa Health Guide December 06, 2005
  • Just like diabetes itself, we don’t have a cure yet for the dawn phenomenon. But unlike diabetes, you can’t completely control it. The best you can do is tame the dawn phenomenon. There are a lot of definitions for what the dawn phenomenon is, but the simplest is the government’s ...

111 Comments
  • Anonymous
    carolamic
    Feb. 09, 2012

    After much trial & errors I've found that if I have a Glucerna Mini Snack bar (80 calories) about 10:00 p.m. that my blood sugar is below 100 in the morning. Hope that helps some people.

  • Anonymous
    Rheinbach
    Jul. 02, 2011

    Where to you get Milk Thistle in 100 to 200 grams (?)units that someone suggested

    or even 1000mg Milk Thistle that is reputable to contain Milk Thistle?

    • David Mendosa
      Health Guide
      Jul. 02, 2011

      Some of the reputable companies that sell Milk Thistle (silymarin) include Now, Jarrow, and Solgar. I buy my supplements through iherb.com

       

      David

  • Curt
    Jul. 02, 2011

    Curious to settle a question:  When talking about cutting down on grains, does that include barley pearls?  I have seen other sites that include barley pearls as being low glycemic loaded and alright to eat for diabetics.  What is the answer?

    • David Mendosa
      Health Guide
      Jul. 02, 2011

      Dear Curt,

       

      Yes, barley is low glycemic. But it is still carbs and starch.

       

      David

    • David Mendosa
      Health Guide
      Jul. 02, 2011

      Dear Curt,

       

      Yes, barley is low glycemic. But it is still carbs and starch.

       

      David

  • diana moro
    Jul. 02, 2011

    typically, my morning nbr on waking is under 110, BUT on days that I have to have fasting blood work, by the time I get to the lab (I wake around 5 or 6 am, blood work usually done around 8), I'm up around 120-125. If I eat, it goes down, but on blood work days of course I have to be fasting. The extend bar didn't work for me, Ill try the vinegar.

     

  • WASWAL
    Jul. 01, 2011

    In the latest article on Dr. Allen King's presentation about "Long Dawn Phenomenon", David Mendosa states that Dr. Richard Bernstein in his book "Diabetes Solution":

     

    "knows from experience that carbs at breakfast will raise our blood glucose level more than at meals later in the day, but his book doesn’t tell us why that is a fact."

     

    In fact,...

    RHMLucky777

    Read More

    In the latest article on Dr. Allen King's presentation about "Long Dawn Phenomenon", David Mendosa states that Dr. Richard Bernstein in his book "Diabetes Solution":

     

    "knows from experience that carbs at breakfast will raise our blood glucose level more than at meals later in the day, but his book doesn’t tell us why that is a fact."

     

    In fact, Dr. Bernstein does explain why this is the case for those diabetics who encounter the dawn phenomenon --- it's because it causes more insulin resistance in the morning and we need more insulin to cover a lower amount of carbohydrate (6 gm) (306-307).


    A higher dose of insulin is required to overcome this resistance for at least 3 hours after breakfast (page 173). He also suggests that a split dose of rapid acting insulin on arising and before breakfast may be required (page 306).

     

    He states that "regular insulin you inject before eating will be perhaps 20 percent less effective at breakfast than at other meals" (page 291).

     

    So, we have known about the "long dawn phenomenon" since Dr. Bernstein's book first came out over 10 years ago.  It's good to know that Dr. Allen King has now confirmed Dr. Bernstein's findings.  

     


  • Vanessa T.
    Sep. 13, 2010

    Is there anything I can eat/drink to lower a high reading (208)

    I've heard/read conflicting stories on watermelons, are they bad or good for diabetics.

    What about Activa yogurt?

    Thanks in advance

    • David Mendosa
      Health Guide
      Sep. 13, 2010

      Dear Vanessa,

       

      The short answer is no, nothing that you can eat or drink will lower blood glucose levels. But exercise -- even just a few minutes of it -- definitely will.

       

      The long answer is my first book that I wrote with Dr. Jennie Brand-Miller and Kaye Foster-Powell, What Makes My Blood Glucose Levels Go Up...and Down?

       

      Best regards,

       ...

      RHMLucky777

      Read More

      Dear Vanessa,

       

      The short answer is no, nothing that you can eat or drink will lower blood glucose levels. But exercise -- even just a few minutes of it -- definitely will.

       

      The long answer is my first book that I wrote with Dr. Jennie Brand-Miller and Kaye Foster-Powell, What Makes My Blood Glucose Levels Go Up...and Down?

       

      Best regards,

       

      David

    • liverdumper
      Dec. 23, 2010

      David, I am on a low carb very healthy diet. I do not take meds only supplements. My daytime glucose numbers are very good. If I get up from 3:00 am to 7:00 am and test my numbers are usually between 82 and 87. However, if I do not eat and retest at about 8:00-8:30 am I will be at about 103-108. I know these numbers are not terrible but they will probably...

      RHMLucky777

      Read More

      David, I am on a low carb very healthy diet. I do not take meds only supplements. My daytime glucose numbers are very good. If I get up from 3:00 am to 7:00 am and test my numbers are usually between 82 and 87. However, if I do not eat and retest at about 8:00-8:30 am I will be at about 103-108. I know these numbers are not terrible but they will probably stop me from getting insurance. Is there anything I can do to get theses numbers down to an acceptable level.(below 100) P.S. i have had my numbers jump from 81 at 4:00pm to 107 at 5:00 pm without eating, so i dont know if getting tested later in the day will help as my liver will "dump" when it wants. Any advice would be greatly appreciated.

    • David Mendosa
      Health Guide
      Dec. 23, 2010

      Such an increase is not unusual. In fact, even people who do not have diabetes have higher levels during the day than in the middle of the night. So my advice for you in terms of insurance is that if and when they test your blood glucose it would be the gold standard -- an A1C test -- rather than a finger stick. On a very low-carb diet your A1C is bound to...

      RHMLucky777

      Read More

      Such an increase is not unusual. In fact, even people who do not have diabetes have higher levels during the day than in the middle of the night. So my advice for you in terms of insurance is that if and when they test your blood glucose it would be the gold standard -- an A1C test -- rather than a finger stick. On a very low-carb diet your A1C is bound to be excellent.

       

      David

    • liverdumper
      Dec. 23, 2010

      Thank you for the advice.

  • sam
    sam
    Aug. 16, 2010

    I AM 46 YR OLD FEMALE W/ TYPE 2. I WAS HAVING A PROBLEM W/ PRE-DAWN. MY GLUCOLSE WOULD BE 148, 150, 155 IN THE AM. I EXCERISE REGULARLY AND REALLY WATCH MY DIET, STILL AM ABOUT 15 LBS OVERWEIGHT. DID RESEARCH ON PRE-DAWN. DID SOME CHANGES. 1ST: STARTING EXCERSING IN THE PM, HAVE ALWAYS EXCERISED IN AM. 2ND: PAYED CLOSER ATTENTION AT DINNER TIME (EAT LOW CARB)....

    RHMLucky777

    Read More

    I AM 46 YR OLD FEMALE W/ TYPE 2. I WAS HAVING A PROBLEM W/ PRE-DAWN. MY GLUCOLSE WOULD BE 148, 150, 155 IN THE AM. I EXCERISE REGULARLY AND REALLY WATCH MY DIET, STILL AM ABOUT 15 LBS OVERWEIGHT. DID RESEARCH ON PRE-DAWN. DID SOME CHANGES. 1ST: STARTING EXCERSING IN THE PM, HAVE ALWAYS EXCERISED IN AM. 2ND: PAYED CLOSER ATTENTION AT DINNER TIME (EAT LOW CARB). 3RD: EATING A GRANNY SMITH APPLE BEFORE BED TIME. MY AM READING NOW IS 113-115 ALMOST EACH MORNING. SMALL CHANGES HAVE MADE A HUGE DIFFERANCE FOR ME. WANTED TO SAY THANKS!!!!! EDUACTION ON YOUR CONDITION IS YOUR BEST DEFENSE. READ,READ,DO!!! I HAVE MADE CONTROLLING MY DIABETES ONE OF THE MOST IMPORTANT GOALS IN MY LIFE. 5-YEARS AGO I WAS 85 LBS HEAVIER. DON'T GIVE UP, THE ANSWERS ARE OUT THERE. REMEMBER YOU NEVER FAIL, IT JUST MEANS IT DIDN'T TAKE THIS TIME. YOU CAN NEVER FAIL IF YOU TRULY KEEP TRYING!!!!!!!

    • David Mendosa
      Health Guide
      Aug. 16, 2010

      Dear Sam,

       

      Good going! And thanks for sharing your story.

       

      David

  • Ray
    Ray
    Jul. 26, 2010

    I eat a 20g-carb food bar every night between 11:00-12:00 and my blood sugar every morning is within normal limits (85-100mg).

  • maxine
    Jun. 12, 2010

    David,

    I have noted that your information on diabetes is some of the best on the net. You write in a very clear fashion and provide oodles of valuable information backed up by scientific data. Thank you so much for all your contributions. I was diagnosed with diabetes not long ago and have (thankfully) been able to bring down my blood sugar normal range in a...

    RHMLucky777

    Read More

    David,

    I have noted that your information on diabetes is some of the best on the net. You write in a very clear fashion and provide oodles of valuable information backed up by scientific data. Thank you so much for all your contributions. I was diagnosed with diabetes not long ago and have (thankfully) been able to bring down my blood sugar normal range in a very short amount of time. Here is my blog: http://reverse-diabetes-naturally.blogspot.com/ and I've started a diabetic recipes blog as well: http://diabetic-recipes-123.blogspot.com/.

