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Friday, July, 04, 2008

Controlling the Dawn Phenomenon

by  David Mendosa
Sunday, December 09, 2007
David Mendosa
David Mendosa
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Medical journalist living with diabetes

After earning a B.A. with honors from the University of California,...

David Mendosa

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One of our most stubborn challenges is to control the dawn phenomenon. That's when our fasting blood glucose readings in the morning are higher than when we went to bed.

The dawn phenomenon is a normal physiological process where certain hormones in our body work to raise blood g...

  1. Untitled Comment
    Christopher Wheeler
    Monday, December 10, 2007 at 08:06 AM

    I might have to give this a try.

     

    I just read the full-text of the article. I find it interesting that all of their subjects were "well controlled" with A1c of 6.7 +/- 0.2. While that does meet the ADA criteria of well controlled, those of us who have read Dr. Bernstein know that isn't the case. I wonder what the results would be at higher and lower A1c? Or larger doses of vinegar? I know for myself the Dawn Phenomenon is a problem. 


    reply
    re: Untitled Comment
    David Mendosa
    Monday, December 10, 2007 at 10:58 AM

    Dear Christopher,

     

    I think that it is well worth trying. And you have some very good questions. I have another one -- I wonder if vinegar tablets, which are much more palatable -- would work just as well? I have asked Dr. Johnston about that and am anxiously awaiting her answer.

     

    David 


    reply
  2. Curing Dawn Phenomemon
    HeartDoc
    Tuesday, December 11, 2007 at 02:21 AM

    "One of our most stubborn challenges is to control the dawn phenomenon. That's when our fasting blood glucose readings in the morning are higher than when we went to bed. "

     

    This goes away for our type-2 diabetic cardiac patients when they start eating less, down to the optimal amount.


    reply
  3. bedtime snack
    Earlene
    Tuesday, December 11, 2007 at 12:46 PM

    Hello David,

     

    I have been eating one egg (cooked in the microwave for about one min at half power) with a very small ammount of olive oil on the cooked egg. This is partly for flavor and partly because I try to always try to balance saturated fats with good fats when I eat. Since I have been doing this my AM BGs have been 90 to 110 with one 85. My "feeling" is that a stuffed liver leads to high fasting blood glucose so I try to control the quantity I eat during the day then add the egg as a pacifier for my liver through the night. The fats moderate the digestion and the protein and single carb probably work the same as the cheese.  I am going to add a shot of vinigar to see what happens.

    I do exercise most days of the week including two weight/aerobic "senior" classes, two yoga classes, with my favorite elliptical machine to warm up and fill in between group exercise days.We only live a few blocks from our health club which is a great advantage.

    Four years ago, when diagnosed my morning BGs were all over 140. I am using Byetta.


    reply
    re: bedtime snack
    David Mendosa
    Tuesday, December 11, 2007 at 01:02 PM

    Dear Earlene,

     

    Thanks for writing. You are doing everything right!

     

    David 


    reply
  4. Chia seeds for dawn phenomenon
    Luv-my-chia
    Tuesday, December 11, 2007 at 03:14 PM

    I've been eating chia seeds for more than 2 months and no longer have any dawn phenomenon.

     

    Prior to that I was seeing fastings in the 130s-150s and post-exercise and PP spikes into the 170s-220s. Fastings are now in the 80-105 range and I no longer see any spikes above the 120s or occassional 130s, at any time of day. I eat them morning, noon and night for best effect.

     

    Due to problems with diabetes meds I'd reverted to diet only some months before discovering chia. With lots of struggles I was maintaining about the same levels as on the meds. Along with stabilizing BG, lowering BP and cholesterol, chia seeds have a bit of a supressing effect on appetite and cravings also making it easier to stick to the diet.  

     

    Medical studies have found no adverse reactions but lots of beneficial effects from eating chia seeds.

     

    More info on these seeds can be found via the links at www.arizonachia.com . I have no connection to them other than being a customer who found, after searching the net, that they have the best prices and some good info links.

     

     


    reply
  5. Vinegar Tabs
    Ingo
    Thursday, January 03, 2008 at 10:00 PM

    Hi David.

    You say you take 8 Vinegar Tabs at night.

    Don't they bother your stomach?


    reply

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