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From Louisville, Kentucky, USA:

I am nearly 70 and have been diagnosed as having Type 2 diabetes about 18 months ago. The pills I'm taking seem (Glucophage) to keep me "in control," since my Hemoglobin A1c values have been holding at 6.5-6.6. Occasionally, I am bothered by what I believe is referred to as "dawn phenomenon" when I wake up about 3 A.M. to 4 A.M. with a night sweat, at times very heavy, with sweating primarily on the upper torso and head. I speculate that my system must be demanding glucose (hypoglycemia?) and my liver is responding with a release of glycogen. The end result is that I have a fasting glucose value of 140 to 165 in the morning at say, 8:00 A.M. Have you any suggestions as to how this may be controlled? Would a small snack at bedtime be a step in the right direction?

I have no problem receiving comments from others experiencing a similar problem.


You haven't stated if you've checked your blood sugar at 3 A.M. when sweating!

If you have, and it's low, you've got to change something: talk to your doc about increasing your evening snack, or switching to more protein at bedtime (Carb wouldn't last long enough). Your diabetes pill (Glucophage/metformin) is unlikely to cause low sugars, but your doctor would have to help you decide what to try next.

If you have, and it's normal, the problem is not the diabetes.


Original posting 25 Aug 1998
Posted to Daily Care


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