    • David Mendosa
      Health Guide
      Jun. 12, 2010

      Dear Maxine,

       

      Thank you for your comment. And I have enjoyed your blog.

       

      Best regards,

       

      David

  • Anonymous
    Anonymous
    May. 08, 2010

    Hello!

     

    Glad to have found this page!  Maybe someone here may have an idea about my situation?  I am able to keep my FBG between 130-145 from having a bit of sardines or yogurt just before bed.  Yes, very odd, but that is the lowest numbers I can get in the morning so far?  I've tried peanut butter, nuts, cheese, but so far only the...

    RHMLucky777

    Read More

    Hello!

     

    Glad to have found this page!  Maybe someone here may have an idea about my situation?  I am able to keep my FBG between 130-145 from having a bit of sardines or yogurt just before bed.  Yes, very odd, but that is the lowest numbers I can get in the morning so far?  I've tried peanut butter, nuts, cheese, but so far only the yogurt and sardines work.

     

    However the problem comes AFTER I wake up.  I take metformin 500 in the AM, followed with a tablespoon of peanut butter.  I eat breakfast maybe 2 hours after I get into work and when I test, my numbers are up to 190/200.  I eat a very low carb breakfast, usually eggs and maybe a turkey link?  Is there any way of controling the numbers for post-breakfast?  It seems that the dawn phenomenon just keeps on rising no matter if I eat or not, and doesn't start going down until after lunchtime. 

     

    Thoughts??

     

    Thanks much for your help in advance!

     

    - Grace

    • David Mendosa
      Health Guide
      May. 08, 2010

      Dear Grace,

       

      You might want to try eating breakfast earlier. Most of the experts that I read recommend eating breakfast within an hour of getting up.

       

      Best regards,

       

      David

    • Anonymous
      Anonymous
      May. 08, 2010

      I will give that a try, thanks much for your help!  :)

  • JudyN
    May. 04, 2010

    My Dr is watching my numbers.  Have high triglycerides (just received scrip for Lovaza), not overweight, FBG has been slowing rising from year to year, so Dr checking glucose numbers.  Have had a1c of 6.4,5.7, and 6.2.  Lately have been seeing 115-125 in morning readings, after breakfast it will be 105.  Is this DP?  During the day...

    RHMLucky777

    Read More

    My Dr is watching my numbers.  Have high triglycerides (just received scrip for Lovaza), not overweight, FBG has been slowing rising from year to year, so Dr checking glucose numbers.  Have had a1c of 6.4,5.7, and 6.2.  Lately have been seeing 115-125 in morning readings, after breakfast it will be 105.  Is this DP?  During the day numbers can occasionally go under 100 but not very often would they go over 140.  Should I do more?  Have tried snack at bedtime and no snack, usually protein like nuts or cheese or peanut butter, and doesn't seem to bring it down.  How do I get FBG under 100 like Dr wants.  If I test later without eating BG only goes up so I guess I will "fail" the FBG test.

    • David Mendosa
      Health Guide
      May. 04, 2010

      Dear Judy,

       

      It is the carbohydrates that you eat that make your blood glucose go up. At a minimum you need to cut out the starches in your diet.

       

      Best regards,

       

      David

    • JudyN
      May. 04, 2010

      I have been doing that for a year now-lots of research.  Cut way back on starches already.  Always aware of what I'm eating, watching portions, labels, everything.  Just wanted to know if my morning numbers are considered high or are normal waking up numbers?

    • David Mendosa
      Health Guide
      May. 04, 2010

      Dear Judy,

       

      Those numbers are not especially high DP numbers. Most people, even those without diabetes, have DP to some extent (where their fasting numbers are higher than when they go to bed). When you have as good a control as you do, it is the post-prandial numbers that are the more important ones.

       

      Best regards,

       

      David

    • JudyN
      May. 04, 2010

      Thank you so much for your reply. Sometimes I feel almost overwhelmed by the abundant but sometimes contradictory information out there.  It's like information overload sometimes. Thanks for taking the time to answer our questions.

    • Anonymous
      davjan4
      May. 13, 2010

      Judy,

       

      What worked for me was eliminating all grains. Once done I eliminated all processed foods. I then increased my intake of fats (just no transfats or omega 6 fats like those found in vegitable oils). I threw out all vegitable oils and use only real butter or coconut oil for cooking. And I started making my own salad dressing when I saw that tey all...

      RHMLucky777

      Read More

      Judy,

       

      What worked for me was eliminating all grains. Once done I eliminated all processed foods. I then increased my intake of fats (just no transfats or omega 6 fats like those found in vegitable oils). I threw out all vegitable oils and use only real butter or coconut oil for cooking. And I started making my own salad dressing when I saw that tey all had sugar, artificial sweetener and soy oil in them.

      At this point, all I eat is Real Food. If I can kill it or pick it, it's OK (except for fruit. It's FULL of sugar, so I just have a small handfull of berries every now and then as a treat) If it comes in a box and has ingrediants, I don't eat it. Sugar and carbs and grains are hidden everywhere in processed foods. 

      I know it's a hard pill to swallow, but I was on my way to being a diabetic and basically cured myself doing this. I'm an RN and did tons of research to see what people really should be eating. 

      One thing to remember is that fat, even saturated fat, is not the enemy. If conventinoal wisdom was correct I should weigh 300 lbs by now because of all the fat I eat, but I lost 30 lbs instead. Now with proper excersize I'm starting to gain lean muscle mass.

      For a good place to start, read here: http://www.paleonu.com/get-started/

      Good luck to you. You can do it. If you want more health tips, follow my twitter:

      search for RealFood4You

  • Anonymous
    Anonymous
    Feb. 03, 2010

    Hi All,

     

    I was really getting depressed trying to figure out how to get these levels down. When I found this web site and started reading all the posts and suggestions I was even more overwhelmed because it seemed like there were so many different things and no two people had the same results. I tried the excercise, high protien snacks, not eating high...

    RHMLucky777

    Read More

    Hi All,

     

    I was really getting depressed trying to figure out how to get these levels down. When I found this web site and started reading all the posts and suggestions I was even more overwhelmed because it seemed like there were so many different things and no two people had the same results. I tried the excercise, high protien snacks, not eating high carb dinner, peanut butter etc. Nothing worked, I think the lowest I got was a 130 reading.

    NOW THE GOOD NEWS

    I want to thank the person who posted the thing about taking Milk Thistle! When I saw this I got excited because I had problems with a fatty liver in the past and my liver enzymes were very high, I discovered Milk Thistle and I took it for a couple months and my ezymes dropped back better than normal! I had such success with it then I thought "great maybe this will work for me too" and so far the milk thistle combined with a spoonful of peanut butter before bed has brought me down to 120...not completely better but at least a change! Thank you! Thank you! I will keep working on it to try and get the best combination and an even lower reading, I will check back and update again.

    Susan M

  • Anonymous
    Anonymous
    Oct. 28, 2009

    can anyone answer this question for me? if someone has diabetes as a result of being overweight, if he loses the weight, can the diabetes disappear?

    • David Mendosa
      Health Guide
      Oct. 28, 2009

      When we have type 2 diabetes (but not type 1) and we get our weight down to the normal range and we eat a very low carbohydrate diet (which doesn't spike our blood glucose) some of us (myself included) have been able to control our diabetes totally without drugs. We don't have any cure for diabetes, but as long as we control our weight and keep our blood glucose...

      RHMLucky777

      Read More

      When we have type 2 diabetes (but not type 1) and we get our weight down to the normal range and we eat a very low carbohydrate diet (which doesn't spike our blood glucose) some of us (myself included) have been able to control our diabetes totally without drugs. We don't have any cure for diabetes, but as long as we control our weight and keep our blood glucose in a normal range (probably below an A1C level of about 5) our diabetes will be in remission.

       

      David

    • Anonymous
      Helen Bushell
      Jan. 07, 2010

      My husband who hasn't been diagnosed T2 controls his higher than normal BG levels by not eating after 3.00 in the day. A bit harsh I know but it seems to work. He regularly does aerobic exercise but for 90 mins in the evening but when he eats this only raises his BG levels.He has a good breakfast and lunch and this seems to do the trick. He has tried, chromium,...

      RHMLucky777

      Read More

      My husband who hasn't been diagnosed T2 controls his higher than normal BG levels by not eating after 3.00 in the day. A bit harsh I know but it seems to work. He regularly does aerobic exercise but for 90 mins in the evening but when he eats this only raises his BG levels.He has a good breakfast and lunch and this seems to do the trick. He has tried, chromium, apple cider vinegar, lipoic acid but to no avail.

       

      Best wishes and good health

    • Anonymous
      CAO
      Jan. 24, 2010

      In July I attended a health fair - my fbg was 169 and a1c was 7.8. After ridding my diet of simple (mostly white) carbs and eating complex carbs (substituting almond & coconut 'flour' for wheat), smaller meals, etc. I lost 30 lbs in 5 months & visited my dr. My a1c was 6.0. My fbg about 40% of the time was in the mid-upper 80s and the rest lower-mid...

