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Question: From Ottawa, Ontario, Canada: I am a recently diagnosed Tpee 2, 49 year-old male. I have excellent control with metformin [a pill for type 2 diabetes], diet and exercise. I expect that medication will be discontinued once weight loss is achieved. My only control difficulty is with fasting level glucose. They tend to be a bit elevated: 6.8 to 7.8 range. Otherwise, levels are normal. Are there measures that can be taken to improve fasting level glucose readings? Answer: First of all, you are not alone with this problem: it's even got a name, the dawn phenomenon. Getting the fasting blood sugar down is one of the difficult problems in type 2 diabetes. Several thoughts: If you are eating a bedtime snack, discuss with your doctor or dietitian about changing or stopping it. The metformin should help: perhaps a bigger dose might be tried (again, talk to your doc!) If nothing else works, either (a) live with it, especially if your glycohemoglobin remains in a good range, or (b) start a small dose of NPH insulin about 10 P.M.: this insulin would have its peak effect at the dawn, when the problem is occurring. WWQ Original posting 10 May 1998 Posted to Medications: Pills for Diabetes

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:08:57
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