It happens in type 2 also because typically diabetics have glucose in their liver that’s being released. My understanding is the way to solve it is to be in ketosis around that time in the morning which would mean there’s not any extra glycogen stored in the liver to be released.
Yep happens to Type2s as well and it has nothing to do with cortisol. I thought we were going to get help with a high dawn effect but all he talks about is how to manage if you’re injecting insulin 🤦♀️
Doesn't matter if glycogen is depleted, If gluconeogenesis is disregulated in T2 and it still causes high BG while in ketosis. I am not T2 but glucose intolerant and get ketone 0.5-0.7 when I wake up and BG is 105-115. Makes no sense but I blame unregulated GNG and IR for this
@@sunnyBLR glycogen depletion does matter because technically you won’t fully go into ketosis until it’s depleted. As a result, the body starts pulling from any excess out of your liver then stored fat when in ketosis thus resulting in weight loss. This is why people can exercise and still not lose weight if they’re glycogen levels don’t ever get depleted.
@@ctglenn1 in this context , I was talking about high morning BG. Glycogen can be depleted but due to disregulated GNG and IR, BG can still go up. I know glycogen depletion matters to attain nutritional ketosis. I use CGM and keto mojo and have seen some weird stuff when I was on a strict keto diet. My ketone would be 0.6 or 0.7 but BG 105. After I eat, BG will drop to 90s. That's all because of GNG regardless of glycogen level. Eating stops GNG.
Fatty liver could be the cause. Loosing weight on low carb, no sugar, starches and no seed oils will help correct liver...it does take some time though.
after trial and error, here's what is now working for ME: I rise around 5:30 anyway, so I.....take my ACV in water, then an insulin shot, then a minimum of 20 minutes medium to high intensity excercise. My in-home walking program seems to be the best Dawn Phenomenon suppressor. I typically get only a 25 mg/dl rise as opposed to 50+
No help for me. I control my diabetes fully with diet, controlling my carbohydrate intake to about 40 grams per day But my glucose levels are about 130 in the morning and then drop slowly throughout the day to about 105.
DP is one of my biggest struggles with T1. Some nights I can flat line and have a wonderful sleep, others I wake up high due to DP and feel like I've been hit by a bus. Does DP increase insulin resistance in the AM?
just found you no other site deals with dawn effect for people relying on insulin - thanks - I am a type 2 totally insulin dependent / low carb keto 9 months lost 26kgs, lantus insulin down from 140 to 8 units daily, plus 2 units humolog in the morning - what is a normal lantus background dose eg is it 6 or 10 ?? how do you know the correct dose ?? morning glucose high 6 to low 7 glucose 2 hours after meal averaging high 6 to 8 and before lunch mid 6 to high 7 - should I go back to 10 units lantus or increase humalog to 3 or 4 ?? and how do I know if I still have insulin resistance ? my keto doctor thinks a HBA1C above 7.5 is ok for someone over 70. Dr Cywes called BS on that - Thanks for any help - have subbed
Hi Jim Well done 👏 There isn’t a ‘normal dose’. It’s a very individual thing and you just need what you need. I wouldn’t want to advise on individual doses over social media as I can’t have the full clinical picture so it’s dangerous practice. However, if all your readings are single figures then that’s looking pretty good 👍 so the dose appears ok on the face of it. And this is how you know if the dose is ok. If the glucoses levels are good, then the insulin dose is good. Typically and generally speaking - if you get the dose down to 6 units or less it might be worth speaking with the diabetes team/doctor to trial a few days without insulin to see if it makes a difference. You can always restart at the same dose. hbA1c is all about risk. The older we get the risk of complications reduces as we have less glucose exposure before dying However this needs context You might be 70 and have had diabetes for 30 years and have some complications. We’d want to manage levels more tightly here Compared to someone who is the same age who has just been diagnosed with a HbA1c of 70 - we might be more relaxed about totally optimising control as the risk of long term complications is very low. In other words you can get away with higher sugars without longer term problems because without sounding too morbid - there isn’t a longer term for most people. That doesn’t mean we shouldn’t optimise sugars if we can and it depends on how high above 70 they mean. I’d be more relaxed with a HbA1c of 70 than i would 90. I do have a video on whether your basal insulin dose is correct. I think it’s under the type 1 programme section l. Same principles though. Lastly you’ll know if you have insulin resistance if you have a HbA1c in the diabetes range and/or require medications to manage it. But as above, that doesn’t necessarily translate to problems Hope that helps
@@diabetesdietguy wow thanks for the reply - few days without insulin to see if it makes a difference - can't do no c-peptides so need a baseline insulin level - that is where your site was helpful a lot of other low carb keto vlogs don't cover or gloss over the IR / dawn effect / HBA1C subjects for viewers taking insulin - Thanks again very kind of you to respond - all the best - yes you are helping people well done
@@jimlofts5433 thanks Jim All the best and keep me updated. Make sure you run it past the doctor before doing anything drastic though as obviously I dont have the full picture 👍
Check out "Beat Diabetes" Dennis Pollach. He talks about the liver [fatty] when is heals your dawn effect will improve. For some it may take 1-2 years.