      RHMLucky777

      Read More

      In July I attended a health fair - my fbg was 169 and a1c was 7.8. After ridding my diet of simple (mostly white) carbs and eating complex carbs (substituting almond & coconut 'flour' for wheat), smaller meals, etc. I lost 30 lbs in 5 months & visited my dr. My a1c was 6.0. My fbg about 40% of the time was in the mid-upper 80s and the rest lower-mid 90s.

       

      In the past 2 months I've lost an additional 5 lbs as I've tried to maintain my weight. Now my fbg readings are rarely in the 80s. I started testing at night and find there is usually little difference (not more than 10 pts) between readings before bed & my fbg. Sometimes my fbg it is up 5 pts in the am.

       

      My dr avoids the "D word" (diabetes). So far the feedback has been I'm doing everything drs want their patients to do and my progress is wonderful - But there's no guarantee I won't need medication in the future.

       

      I don't have trouble sticking to a plan... Diplomacy is nice, but I don't have any goals or guidelines.  There are so many variables - seasonal, work related, trying to increase calories, that I feel a bit lost.

       

      Any guidance would be helpful.

    • David Mendosa
      Health Guide
      Jan. 24, 2010

      You are off to a good start in controlling your diabetes. Congratulations and keep it up!

       

      My advice would be to gradually cut back on grains and fructose (including sucrose or table sugar) and do more exercise. Those are the best things for the long run. Some people find them hard to do -- but not those of us who are disciplined!

       

      Best regards,...

      RHMLucky777

      Read More

      You are off to a good start in controlling your diabetes. Congratulations and keep it up!

       

      My advice would be to gradually cut back on grains and fructose (including sucrose or table sugar) and do more exercise. Those are the best things for the long run. Some people find them hard to do -- but not those of us who are disciplined!

       

      Best regards,

       

      David

    • David Mendosa
      Health Guide
      Jan. 24, 2010

      You are off to a good start in controlling your diabetes. Congratulations and keep it up!


      My advice would be to gradually cut back on grains and fructose (including sucrose or table sugar) and do more exercise. Those are the best things for the long run. Some people find them hard to do -- but not those of us who are disciplined!


      Best regards,


      David

  • Anonymous
    Nick
    Apr. 23, 2009

    Does anyone know if there's a correlation between weight and DP? I'm type 2 but don't have the typical overweight couch potato profile. I'm 6ft 2 in and weigh 175 lb (190 cm, 80 kg) and exercise regularly. Between say 10 am and midnight my readings are usually acceptable (but very sensitive to diet), but I have not yet successfully been able to manage my sometimes...

    RHMLucky777

    Read More

    Does anyone know if there's a correlation between weight and DP? I'm type 2 but don't have the typical overweight couch potato profile. I'm 6ft 2 in and weigh 175 lb (190 cm, 80 kg) and exercise regularly. Between say 10 am and midnight my readings are usually acceptable (but very sensitive to diet), but I have not yet successfully been able to manage my sometimes horrendous waking readings. Although it sounds counter-intuitive, I'll try snacking before going to bed and see what it does. Any comments welcome.

  • Anonymous
    Steve
    Mar. 24, 2009

    I found your site very interesting and very informative, but there still seems to be some confusion, certainly on my part!  I have been diagnosed as Type 2, though told probably treatable with diet change.  I have done so and reduced my weight by 25lbs with about 7 more pounds to go.  My readings are within range during the day, before and after...

    RHMLucky777

    Read More

    I found your site very interesting and very informative, but there still seems to be some confusion, certainly on my part!  I have been diagnosed as Type 2, though told probably treatable with diet change.  I have done so and reduced my weight by 25lbs with about 7 more pounds to go.  My readings are within range during the day, before and after meals, but in the morning I regularly hit 140 and as a consequence feel very tired etc.   However, I note some indicate this is might just be normal?  So my main question is - Is 140 in the moring an acceptable reading and if so why does it make me feel so lethargic?  I was thinking of taking a protein shake to combat this - any thoughts please?

    • David Mendosa
      Health Guide
      Mar. 24, 2009

      Levels of 140 can make you feel fatigued. While I have written about various strategies to combat the dawn phenomenon, my guess is that the best way is to deal first with what you eat the evening before. Generally it helps to eat your dinner early and then to have little or nothing after dinner. Also, if your dinner is very low in carbs, you will be able to...

      RHMLucky777

      Read More

      Levels of 140 can make you feel fatigued. While I have written about various strategies to combat the dawn phenomenon, my guess is that the best way is to deal first with what you eat the evening before. Generally it helps to eat your dinner early and then to have little or nothing after dinner. Also, if your dinner is very low in carbs, you will be able to prevent high blood glucose levels in the morning. And as you continue to lose weight you will notice that your morning blood glucose levels will also improve.

       

      Best regards,

       

      David

    • Anonymous
      Steve
      Mar. 24, 2009

      David, thank you for your prompt response.

      I take it then that this reading is indeed high and what would be phrased as Dawn Phenomenon.

      If that is the case, my eveing meal is usually finished by 7 pm and is very low in carbs.  (This has been the factor in reducing my weight).

      Is this something that can be controlled by medication or within the bracket...

      RHMLucky777

      Read More

      David, thank you for your prompt response.

      I take it then that this reading is indeed high and what would be phrased as Dawn Phenomenon.

      If that is the case, my eveing meal is usually finished by 7 pm and is very low in carbs.  (This has been the factor in reducing my weight).

      Is this something that can be controlled by medication or within the bracket that could be dealt with by diet?

      Thank you for your time.

    • David Mendosa
      Health Guide
      Apr. 23, 2009

      The dawn phenomenon is when your morning fasting numbers are lower than when you went to bed. It is a concern, but high levels an hour or two after eating are a bigger concern. No medication seems to do anything specifically for the dawn phenomenon.

       

      David

    • Anonymous
      Jacqueline Hegarty
      Feb. 28, 2010

      I thought "dawn phenomenon" was when your morning fasting numbers are *higher* than when you went to bed. The other way doesn't make any sense, and certainly would not be any cause for concern!

    • David Mendosa
      Health Guide
      Mar. 01, 2010

      Dear Jacqueline,

       

      You are so right! Thanks for catching my error.

       

      Best regards,

       

      David

       

       

       

  • villani95
    Aug. 30, 2008

    I could use anyone's help here.  It will be 6 years in Dec when I was diagnosed with type 2 diabetes and all went well with diet, exercise, vitamins and other supplments until 3 years ago when dawn phenomenon began.  I read all of David Mendosa's writings and did additional research and discovered that 1/4 cup of almonds and half a bagel worked for...

    RHMLucky777

    Read More

    I could use anyone's help here.  It will be 6 years in Dec when I was diagnosed with type 2 diabetes and all went well with diet, exercise, vitamins and other supplments until 3 years ago when dawn phenomenon began.  I read all of David Mendosa's writings and did additional research and discovered that 1/4 cup of almonds and half a bagel worked for me.  That was until 11 days ago when out of the blue I woke up at 142 and have been in constant hell with morning readings  between 133 and 140!  I can't figure this out.  I began testing before my snack and discovered I was around and average of 120, when I used to be 100 so I am in some vicious cycle.  Any suggestions from anyone would be apprecitated.

     

    Chris

    • Anonymous
      mamanamwana
      Jan. 19, 2009

      I can totally relate, dawn syndrome can be very frastruating, but first things first...how are your blood sugars round the clock? You need to work at keeping your blood sugars between normal levels...that is betwee 75 (fasting) to 120 (i.e. if you have eaten lots of carb). This way you gonna keep a healthy life and avoid all diabetic complications. This is...

      RHMLucky777

      Read More

      I can totally relate, dawn syndrome can be very frastruating, but first things first...how are your blood sugars round the clock? You need to work at keeping your blood sugars between normal levels...that is betwee 75 (fasting) to 120 (i.e. if you have eaten lots of carb). This way you gonna keep a healthy life and avoid all diabetic complications. This is by no means easy, but the benefits are enourmous. It takes a lot of discipline and eliminating lots of foods, especially carb and all sorts of sweets.

       

      The thing is the body has a way of regenerating cells, and if you provide your body with the right nutrition and environment, you will start producing new healthy cells, including pancreatic cells. Which means over time, you will see that DAWN PHENOMENON will reduce or go away completely. For example, my current fasting sugars are between 75-83, after eating they may go up to 115, but most of the time they hover around 100. I usually wake up with 92-98. But this is not where I started, the situation was worse than this.When my morning sugars used to go over 100 (this would happen between 6-6:30am), I would wake at around 6am and give myself a shot (2units used to cover me for the dawn phenomenon). You will have to investigate how much insulin will bring you dawn. So that way I would keep my blood sugar levels within normal ranges throughout the day. These days since it doesnt rise that much, sometimes I skip giving myself a short early in the morning to cover morning rises.

       

      But one main point, to take control of your health as a diabetic you gonna have to eliminate certain foods from your diet, and slowly you will see your health improving. If you need help on how to manage diabetes, buy DIABETES SOLUTION by Dr. Richard Bernstein, very good book with every details on how to keep your blood sugars within normal non-diabetic ranges.Most people think it is not possible, but I can assure you it is. I tried it and it worked for me...

       

      Other two books which are very helpful in reversing your situation are The pH Miracle for Diabetes (Dr. Robert O. Yound) and Dr. D. D'Adamo (Eat Right for Your Type). Dr. Young argues that Diabetes is reversible. And I can testify that it is possible. I went on his diet and I reached a point where I did not need insulin at all. This was sometimes in Aug-Sept 2008. I would wake in the morning with no dawn phenomenon and I would have my meals as normal without taking any insulin. Dr. Young emphasises eating Alkaline diet, acidic diet makes your body very acidic which is a perfect environment for all kinds of bacteria and diseases to thrive. Dr. Young argues that, once we provide our body the right envrionment, then our body cells will start to slowly regenerate including Pancreatic beta cells.Well it did happen to me, so at least I can testify that it is it can happen..

