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What Causes Sudden Increase In Blood Sugar Levels In The Evenings?
Hi. Recently in past week my blood sugar rises in evening even eating hardly any carbs and just seems to rise through the night and waking with blood sugar at 200 when normally in 120 s. What could be wrong. Thanks for any insight into this. Very scary and frustrating YYYY@YYYY
Mon, 18 Aug 2014
Hello,
Welcome to HCM
I understand your concerns.There are two things in diabetes you need to take care of.The DAWN phenomenon and the SOMOGYI effect.Both will cause high blood sugar levels, especially in the morning before breakfast, in people who have diabetes.
You need to differentiate between these 2 entities.
To sort out whether an early morning high blood sugar level is caused by the dawn phenomenon or Somogyi effect, check blood sugar levels at bedtime, around 2 a.m. to 3 a.m., and at your normal wake-up time for several nights. A continuous glucose monitor could also be used throughout the night.
If the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect.
If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.
Accordingly you need to adjust your dosage of insulin.
Hope you are happy with the answer.
Thank you
Welcome to HCM
I understand your concerns.There are two things in diabetes you need to take care of.The DAWN phenomenon and the SOMOGYI effect.Both will cause high blood sugar levels, especially in the morning before breakfast, in people who have diabetes.
You need to differentiate between these 2 entities.
To sort out whether an early morning high blood sugar level is caused by the dawn phenomenon or Somogyi effect, check blood sugar levels at bedtime, around 2 a.m. to 3 a.m., and at your normal wake-up time for several nights. A continuous glucose monitor could also be used throughout the night.
If the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect.
If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.
Accordingly you need to adjust your dosage of insulin.
Hope you are happy with the answer.
Thank you
I find this answer helpful
I would like to know the present regimen of treatment..?
if you are on a basal insulin in the night the effect of the insulin may not reach till next day evening.It is called dusk phenomenon
if you are on a basal insulin in the night the effect of the insulin may not reach till next day evening.It is called dusk phenomenon
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