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Question: From Hayes, Virginia, USA: Is there such a thing as a reverse dawn phenomenon? My daughter is 15, uses a pump, and her basal's are set at 1.2 units between midnight and 7 a.m. Her readings seem to stay pretty steady from about midnight to 5 a.m., but then they plunge between 5 and 6. I just started noticing this a week ago when I started testing her blood sugar at 5 a.m., as well as her normal 6 a.m. reading. Her readings declined 60 mg/dl [3.3 mmol/L], 65 mg/dl [3.6 mmol/L], 70 mg/dl [3.9 mmol/L], and 35 mg/dl [1.9 mmol/L] between 5-6 a.m. the four times I have tested over the last week. Have you ever seen anything similar and does it have a name? Now that I think about it, I am also giving her a thyroid pill, for her under active thyroid, at 5 a.m. Could the thyroid pill be causing the rapid drop in blood sugars? Answer: This is rather unusual in a 15 year old where you would expect the glucose to be rising by then. If you hadn't been doing tests prior to this, I would suspect that she'd too high a basal rate during the early hours of the night. It is probably still worth reducing the rate a bit, beginning at 3 a.m., to see if this makes a difference. As for the thyroxine tablet, I would be surprised if it had such a dramatic effect, but why does she need to get it so early? I suggest you give it with breakfast. KJR DTQ-20040505123031 Original posting 8 May 2004 Posted to Daily Care and Thyroid

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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 15:09:55
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