       

      Now my situation got worse, in October 2008 when I received news that I was gonna lose my job. Stress started to build up and all of a sudden my blood sugars started to go sky high...I guess you may be away that stress + diabetes doesnt go very well - and Dr. D'Adamo explains why and how you can sort out the situation. For one he emphasises Blood Type Diet, which I agree with as well to a great extent, and explains exercises which are right for different people in order to eliminate the effects of stress. For example, he argues that Blood Type As (which is what I am) have a very sensitive immune system and are susceptible to many cronic diseases including diabetes and stomach cancer. They strive better in a vegeterian diet than other diets. Well vegeterean foods (i.e. vegetables, with the exception of grains) are alkaline. Remember I was already on an alkaline Diet (which is suggested by Dr. Young), when I didnt know about Blood Type Diet. And my condition had improved so much. One more thing, Type As when stressed, they produce a lot of stress hormone Cortisol, which doesnt go away completely even after the  stress is gone, so it keeps lingering on in your system which works very well in breaking down your body cells. Aparently, the best kind of excersise for Blood Type As to eliminate cortisol is Yoga.

       

      Now that my stressing moment is over, and I am still on the diet, my situation has once again improved. Blood sugars are between 75-115 round clock, my morning sugars go up only to a maximum of 98. I have started to do Yoga and I enjoy it, it energises me so much. I think I will get back to levels I was at in Aug/Sept last year if I continue on the diet and lead a healthy lifestyle. The reason I wanna do it is because, it is so refreshing when you do not have to worry about insulin anymore...if thats possible...for sure I would trade anything for it!!

       

      So I encourage you to buy these books, try out some solutions...and see how it works for you! Be patient, you will see outstanding results (if you are serious with the diet) after at least 4months.

       

       

       

       

  • Janet
    Jun. 14, 2008

    Dear Contributors,

     

    I only recently heard the term "dawn phenomenon" when ordered to a diabetes rehab program by my physician.  My levels were indeed high in the evening, so adding more glyburide at dinnertime did bring them down.  Before doing this, my waking BG would be 200 and even 300.

     

    However, now at bedtime I would read (for example)...

    RHMLucky777

    Read More

    Dear Contributors,

     

    I only recently heard the term "dawn phenomenon" when ordered to a diabetes rehab program by my physician.  My levels were indeed high in the evening, so adding more glyburide at dinnertime did bring them down.  Before doing this, my waking BG would be 200 and even 300.

     

    However, now at bedtime I would read (for example) 92 but on waking I would read 175.  I asked about this at the diabetes rehab program and the nurse mentioned "dawn phenomenon".  I immediately googled this term and found your site.  This explains so much!

     

    I will try some of the suggestions to see if I can bring down my waking BG levels.

     

    Also, one of the most VALUABLE tips I've found is ..... Don't do your blood test labs first thing in the morning!!!

     

    Again, thank you all and I will continue monitoring this site.

     

    Janet (Type II)

    • Anonymous
      sarah
      Jul. 01, 2011

      But they want me to do my blood test first thing in the morning - before any exercise etc. to get an accurate reading.  Even if it reads high, isn't it better to get an accurate picture of where my true fasting BS's are?  Just curious how this works - I'm only temporarily diabetic with pregnancy...

       

      I am interested in this DP topic because I...

      RHMLucky777

      Read More

      But they want me to do my blood test first thing in the morning - before any exercise etc. to get an accurate reading.  Even if it reads high, isn't it better to get an accurate picture of where my true fasting BS's are?  Just curious how this works - I'm only temporarily diabetic with pregnancy...

       

      I am interested in this DP topic because I can control all the other numbers, but definitely not the morning one.  I am nervous because the higher sugars can mean complications with the baby - delivery etc...

       

      Still reading all your tips, and wonder how safe is milk thistle in pregnancy?  I'm 7 mos. along.

       

      Any suggestions are helpful!  Thanks!

    • Anonymous
      sarah
      Jul. 01, 2011

      But they want me to do my blood test first thing in the morning - before any exercise etc. to get an accurate reading.  Even if it reads high, isn't it better to get an accurate picture of where my true fasting BS's are?  Just curious how this works - I'm only temporarily diabetic with pregnancy...

       

      I am interested in this DP topic because I...

      RHMLucky777

      Read More

      But they want me to do my blood test first thing in the morning - before any exercise etc. to get an accurate reading.  Even if it reads high, isn't it better to get an accurate picture of where my true fasting BS's are?  Just curious how this works - I'm only temporarily diabetic with pregnancy...

       

      I am interested in this DP topic because I can control all the other numbers, but definitely not the morning one.  I am nervous because the higher sugars can mean complications with the baby - delivery etc...

       

      Still reading all your tips, and wonder how safe is milk thistle in pregnancy?  I'm 7 mos. along.

       

      Any suggestions are helpful!  Thanks!

  • Anonymous
    Dave
    Mar. 16, 2008
    It's ironic that blood sugar testing is routinely done after a required all-night fast when, for those of us with dawn phenonmenon, that may be the only time when blood sugar levels rise above normal.  My blood sugar levels without any medication or control are between 75-100 every afternoon before supper.  Yet my levels in the...
    RHMLucky777
    Read More
    It's ironic that blood sugar testing is routinely done after a required all-night fast when, for those of us with dawn phenonmenon, that may be the only time when blood sugar levels rise above normal.  My blood sugar levels without any medication or control are between 75-100 every afternoon before supper.  Yet my levels in the morning before breakfast ran between 120 to 165 and occasionally as much as 200.
    Several years ago (I am a 65-year-old male) I was astounded to learn that I was determined to be an otherwise symptomless diabetic because I had accumulated two (2) morning fasting blood sugar readings of 126 (i.e., over 125) in my lifetime.  I was further astonished to find that I was barred for life from being able to buy health insurance at any cost or even with exclusion because I was non classified me as a diabetic solely based upon these two readings.
    There appears to be little knowledge of or attention paid to the dawn phenomenon in the medical profession.  I knew that what was happening to me was contrary to what was expected by the medical profession.  My blood sugar was supposed to be lowest after fasting, but mine was just the opposite.  I had to research online and diagnose myself.
    I had tried every other natural remedy I could find to control the dawn phenomenon and even the medication glubride in the evening and none had every worked with any consistency.
    I had noticed that I when I went out and ate an evening restaurant meal at [a national Australian-themed chain] consisting of chardonay wine, griller shimp, green beans, grilled pineapple, brown rice, and brown bread with butter, that I would unexpectedly have a reading the next morning of under 100. This would not happen every time I went back but it did more often than not.
    After reading some of these posts I determined to try three things together I had found there and they have worked like gangbusters.  Now my morning readings match my afternoon without any medication.
    In short, I am not a diabetic but a sufferer from dawn phenomenon, though it is too late to convince health or life insurers of that.
    The three additional things I have now added to my bedtime routine after reading the posts here are two 100 mg capsule of milk thistle, one tablespoon of organic peanut butter, and one tablespoon of chia seeds.  I don't know if any one would work by itself, but the 3 definitely do for me.
  • Anonymous
    Love my Chia
    Oct. 30, 2007

    Try 1-2 TBSP chia in any fluid at bedtime - to combat dawn phenomenon.

    David perhaps you'll write about them?

    • David Mendosa
      Health Guide
      Oct. 30, 2007
      I do intend to write about chia seeds! I would also like to correspond with you. Could you please email me at mendosa@mendosa.com
  • Anonymous
    Larry
    Oct. 12, 2007

    I have DP and I also travel globally for my job. When I experience significant time zone changes my DP goes away altogether. In fact my whole sugar issue disappears. I can eat absolutly anything I want (I enjoy those times). As I get over my jet lag the issue starts to creep back and in a week or so it's back to normal. Then I'll fly home and get...

    RHMLucky777

    Read More

    I have DP and I also travel globally for my job. When I experience significant time zone changes my DP goes away altogether. In fact my whole sugar issue disappears. I can eat absolutly anything I want (I enjoy those times). As I get over my jet lag the issue starts to creep back and in a week or so it's back to normal. Then I'll fly home and get another week of good times.

    While I'm home I'll take a dose of GLY/Met at bed time and I'm OK.

     

     

    • David Mendosa
      Health Guide
      Oct. 12, 2007
      Larry,

      That's a cure for DP that I have never heard of before! Thanks for writing. And keep on travelling!
       
  • Al1944
    Aug. 01, 2007

    My blood glucose reading before breakfast is ALWAYS higher than at bedtime, and as someone wrote, it's a bad start to the day.

     

    But a year ago I had sciatica; very painful, couldn't sleep, well I must have slept some, but I was up & down all night in agony for almost a month.

     

    Guess what?  Pre-prandial blood glucose readings better...

    RHMLucky777

    Read More

    My blood glucose reading before breakfast is ALWAYS higher than at bedtime, and as someone wrote, it's a bad start to the day.

     

    But a year ago I had sciatica; very painful, couldn't sleep, well I must have slept some, but I was up & down all night in agony for almost a month.

     

    Guess what?  Pre-prandial blood glucose readings better than bedtime, all below 7mmol/L (I think below 126 in US money.) 

