Diabetes & Chronic Issues Support Group

[thestrangequark]

The early morning highs might have a physiologic reason: around 3 am everyone has a low and then the liver starts to release the emergency stash of glucose so that we have enough energy for the morning. It's a mechanism that works in every mammal, wether healthy or diabetic. It's a natural failsafe against critical lows. The time it starts varies depending on when the suger in your blood is used up. So if you have a late evening snack, it can start later than the average 3 am.
So your high in the morning shows that your liver does its job properly =)

Also, there are 2 different types: in about 60% of all humans the cells take up glucose better in the morning. In about 40% they work better in the evening. I'm an evening type and frequently have highs until about 10 am, since the liver-released sugar stays in my blood so long, what with my cells still being in sleep-mode, so to speak. Perhaps you are an evening type, too?

Oh I know the dawn phenomenon (the name of what you're describing). Remember, I've been type 1 for 24 years and am studying to be a CDE . My dawn phenom is negligible, but I do get Feet to the Floor Syndrome. The primary factor is the Tresiba, but after yesterday I think I need to maybe slowly work up to a half and half split rather than just going for it; my BG was high most of the day, but it did keep things stable at night. I'm going to try a 10/2 split today. As for morning v evening, my resistance is highest in the morning, which I actually thought was more common. Maybe that's a type 1 v type 2 thing?

 

[rhubarbodendron]

no idea but it'd be interesting to research.

 

[thestrangequark]

I think I might be onto something with an upped dose and an uneven split. The past 24 hours have been pretty good (the best overnight/morning numbers I've had in awhile) with 9u Tresiba AM and 3u PM. Still want to get my averages down, though! My graphs is set at 65 for low and 180 for high:

 

[rhubarbodendron]

can't see the graph (my office's firewall blocks all pictures) but what you describe sounds quite promising =) I'll keep my thumbs pressed (we don't cross fingers over here) that it'll work in the long run, too.

 

[rhubarbodendron]

ah, now I can see it (am at home). This looks pretty good, indeed!

 

[thestrangequark]

Today is my best day yet! The 9/3 split seems to be doing the trick.

The bummer is that I am exhausted. I can't see how it could be diabetes related, but for the past month I have absolutely no energy. I wake up groggy and never stop being groggy. I'm sleeping 10-12 hours and still feel completely physically wiped and struggle to get out of bed. I don't feel depressed (I was a few weeks ago but that's better), it really seems purely physical. In December I was running 5k three days a week, now it's a fight to take my daily walk. My GP did a Mono/Glandualar Fever test, and it's not that, so they're running a "fatigue panel", and I'm still waiting on those results.

 

[Sibyl]

Not sure what your age is, but it could be hormonal. I know when I'm not getting what I need I feel exceptionally fatigued and sleep 10-12 hours a day and cannot wake up the rest of the day, even with caffeine.

I hope they find the root cause of this and are able to help you. {{{HUGS}}}

 

[thestrangequark]

Yeah, I'd considered hormones. I'm pretty sure the fatigue panel tests for the basics (thyroid, etc), and I'm seeing my CDE Friday and they'll do a comprehensive endocrine panel there, so hopefully one of those will reveal the cause. My GP also suggested Seasonal Affective Disorder, which...ugh...I mean, I understand it's a possibility but I'm crossing my fingers for anemia or some easy shit like that.

 

[rhubarbodendron]

Congrats on the new scheme working so well!
The fatigue might be a side effect of the permanently changing weather. I'm half a globe away and have the very same problem lately.
If it's a seasonal problem, try a daylight lamp. My sister frequently uses one and is very content with it. I have one, too, but mainly use it for needlework - it's like sunlight and perfect for darning socks and hemming fine handkerchiefs.

 

[thestrangequark]

My friend Sonia uses a sunlamp. The weird thing is that for most of my life I've been happier in autumn and winter, so this would be a change (if it is indeed the problem). Still waiting on the blood results.
In less happy news, I just got back from the ophthalmologist and for the first time I have signs of diabetic retinopathy. He said it was extremely minor, and may even get better on its own now that my A1C is so good. I don't even have to make an appointment earlier than my next annual. He also straight up congratulated me! He said that while most of his diabetic patients are type 2, he usually sees retinopathy within ten years of diagnosis. I'm almost at my 25th anniversary with type 1, so it's actually not too bad. Still a bit of a bummer. I know it's mostly out of my control, but I always felt a measure of pride for having no complications after so long.

 

[Sibyl]

Awww, and congrats!

I'm over 25 years with Type 2, now officially Type 1, and with horrible control over that entire time, I've been told I don't have any retinopathy yet. I'm finally trying to take better control over my diabetes and maybe I can stave retinopathy off. I hope so.

I hope your blood tests give a clue as to what's going on.

 

[T'Bonz]

Also have them check for fibromyalgia.

 

[thestrangequark]

Also have them check for fibromyalgia.

I think it's highly plausible that it could be what's wrong, but I don't think there is a test for it, right? Isn't it a diagnosis of exclusion?

 

[T'Bonz]

Yes and no. There are trigger points on your body. Trigger points = very tender areas. If 11 of the 18 are tender (the rheumatologist can tell), that points in the direction of a fibro diagnosis.

I had 17 of 18 tender. I wonder which one missed.

 

[thestrangequark]

Yes and no. There are trigger points on your body. Trigger points = very tender areas. If 11 of the 18 are tender (the rheumatologist can tell), that points in the direction of a fibro diagnosis.

I had 17 of 18 tender. I wonder which one missed.

Interesting. I mean, I have a lot of pain issues, but otoh, they all seem to stem pretty directly from injuries. Did you find that fibro came out of nowhere, or was it gradual? There was no gradual onset with this fatigue, it just seemed like I was exhausted all the time out of nowhere.

 

[rhubarbodendron]

I had 17 of 18 tender. I wonder which one missed.

That's so typical for you - you always strive to be perfect

 

[T'Bonz]

Not perfect. Complete. It's the OCD in me.

* *

Did you find that fibro came out of nowhere, or was it gradual? There was no gradual onset with this fatigue, it just seemed like I was exhausted all the time out of nowhere.

I had human parvovirus and it came as a direct result of that. :/

I have a cousin who also has it so there's a genetic component, methinks. Some who have it have depression too, and that's in my family, but if I have that, it's very, very mild, if at all.

 

[thestrangequark]

Looks like I'm still super low on vitamin B. I'm going to start getting injections next week, and I hope it helps. I'm so tired of being tired.

 

[rhubarbodendron]

I've heard that vit B injections cause an unpleasant burning sensation and sometimes skin irritations. I hope it'll be not too bad and you'll need only few injections.

 

[thestrangequark]

I've heard that vit B injections cause an unpleasant burning sensation and sometimes skin irritations. I hope it'll be not too bad and you'll need only few injections.

I've had them before, maybe five or six years ago when I was anemic. I take a minimum of five injections a day, it's no biggie.