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Re: New & Confused
Jan 4, 2007
This could be "dawn phenomenon" - although it is rarer in non-insulin-dependent diabetics, it comes from the liver producing glucose during sleep.

Typically, my sugar will go down about 1 hour to 2 hours after I get up, if I don't eat yet..... you might want to try that.

The fasting reading is probably the best one to use for your control, because you are seeing a reading which is not influenced by recent food.
If you know yourself to have "dawn phenomenon", then you can use a "fudge factor" to estimate your reading.

The "gold standard" on which you should base your overall control methodology is the Hemoglobin A1c test. You should strive to keep this certainly below 7, and likely below 6. A HbA1c of 7 is coincident with an average blood sugar of 156. Diabetics are said to have "good control" of the sugar levels if they remain below 7. Many of us are able through good diet control to have levels below 6 - my last A1c was 5.3 - I am insulin-dependent and if I eat correctly, it will remain low. I also have the advantage of testing my sugar 4x a day and using "coverage" insulin as appropriate to keep the sugar low.

You should get a HbA1c test every 3 months or so, and adjust your diet and exercise regimen accordingly..... it is very difficult to "chase" your blood sugar.

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