    Then, as I recovered from sciatica and got a good night's sleep, all readings were above that figure, too often 8 or slightly above.

     

    I've considered setting my alarm to sleep for, say, 3 to 4 hours, then get up for a little exercise, then back to bed for another 3 to 4 hours sleep.

     

    • David Mendosa
      Health Guide
      Aug. 02, 2007
      That would be a solution -- albeit a drastic one! I hope that you are able to control your dawn phenomenon some other way. And remember that everyone has it to some degree, whether we have diabetes or not. It's the body's natural way to give us energy to get going in the morning, since our bodies can't produce a cup of coffee for us automatically.
    • Al1944
      Aug. 02, 2007

      David,  your comment everyone has it (dawn phenomenon) to some degree  makes me wonder if I have it because I'm "a morning person." 

    • David Mendosa
      Health Guide
      Aug. 02, 2007
      Easy to know! Just check your blood glucose when you get up and compare it with your level when you went to bed. It's good to know in any case.
    • kfleming55
      Feb. 10, 2009

      what is the big deal about morning BS of about 150-160?

      I was told to keep titrating my Lantus until my BS came down...it actually went up along with my weight which is a cyclical problem. I used to walk intensly on the treadmil for 5-6 mins prior to bed and was fine in the morning but my Register, EDucator wasn't impressed. They wanted to keep increasing lantus...

      RHMLucky777

      Read More

      what is the big deal about morning BS of about 150-160?

      I was told to keep titrating my Lantus until my BS came down...it actually went up along with my weight which is a cyclical problem. I used to walk intensly on the treadmil for 5-6 mins prior to bed and was fine in the morning but my Register, EDucator wasn't impressed. They wanted to keep increasing lantus and maybe start some other injection.

      If this is a normal body effect to rising for the day, and eating and taking insulin at breakfast yields a fine 

      BS by noon, what is the big deal?

    • kfleming55
      Feb. 10, 2009

      what is the big deal about morning BS of about 150-160?

      I was told to keep titrating my Lantus until my BS came down...it actually went up along with my weight which is a cyclical problem. I used to walk intensly on the treadmil for 5-6 mins prior to bed and was fine in the morning but my Register, EDucator wasn't impressed. They wanted to keep increasing lantus...

      RHMLucky777

      Read More

      what is the big deal about morning BS of about 150-160?

      I was told to keep titrating my Lantus until my BS came down...it actually went up along with my weight which is a cyclical problem. I used to walk intensly on the treadmil for 5-6 mins prior to bed and was fine in the morning but my Register, EDucator wasn't impressed. They wanted to keep increasing lantus and maybe start some other injection.

      If this is a normal body effect to rising for the day, and eating and taking insulin at breakfast yields a fine 

      BS by noon, what is the big deal?

    • David Mendosa
      Health Guide
      Feb. 10, 2009

      Unfortunately, it IS a big deal. Any blood glucose levels above the normal range -- that is above 90 mg/dl or so -- are a step toward later complications. That's why those of us who have had diabetes for a long time do our best to control our blood glucose levels.

       

      David

    • Anonymous
      Anonymous
      Jul. 25, 2009

      David, just found this site.  My husband had been "pre-diabetic" for a long time..now he is waking up with blood sugar at 240 for several days. He has a doctor's appt. on Tuesday, but I am terribly worried.  I read about the dawn phenomenon, but noone's blood sugar seems to be as high as his. He seems afraid to eat anything..should he try snacking...

      RHMLucky777

      Read More

      David, just found this site.  My husband had been "pre-diabetic" for a long time..now he is waking up with blood sugar at 240 for several days. He has a doctor's appt. on Tuesday, but I am terribly worried.  I read about the dawn phenomenon, but noone's blood sugar seems to be as high as his. He seems afraid to eat anything..should he try snacking before bed?

    • David Mendosa
      Health Guide
      Jul. 25, 2009

      I don't think that a snack before bed will help your husband much. In fact, he needs to eat less, not more. Specifically, he needs to cut WAY BACK on his carbohydrates, particularly starchy carbs (grains, including of course bread, rice, potatoes) and sugar/high fructose corn syrup (particulary soft drinks). It is only the carbs (not fats or protein) that drive...

      RHMLucky777

      Read More

      I don't think that a snack before bed will help your husband much. In fact, he needs to eat less, not more. Specifically, he needs to cut WAY BACK on his carbohydrates, particularly starchy carbs (grains, including of course bread, rice, potatoes) and sugar/high fructose corn syrup (particulary soft drinks). It is only the carbs (not fats or protein) that drive us to diabetes. I hope that he can get his diet on track before he joins us.

       

      Best regards,

       

      David

  • Anonymous
    David C. Murray
    Jul. 29, 2007

    As I said in Comment #23, has been the persistent dawn phenomenon. Lately, I've begun eating about one ounce of very dark chocolate which I've read has some antioxidants that are good for cardiac health and, at the same time, I've begun snacking after dinner on about three tablespoons of peanut butter.

     

    What a difference! My morning blood...

    RHMLucky777

    Read More

    As I said in Comment #23, has been the persistent dawn phenomenon. Lately, I've begun eating about one ounce of very dark chocolate which I've read has some antioxidants that are good for cardiac health and, at the same time, I've begun snacking after dinner on about three tablespoons of peanut butter.

     

    What a difference! My morning blood glucose numbers are down a consistent 20 points, and in three weeks I've had no reading higher than 111! For me, this is great news. I don't know if my success derives from the chocolate, the peanut butter or the combination and for now I'm loathe to experiment by cutting out either one. Maybe I'll get brave later and let you know.

    • Anonymous
      JANOVAK1763
      Nov. 16, 2009

      i DO NOT UNDERSTAND? if YOU EAT CHOCOLATE DOES IS NOT HAVE SUGAR AND CARBS???

    • Anonymous
      Paul
      Jun. 16, 2010

      Dark chocolate doesn't have nearly as much sugar, and is high in protein. It actually makes sense.

  • Anonymous
    ASHA KHANNA
    Jul. 05, 2007
    Iam experiencing dawn phenomena. At 4am my blood sugar starts rising from whatever number it is and continues to rise beyond 9am, but going on becomes very difficult as I get severe headache with quivering in my lips and if I get up and do not eat anything I feel like vomitting. If I eat something and then take medicine, then the BS starts reducing. My problem...
    RHMLucky777
    Read More
    Iam experiencing dawn phenomena. At 4am my blood sugar starts rising from whatever number it is and continues to rise beyond 9am, but going on becomes very difficult as I get severe headache with quivering in my lips and if I get up and do not eat anything I feel like vomitting. If I eat something and then take medicine, then the BS starts reducing. My problem is how to get fasting BS and fasting cholesterol at 8am. Please advise.
    • David Mendosa
      Health Guide
      Jul. 05, 2007
      Dear Asha,

      My first suggestion would be for you to eat a small, low-carb dinner early in the evening and then not to snack afterwards. That should help you control the dawn phenomenon somewhat better, since your dinner has a direct influence on how high your level goes in the morning.
  • Anonymous
    David C. Murray
    Jun. 08, 2007

    I've been trying things that have worked for others -- sour apples, protein snacks, vinegar tablets, all at night. So far, I've not had any noticeable success in reducing my dawn phenomenon glucose levels.


    What has corrected the problem, once it is discovered, however, is the vigorous exercise David recommended to me in a private e-mail. Ten (or even...

    RHMLucky777

    Read More

    I've been trying things that have worked for others -- sour apples, protein snacks, vinegar tablets, all at night. So far, I've not had any noticeable success in reducing my dawn phenomenon glucose levels.


    What has corrected the problem, once it is discovered, however, is the vigorous exercise David recommended to me in a private e-mail. Ten (or even five) minutes of vigorous pedaling on my dual-action (Schwinn Airdyne) exercycle does the trick every time. This morning's 139 turned into 112 after just ten minutes on the exercycle. David suggested that the exercise needn't be for too long, but it must be vigorous. Walking for forty minutes in the morning does reduce my levels but not like five or ten minutes on the bike.

  • Anonymous
    Ken
    May. 23, 2007
    Just having a very light meal at night time puts my bedtime sugar between 110-120 (sometimes, even lower). But my morning level goes up to 130-140 in this case. If I have a decent (not too heavy but sufficient) meal at night time and then go for a 30 minute walk, my bedtime is between 140-150 (acceptable, I guess) but my morning sugar comes down to between...
    RHMLucky777
    Read More
    Just having a very light meal at night time puts my bedtime sugar between 110-120 (sometimes, even lower). But my morning level goes up to 130-140 in this case. If I have a decent (not too heavy but sufficient) meal at night time and then go for a 30 minute walk, my bedtime is between 140-150 (acceptable, I guess) but my morning sugar comes down to between 110 and 120.
  • wildflr8
    Mar. 11, 2007
    I discovered that I was experiencing the Dawn Syndrome when I was awoke with extreme all over body  sweating, shaking, tremors and confusion.  Checking my blood sugar revealed a level of 60.
    Within 1 hour, my levels had risen to 130.  Metaformin 1000mg at bedtime was creating this problem.  I don't consider it dramatic, my levels remain...
    RHMLucky777
    Read More
    I discovered that I was experiencing the Dawn Syndrome when I was awoke with extreme all over body  sweating, shaking, tremors and confusion.  Checking my blood sugar revealed a level of 60.
    Within 1 hour, my levels had risen to 130.  Metaformin 1000mg at bedtime was creating this problem.  I don't consider it dramatic, my levels remain within norms all day.  I've cut back on the Metaformin, eating something slow burning, the level remains at 130, no matter what I do.  I'm not going to worry about it. 