Hello. New follower. I am not diabetic but my fasting glucose goes up after I wake. My fasting levels are not at an optimal range. Fasting is anywhere from 90-120 (90 to start then creeps up after I wake and goes back down) I have been pulling my hair out trying absolutely everything to lower my fasting levels and DP. I am monitoring just for optimal health. Appreciate any feedback.
Hi Erin Thanks for the comment I guess it depends on what your sugars do during the day? If they remain between 90-120 ish then I wouldn’t worry. These are normal levels If you don’t have diabetes then you don’t have diabetes - and that is very easily tested for - and therefore by definition you don’t have a problem controlling your glucose levels or it would show up on the tests and thus you would be diagnosed with diabetes. So my advice would be to not to worry unless your doctor says you have a problem or have diabetes or pre diabetes Hope that makes sensee
@@diabetesdietguy Thank you for replying. You are right. Honestly I think I really needed to hear that. My levels are under 130 most of the day. Some times (yesterday after an apple) it went to 140. I really like your content and will continue to enjoy it even if I am not diagnosed as I want to keep it that way.
It’s a tough one to navigate Brad The best people can do who aren’t using a pump are set an alarm or correct your glucose when you wake up. If you’re well controlled otherwise through the rest of the day it shouldn’t cause any long term problems But if it’s an issue this is one reason some people will explore a pump
I’m not diabetic, nor insulin resistant. I’m also keto and don’t eat much carbs at all. But I too, like many others in the same situation, deal with the dawn phenomenon. How do I fix this? The only thing that seems to move the needle is weight training, which I assume works by reducing cortisol in general?
Hey Few questions. What does your glucose level go to? And what readings are you comparing this against May I ask if no diabetes why are you monitoring glucose And weight training typically actually increases cortisol very acutely but not chronically. It’s likely the exercise effect in general lowering glucose levels 👍
@@diabetesdietguy 130 at the most-only before lunch. And I began monitoring because of the dawn phenomenon-noticed it with a fasted glucose level on some bloodwork. And I continue to monitor because it’s part of knowing the GKI level, so I know how I’m doing with Keto. My insulin/homa IR levels are fine by the way.
I have Dawn phenomenon…Anywhere from 130-145..then levels are great two to three hours afterwards..even when I was on Metformin, the DP occurred. Been on keto since last summer…
It can do yes. Any glucose rise will affect it to some degree. If you fix the ride with a correction or change to basal rate the affect will be small If on the other hand it throws out your glucose levels for a while during the day then this can add up
Type 1 diabetics aren’t the only ones that suffer from the dawn Phenomenon, I wish you would talk about the dawn phenomenon with type 2 diabetics. This video was not very helpful to me!
@@shirleystevenson5878 correct Shirley Apologies if ya feel left out This video is in the type 1 playlist made for type 1,s. Unfortunately I can’t cover every eventuality in each video or they would all be very long videos. For future reference, What would you like me talk about for type 2’s on this subject?
It happens in type 2 also because typically diabetics have glucose in their liver that’s being released. My understanding is the way to solve it is to be in ketosis around that time in the morning which would mean there’s not any extra glycogen stored in the liver to be released.
