Back to Ask the Diabetes Team Ask the Diabetes Team

From Sylmar, California, USA:

I was diagnosed about seven months ago with type 2 diabetes and have established pretty good control, on daily Amaryl [glimepiride] and Precose (acarbose) with each meal. However, I have noticed my first morning blood sugar averages about 20-30 mg/dl [1.1-1.7 mmol/L] higher than my bedtime readings, even if I don't eat for hours before bed, and if I test again after my morning dog walk ( two miles in 30 minutes) it goes up another 20-30 mg/dl [1.1-1.7 mmol/L]. In a review of some other questions on your site, that seems to be pretty common. Is this normal? If so, what is the cause? What can I do to prevent it?


I would want to see a more detailed log of exact times of day for the blood glucose tests and food amounts as well as times eaten. Blood glucose levels are part of a total picture of diabetes management. See Standards of Medical Care for Patients With Diabetes Mellitus for general blood glucose targets.


[Editor's comment: It's common to see elevated blood sugar levels in the morning, and they could go up with exercise. Basically, you need insulin to control these problems. Sometimes use of an insulin sensitizer pill (which you're not on) might help. Talk to your doctor about whether to add either a "glitazone" or metformin or insulin. WWQ]

Original posting 29 Dec 2001
Posted to Daily Care and Type 2


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: (none)
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.