  • Anonymous
    Anonymous
    Mar. 05, 2007
    I find that if I don't eat anything after 9 p.m., i will have low blood sugar readings in the morning, but if I eat after 9 p.m, they will be in the 130-150 range.  Any thoughts on why that would be?

    Thanks,
    Mark
  • Anonymous
    Aundrea
    Dec. 19, 2006
    Hello! And I want to thank you for having answers that have dumbfounded me for several weeks now. I am currently 23 weeks pregnant with my 2nd child. I have had a total of 3 3° glucose tolerance tests with both of my pregnancies and with each test my original fasting level was, what they consider, too high. Each level was still within very normal boundaries...
    RHMLucky777
    Read More
    Hello! And I want to thank you for having answers that have dumbfounded me for several weeks now. I am currently 23 weeks pregnant with my 2nd child. I have had a total of 3 3° glucose tolerance tests with both of my pregnancies and with each test my original fasting level was, what they consider, too high. Each level was still within very normal boundaries under 110, but they wanted it under 94! I am not diabetic nor do I have gestational diabetes, however my Perinatologist wants my fasting level lowered. They have me on a low carb diet and I have been monitoring my levels which seem to be working. Thank you for giving a name to what I have been working with AND for giving me insight on how to lower it!
    • jeanne
      Apr. 29, 2010

      I'm 7.25 month pregnant w/my second and have gestational diabetes (GD) and can not get my blood sugar down in the morning down. Dr wants it between 60-90 and some mornings it's in the 90s or max 110.

       

      I didn't have the problem at all w/the first.

       

      I'm now on 3 metformins at night and can do a max of 4 then I have to inject.

       

      I've seen that...

      RHMLucky777

      Read More

      I'm 7.25 month pregnant w/my second and have gestational diabetes (GD) and can not get my blood sugar down in the morning down. Dr wants it between 60-90 and some mornings it's in the 90s or max 110.

       

      I didn't have the problem at all w/the first.

       

      I'm now on 3 metformins at night and can do a max of 4 then I have to inject.

       

      I've seen that if I dont have a snack after dinner my numbers are good.

       

      I've also noticed that if my husband snores and wakes me continusouly throughout the night my numbers are high but my high diabetic dr says he doesnt believe that thought.

       

      I have about 2 months to go.

       

      I'm just venting my frustration. Hoping there is another GD person w/thoughts or someone w/knowledge.

       

      Very sensitive to carbs and fruit (GD people are more sensitive to these)

       

      Thanks

      Jeanne

      ps, numbers are perfect during the day (110-120 - 1.5 hrs after meals)

  • Anonymous
    Karen Gonski
    Nov. 30, 2006
    Between Somogyi,the Dawn effect or my blood pressure meds I don't know what I have. I do know Other than small bowl of cherrios in a.m. salad no protein gives me a reading of 85 when I come home from work (before dinner) mornings I awake to 120-135. I had to stop one BP med sugar was getting higher but never over 180 not fasting. Can't seem to get...
    RHMLucky777
    Read More
    Between Somogyi,the Dawn effect or my blood pressure meds I don't know what I have. I do know Other than small bowl of cherrios in a.m. salad no protein gives me a reading of 85 when I come home from work (before dinner) mornings I awake to 120-135. I had to stop one BP med sugar was getting higher but never over 180 not fasting. Can't seem to get straight answers fromPrimary, or Dietician or Diabetes Assn. David's Response: It is hard to figure out what causes high morning numbers. Here is what I wrote in the book The New Glucose Revolution: What Makes My Blood Glucose Go Up...And Down? (New York: Marlowe & Co., July 2006, and other publishers in the U.K., Australia, Taiwan, Vietnam, and Italy): 60. Can you tell me why my morning blood glucose reading is often higher than it was when I went to bed? If you take insulin injections, it could be that the effect of insulin you took is waning. Your blood glucose will rise if you didn’t take enough to keep your insulin level up through the night. Otherwise it is probably the “dawn phenomenon.” The dawn phenomenon is a normal physiological process whereby certain hormones in your body work to raise blood glucose levels before you wake up. These so-called counter regulatory hormones, including glucagon, epinephrine, growth hormone, and cortisol, work against the action of insulin. They stimulate glucose release from the liver and inhibit glucose utilization throughout the body. The result is an increase in blood glucose levels, ensuring a supply of fuel in anticipation of the wakening body’s needs. It’s not true that only people with type 1 diabetes experience the dawn phenomenon. People with type 2 diabetes, can also experience it. Their livers continue to make new glucose even when it’s not needed. In fact, even people who do not have diabetes can experience it, but for them increased insulin secretion by the pancreas keeps blood glucose levels relatively stable. The dawn phenomenon varies from person to person and can even vary from time to time in each of us. A third—much less likely—possibility is called the Somogyi effect or Somogyi’s phenomenon, named for an Austrian-American biochemist who first described the effect in 1938. The Somogyi effect can follow untreated high blood glucose in the middle of the night by going too low as a sort of rebound. You can check if this is happening by measuring if your blood glucose is high at 2 or 3 a.m. But the Somogyi effect is actually much less common that we previously thought.
  • Anonymous
    Rick C.
    Nov. 22, 2006
    I have a question about the sentence in the 3rd paragraph: "It is a rebound from a high blood glucose level in the middle of the night." Do you mean "low" blood glucose level??? Thanks
  • Anonymous
    Greg
    Nov. 04, 2006
    I'd had a hard time getting my infusion pump's dawn basal set correctly to counter my dawn phenomenon, but adding in a CGMS about 3 weeks ago has allowed me to titrate it up from 1.4 U/hr to the 4.2 U/hr that keeps me at 100 mg/dL through the night. I was suprised to see that it too 300% more insulin than I used to require (just turned 40 yr old, type...
    RHMLucky777
    Read More
    I'd had a hard time getting my infusion pump's dawn basal set correctly to counter my dawn phenomenon, but adding in a CGMS about 3 weeks ago has allowed me to titrate it up from 1.4 U/hr to the 4.2 U/hr that keeps me at 100 mg/dL through the night. I was suprised to see that it too 300% more insulin than I used to require (just turned 40 yr old, type 1 for 34 yrs, A1c 5.8%). Now the only problem is that if the dawn phenomenon doesn't kick in with its usual visciousness, I have a severe hypoglycemic episode in the morning. Fun fun fun. At least the pump now has a hypo alarm on it if I have the CGMS sensor in. Will be hitting up friends and family for CGMS gift cards for Christmas.
  • Anonymous
    Josephine
    Oct. 19, 2006
    I am finding the dawn phenomenon a bit challenging in my case. I take Byetta twice a day along with 8mg Avandia, and 30 units of Levemir at bedtime. I go to bed with blood sugars at 115 and wake up at 150. What other insulins do people take to help their morning sugars. David's Response: The dawn phenomenon is a difficult problem for most of those of us...
    RHMLucky777
    Read More
    I am finding the dawn phenomenon a bit challenging in my case. I take Byetta twice a day along with 8mg Avandia, and 30 units of Levemir at bedtime. I go to bed with blood sugars at 115 and wake up at 150. What other insulins do people take to help their morning sugars. David's Response: The dawn phenomenon is a difficult problem for most of those of us with diabetes, and it seems to respond to different strategies at different times among different people. One thing that you might try is to avoid carbs in the evening -- or at least avoid high glycemic carbs. That's because the dawn phenomenon does seem to have a correlation with what you have to eat the evening before. As to your insulin question in relation to the dawn phenomenon, I have never heard that different insulins will make much if any difference in morning fasting levels.
  • Anonymous
    Jessica M.
    Oct. 07, 2006
    Jessica M. I'm sorry for little off-topic, but I want to ask you about design of this site. Did you make this template yourself or got from any templates website? Looks pretty cool for me :) Hi Jessica: Thank you for your feedback on this site. The site was created by a professional web designer and it is updated by a content management system. Please continue...
    RHMLucky777
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    Jessica M. I'm sorry for little off-topic, but I want to ask you about design of this site. Did you make this template yourself or got from any templates website? Looks pretty cool for me :) Hi Jessica: Thank you for your feedback on this site. The site was created by a professional web designer and it is updated by a content management system. Please continue to give us your feedback on the site. Your comments are very valuable to us. Michele Site Producer
  • Anonymous
    Anne
    Sep. 01, 2006
    Hi, I am a borderline diabetic in my fifties. At this time I do not take any medication. However my A1C was 6.1 and my endocrinologist says I must get it below 5.7 soon or else I should begin taking Byetta and Metformin. So I am striving very hard to bring it down. My father was a diabetic and died from diabetes. At this point in time, I have been diagnosed...
    RHMLucky777
    Read More
    Hi, I am a borderline diabetic in my fifties. At this time I do not take any medication. However my A1C was 6.1 and my endocrinologist says I must get it below 5.7 soon or else I should begin taking Byetta and Metformin. So I am striving very hard to bring it down. My father was a diabetic and died from diabetes. At this point in time, I have been diagnosed with "metabolic disorder." I am in the process of assembling my health care team. My internist has helped me bring down my cholesterol readings to the excellent range. I am exercising an hour almost every day and my daytime BG readings are completely normal EXCEPT for the early morning one. My endocrinologist told me about the Dawn Phenomenon and suggested that I eat a snack before bedtime. Both my In & Endo docs suggested a little protein and low fat cheese. I am experimenting with different foods and am having great success. Prior to including a nitime snack in my schedule my early morning BG would be somewhere between 115 and 130. Now they are under 110, sometimes even in the 90s. I usually have half a can of Glucerna (for Weight Loss) and a tablespoon of peanut butter. I highly suggest anyone who has this condition to eat something before bedtime and wake up around 5am and take your BG. Even when my fasting BG is normal I will still drink a small glass of milk at this time and when I take my BG at 7am it has fallen to a completely normal range. So eat before bedtime and get up early to see what your BG is and then get another small snack and return to bed and hopefully by breakfast your BG will have fallen. Sorry to be so wordy, this is my first time here...and I must compliment David on all his hard work in providing such vaulable information at one website. David's Response: You are doing great to prevent your pre-diabetes to develop into diabetes, Anne. Keep it up and you won't have the chance of complications that all of us with diabetes have to face.
  • Anonymous
    Nancy Meister
    Jul. 08, 2006
    Please help!!! I have been on Byetta 3 months and I still am having 200 and above morning readings. If I continue this in 3 more months, I have to go on Lantus. Can you take Lantus and Byetta together? I really like the byetta and it does the job, except for the dawn phenomema. Anyone have a suggestion? David's Response: If your doctor chooses (and many...
    RHMLucky777
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    Please help!!! I have been on Byetta 3 months and I still am having 200 and above morning readings. If I continue this in 3 more months, I have to go on Lantus. Can you take Lantus and Byetta together? I really like the byetta and it does the job, except for the dawn phenomema. Anyone have a suggestion? David's Response: If your doctor chooses (and many do), yes, you can use Byetta together with Lantus. Byetta doesn't do much to counteract the dawn phenomena, because it works for only 2 to 4 hours after a shot.
  • Anonymous
    Alice
    Jun. 05, 2006
    Has any testing been done on'the dawn phenomenon' on people who prefer evening hours? My 'internal clock runs 1030 to 4AM, when given the option; and my husbands runs noon to 5AM. (Lucky for him, his job gives him that freedom) I'd love to know if it IS dawn or if it's 'wake up time'. This affects my fasting BG at the Dr, because...
    RHMLucky777
    Read More
    Has any testing been done on'the dawn phenomenon' on people who prefer evening hours? My 'internal clock runs 1030 to 4AM, when given the option; and my husbands runs noon to 5AM. (Lucky for him, his job gives him that freedom) I'd love to know if it IS dawn or if it's 'wake up time'. This affects my fasting BG at the Dr, because the lab opens at 830, so I sleep in. Before finding your blog, I never knew that this was the worst time to get it done. How many people have been misdiagnosed with 'pending T2 because of this? My Dr diagnoses pending T2 at >120 two years running. Now that I'm testing, I find that 130 is normal for first thing in the morning, but it's 90-110 right before lunch. If they'd told me, I would not have slept in, and would have come in a little later for the test. David's Response: You're right, Alice, that it is really wake up time, not the dawn of the day that governs the dawn phenomenon. It is the body's getting ready for the work of the day, pumping more glucose into your system, that is what's happening.
  • Anonymous
    JJ Jones
    May. 17, 2006
    I agree with Peter. I've found that my FBG goes up when I eat a big meal before bed, and particularly with a lot of protein.
  • Anonymous
    Sam
    May. 03, 2006
    1.In addition to the ordinary diatary selection, try making main meal at lunch when you will be active later.2.Try lowering caloric and carb intake at evening meal. I've found that a light meal of veggies and a small portion of protein and fruit at night consistently gives me lower a.m. readings. David's Response: Eating the biggest meal of the day...
    RHMLucky777
    Read More
    1.In addition to the ordinary diatary selection, try making main meal at lunch when you will be active later.2.Try lowering caloric and carb intake at evening meal. I've found that a light meal of veggies and a small portion of protein and fruit at night consistently gives me lower a.m. readings. David's Response: Eating the biggest meal of the day at lunch time makes a whole lot of sense, Sam. Not just to help control the dawn phenomenon but more generally to give your body more time to digest the meal before you go to bed.
  • Anonymous
    Richard Petersen
    Mar. 28, 2006
    After reading about the dawn phenomenon I tried an experiment last night. I ate some dry-roasted unsalted peanuts right before bed. My reading before doing this was always 125-135. This morning it was 110! I'm going to talk to my doctor but if this is all that I need to do to fix this DP, wah-hoo!! David's Response Let us know, Richard, if the peanuts...
    RHMLucky777
    Read More
    After reading about the dawn phenomenon I tried an experiment last night. I ate some dry-roasted unsalted peanuts right before bed. My reading before doing this was always 125-135. This morning it was 110! I'm going to talk to my doctor but if this is all that I need to do to fix this DP, wah-hoo!! David's Response Let us know, Richard, if the peanuts at bedtime continue to work for you. Different approaches seem to work better for some people and at different times. Personally, I have recently tamed the dawn phenomenon consistently. When I went on Byetta, as I wrote at http://blogs.healthcentral.com/diabetes/david-mendosa/going-to-byetta-2006-02-17, I found among its many benefits that it also brings down my morning fasting levels to normal.
    • Anonymous
      Anonymous
      Feb. 25, 2009

      I curious as to exactly what you and others refer to as your morning blood sugar reading. When I first get out of bed and test mine it's not usually too bad  (130"s).  After being up for an hour (still fasting) my blood sugar has gone up to 170 -  180.  Doesn't seem to matter what I eat the night before, it still goes up after being up for...

      RHMLucky777

      Read More

      I curious as to exactly what you and others refer to as your morning blood sugar reading. When I first get out of bed and test mine it's not usually too bad  (130"s).  After being up for an hour (still fasting) my blood sugar has gone up to 170 -  180.  Doesn't seem to matter what I eat the night before, it still goes up after being up for an hour.  Very frustrating and doesn't give me a lot of incentive to stop the junk food at night.

      jmk

    • Anonymous
      Writer2B
      Jun. 12, 2009

      It was explained to me that your liver can dump sugar into your system any time you are up, active, and haven't eaten recently. So your BS rising is probably because you need to eat something soon after you get up. Even if you are no ready for a full breakfast, eat a piece of whole wheat toast, fruit, or yogurt. That way your body knows you are handling your...

      RHMLucky777

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      It was explained to me that your liver can dump sugar into your system any time you are up, active, and haven't eaten recently. So your BS rising is probably because you need to eat something soon after you get up. Even if you are no ready for a full breakfast, eat a piece of whole wheat toast, fruit, or yogurt. That way your body knows you are handling your body's fuel needs and the liver doesn't have to do it. Then you can finish your breakfast at your normal time.

    • David Mendosa
      Health Guide
      Jun. 12, 2009

      That makes sense and is a good strategy. In fact, I have been doing that lately and am doing that right now as I write you at 6:21 am. I'm drinking GreensFirst with sparkling mineral water. I wrote about GreensFirst at http://www.healthcentral.com/diabetes/c/17/67280/drink-veggies

       

      Best regards,

       

      David

  • Anonymous
    Gail
    Feb. 23, 2006
    How much milk thistle? David's Response The standard dosage of milk thistle is 200 mg two to three times a day of an extract standardized containing 70 percent silymarin. There is some evidence that silymarin bound to phosphatidylcholine may be better absorbed. Consequently, this form should be taken at a dosage of 100 to 200 mg twice a day.
  • Anonymous
    Allen
    Feb. 01, 2006
    A better way to do keep your morning sugar down without using alcohol is by using milk thistle before bed. It works directly on the liver in a healthy way and prevents the glucagon output that raises blood sugars. Works great. Allen David's Response David's reply: I am so glad to hear from you, Allen, that milk thistle helps keep down blood glucose!...
    RHMLucky777
    Read More
    A better way to do keep your morning sugar down without using alcohol is by using milk thistle before bed. It works directly on the liver in a healthy way and prevents the glucagon output that raises blood sugars. Works great. Allen David's Response David's reply: I am so glad to hear from you, Allen, that milk thistle helps keep down blood glucose! I am taking it for fatty liver, as I wrote at "Fatty Liver" at http://blogs.healthcentral.com/diabetes/david-mendosa/fatty-liver-2005-11-09. Someone else wrote me a comment to the same effect earlier and now I am a believer -- particularly after I got my most recent A1C result yesterday -- 6.1.
    • Anonymous
      Anonymous
      Jul. 05, 2009

      my blood sugars can be 105 at night but in the morning it is 135.  I do not snack at night after supper.  I am trying to get this down.  What is milk thistle?  My last A1C was 5.3 so that isn't the problem.

    • David Mendosa
      Health Guide
      Jul. 05, 2009

      The active ingredient in milk thistle is silymarin. The best guide this milk thistle -- and all other herbs -- is The Natural Pharmacist. You can find it online at http://www.memorialhospitaljax.com/healthcontent.asp?page=/choice/demonstration/TheNaturalPharmacist-Consumer

       

      Best regards,

       

      David

    • Anonymous
      Anonymous
      Feb. 03, 2010

      Hi there,

      thanks for posting about the milk thistle I am so pleased to say it really seems to be working I have gotten 20 point decrease! YAY! I use the Natures Way brand I am on the east coast and got it from Whole Foods Market this brand was a reccomended brand that I used a few years back for highly elevated liver enzymes. Thanks again.

      Susan M

  • Anonymous
    Joe
    Jan. 19, 2006
    I have found that having a glucerna drink at night before bed does the trick.
  • Anonymous
    lisa Johnston
    Jan. 03, 2006
    I have started to drink 4 oz of wine every night with a small snack an I've notice a drop in my before breakfast Bs by 15 points....
  • Anonymous
    Mary
    Jan. 01, 2006
    i'm type 2 and had the dawn phenom. a guy on a diabetes board said to try eating something before i went to bed. i did and it has totally gone away...doesn't matter what i eat either. sometimes i have a small piece of candy, or fruit or even toast. i never wake up high when i have a snack before bed. i often use that snack for some little treat i normally...
    RHMLucky777
    Read More
    i'm type 2 and had the dawn phenom. a guy on a diabetes board said to try eating something before i went to bed. i did and it has totally gone away...doesn't matter what i eat either. sometimes i have a small piece of candy, or fruit or even toast. i never wake up high when i have a snack before bed. i often use that snack for some little treat i normally wouldn't have during the day.
    • Anonymous
      Anonymous
      Jun. 20, 2009

      tell me what did you eat during the day and what time did you stopp eating a regular meal. I am struggling with trying to get my fsting blood sugar below 100.  I have attempted to watch what i eat and how much i eat but my fasting blood sugar level have been between 115 and 120 almost consistently in the am. o

    • Anonymous
      Anonymous
      Jul. 30, 2009

      Gosh,  this is me all over again.  No matter what I do, I have 110-120 in the morning even when every night it is under 100 when I go to bed.  I have not been eating after six but help from contributers on another site have suggested either a teaspoon of peanut butter first thing in the am and/or a lite snack before bed.  I have felt deprived...

      RHMLucky777

      Read More

      Gosh,  this is me all over again.  No matter what I do, I have 110-120 in the morning even when every night it is under 100 when I go to bed.  I have not been eating after six but help from contributers on another site have suggested either a teaspoon of peanut butter first thing in the am and/or a lite snack before bed.  I have felt deprived at night so  I may try the snack.  The idea of an apple does not really work for me as fruit shoots me way up.

    • M in Texas
      Apr. 21, 2011

      I have the dawn phenomena. When on insulin it consistentlly ran 200. After your suggestions and on glipizide it is about 157.  I have tried wine and nuts, vinegar and cheese, and milk thistle.  The only milk thistle I could find was 1000 mlg. yOU SUGGESTED 100 to 200.  The best reading I GOT  was 141 the first time I tried 2T vinegar and...

      RHMLucky777

      Read More

      I have the dawn phenomena. When on insulin it consistentlly ran 200. After your suggestions and on glipizide it is about 157.  I have tried wine and nuts, vinegar and cheese, and milk thistle.  The only milk thistle I could find was 1000 mlg. yOU SUGGESTED 100 to 200.  The best reading I GOT  was 141 the first time I tried 2T vinegar and cheese. I have a wound vac on my foot with an open sore.  Since i HAVE improved should I keep trying the above or do yooou have other thoughts.  My doctor wants my fasting to be under 100(but offered no suggestions)-- and before meals less than 140.  I have no trouble with the less than 140 and get really good readings before lunch and supper-- before bed it is not as good but less than 140.  Need Help in Texas

    • David Mendosa
      Health Guide
      Apr. 21, 2011

      My best suggestion it to avoid all starches from grains and potatoes as well as all table sugar and high-fructose corn syrup. Your blood glucose readings and your lipid levels will improve almost immediately.

    • M in Texas
      Apr. 24, 2011

      Thank you for answering me.  I had picked up from another comment about cutting out starch at dinner.  I have cut it out at lunch and dinner, but did have beans.  Fasting reading last two days with wine and peanut butter at bedtime is 125, and 122 considerably better for me. What could I eat for breakfast with no starch; right now toast, 1 percent...

      RHMLucky777

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      Thank you for answering me.  I had picked up from another comment about cutting out starch at dinner.  I have cut it out at lunch and dinner, but did have beans.  Fasting reading last two days with wine and peanut butter at bedtime is 125, and 122 considerably better for me. What could I eat for breakfast with no starch; right now toast, 1 percent milk an 8 oz glass and fruit is recommended? Thanks M in Texas.  Love your site.

    • David Mendosa
      Health Guide
      Apr. 24, 2011

      Dear M,

       

      The best thing for breakfast is what I (as well as Gary Taubes) have every day: eggs. Sometimes with bacon, sausages, or bacon.

       

      David

    • David Mendosa
      Health Guide
      Apr. 24, 2011

      Dear M,

       

      I should have also mentioned Greens First. I wrote about it at http://www.healthcentral.com/diabetes/c/17/67280/drink-veggies

       

      David

    • Deeny
      Jul. 05, 2011

      OMG, whoever is giving you advice about that breakfast is someone you should never listen to again, they have no clue to help you.  Listen to David, eliminate all grains, starch, and sugar, permanently.  HTH

    • Anonymous
      Heartslord
      Oct. 04, 2011

      This reminds me to mention that for diabetic ulcers/wounds there is a Chinese medicinal herbal formula called Xanthium Relieve Surface made by Health Concerns and available on the web. (I have no financial interest in this company).

       

      I've used it over many years for patients with the ulcers as well as for wounds from persistent osteomyelitis. Take as...

      RHMLucky777

      Read More

      This reminds me to mention that for diabetic ulcers/wounds there is a Chinese medicinal herbal formula called Xanthium Relieve Surface made by Health Concerns and available on the web. (I have no financial interest in this company).

       

      I've used it over many years for patients with the ulcers as well as for wounds from persistent osteomyelitis. Take as directed.

       

      Tom Chi L.Ac. Dr. Acupunture

  • Anonymous
    Peter Polk
    Jan. 01, 2006
    I have a real problem with the "dawn" phenomena. Some mornings my sugar is 170 or 180 even after taking my pills. If I eat a small protein snack at bedtime, it seems to help get my am sugar into the 120 range.
  • Anonymous
    Nicky
    Dec. 21, 2005
    A glass of wine and a handful of nuts at bedtime work for me. I think the theory is that the wine keeps the liver busy, so not doing a dump; and the slow-digesting nuts provide a few carbs when the liver checks to see if it needs to put glucose out as part of the dawn phenomenon.
    • Anonymous
      Rosemary
      Nov. 09, 2007

      Hi

            I have the Dawn Effect very high bood level in the am only I'm not a wine person what would you recommend

            What kind of wine? Many thanks

    • David Mendosa
      Health Guide
      Nov. 09, 2007

      Dear Rosemary,

       

      I have written quite a bit about the dawn phenomenon, including some promising-sounding suggestions. But I tried them all and the only thing that worked for me was reducing my weight to a normal level. 

    • Anonymous
      montanamuse
      Sep. 26, 2009

      I usually have a snack in the evening, nuts or something low carb. ButI have about a 6 - 8 oz glass of skim milk just before bed. And if I wake up in the middle of the night, usually around 2:30 or 3 to use the bathroom, I will have a drink or two of milk then as well, not more than an ounce or two at most. I have been able to keep my morning numbers around...

      RHMLucky777

      Read More

      I usually have a snack in the evening, nuts or something low carb. ButI have about a 6 - 8 oz glass of skim milk just before bed. And if I wake up in the middle of the night, usually around 2:30 or 3 to use the bathroom, I will have a drink or two of milk then as well, not more than an ounce or two at most. I have been able to keep my morning numbers around 104-110 since starting this. Before that, and when I am unable to do that, they are usually around 150.

    • Anonymous
      Anonymous
      Apr. 22, 2009

      Hi Rosemary

      How about trying Apple Cider Vinegar or just ginger tea?  If the former, I would suggest using a straw as the vinegar can weaken or erode tooth enamel.  One lady tried ginger tea and found that it worked for her.  Beware of commercial apple cider pills as these have been found to be faked or worse mouldy.

      Cjuan

    • Anonymous
      Susan Taylor
      May. 13, 2009

      What I don't understand is this: a lot of people's advice falls in the circle of "eat less, eat lighter" while a whole other group is loosely suggesting "eat a snack late, eat slow burning food at n ight to fool the liver" - aren't these two camps really contradictory? Which one is correct?

       

      Signed,

       

      Dawn Phenomer

    • David Mendosa
      Health Guide
      May. 13, 2009

      Dear Susan,

       

      You are so right! They are indeed in conflict. But since some things work for some people and other things for others, I don't have a general answer. You need to try first what you think will work for you.

       

      Best regards,

       

      David

    • Anonymous
      Susan T
      May. 13, 2009

      Thank you!

       

      I've admired your work greatly for many years.

       

      Your reply here makes a lot of sense.

       

      My biggest problem these days is finding a doctor that will let me do things my way, e.g. refuse flu shots, refuse cholesterol pills, but work with me on exercise, nutrition, and Metformin when I need to go back on it. I know, I know.

       

      ...
      RHMLucky777
      Read More

      Thank you!

       

      I've admired your work greatly for many years.

       

      Your reply here makes a lot of sense.

       

      My biggest problem these days is finding a doctor that will let me do things my way, e.g. refuse flu shots, refuse cholesterol pills, but work with me on exercise, nutrition, and Metformin when I need to go back on it. I know, I know.

       

      I also recently figured out (for me) that in short term my weight lifting makes my blood sugar go up. But I'll keep it as part of my overall plan.