Thank you!! I was looking for this answer right here
Yep happens to Type2s as well and it has nothing to do with cortisol. I thought we were going to get help with a high dawn effect but all he talks about is how to manage if you’re injecting insulin 🤦♀️
Doesn't matter if glycogen is depleted, If gluconeogenesis is disregulated in T2 and it still causes high BG while in ketosis. I am not T2 but glucose intolerant and get ketone 0.5-0.7 when I wake up and BG is 105-115. Makes no sense but I blame unregulated GNG and IR for this
@@sunnyBLR glycogen depletion does matter because technically you won’t fully go into ketosis until it’s depleted. As a result, the body starts pulling from any excess out of your liver then stored fat when in ketosis thus resulting in weight loss. This is why people can exercise and still not lose weight if they’re glycogen levels don’t ever get depleted.
@@ctglenn1 in this context , I was talking about high morning BG. Glycogen can be depleted but due to disregulated GNG and IR, BG can still go up. I know glycogen depletion matters to attain nutritional ketosis. I use CGM and keto mojo and have seen some weird stuff when I was on a strict keto diet. My ketone would be 0.6 or 0.7 but BG 105. After I eat, BG will drop to 90s. That's all because of GNG regardless of glycogen level. Eating stops GNG.
Stress will kick in the hormones. Not sleeping well, stressful situations including anxiety that disrupts the mind/body.
Fatty liver could be the cause. Loosing weight on low carb, no sugar, starches and no seed oils will help correct liver...it does take some time though.
after trial and error, here's what is now working for ME: I rise around 5:30 anyway, so I.....take my ACV in water, then an insulin shot, then a minimum of 20 minutes medium to high intensity excercise. My in-home walking program seems to be the best Dawn Phenomenon suppressor. I typically get only a 25 mg/dl rise as opposed to 50+
Thanks❤❤❤❤
No help for me. I control my diabetes fully with diet, controlling my carbohydrate intake to about 40 grams per day
But my glucose levels are about 130 in the morning and then drop slowly throughout the day to about 105.
YOu might have pointed out in your title that this is for Type 1 Diabetes.
DP is one of my biggest struggles with T1. Some nights I can flat line and have a wonderful sleep, others I wake up high due to DP and feel like I've been hit by a bus. Does DP increase insulin resistance in the AM?
Yes basically a nice way to think of it Scott. Makes it difficult to manage
just found you no other site deals with dawn effect for people relying on insulin - thanks - I am a type 2 totally insulin dependent / low carb keto 9 months lost 26kgs, lantus insulin down from 140 to 8 units daily, plus 2 units humolog in the morning - what is a normal lantus background dose eg is it 6 or 10 ?? how do you know the correct dose ?? morning glucose high 6 to low 7 glucose 2 hours after meal averaging high 6 to 8 and before lunch mid 6 to high 7 - should I go back to 10 units lantus or increase humalog to 3 or 4 ?? and how do I know if I still have insulin resistance ? my keto doctor thinks a HBA1C above 7.5 is ok for someone over 70. Dr Cywes called BS on that - Thanks for any help - have subbed
Hi Jim
Well done 👏
There isn’t a ‘normal dose’. It’s a very individual thing and you just need what you need.
I wouldn’t want to advise on individual doses over social media as I can’t have the full clinical picture so it’s dangerous practice.
However, if all your readings are single figures then that’s looking pretty good 👍 so the dose appears ok on the face of it. And this is how you know if the dose is ok. If the glucoses levels are good, then the insulin dose is good.
Typically and generally speaking - if you get the dose down to 6 units or less it might be worth speaking with the diabetes team/doctor to trial a few days without insulin to see if it makes a difference. You can always restart at the same dose.
hbA1c is all about risk. The older we get the risk of complications reduces as we have less glucose exposure before dying
However this needs context
You might be 70 and have had diabetes for 30 years and have some complications. We’d want to manage levels more tightly here
Compared to someone who is the same age who has just been diagnosed with a HbA1c of 70 - we might be more relaxed about totally optimising control as the risk of long term complications is very low.
In other words you can get away with higher sugars without longer term problems because without sounding too morbid - there isn’t a longer term for most people.
That doesn’t mean we shouldn’t optimise sugars if we can and it depends on how high above 70 they mean. I’d be more relaxed with a HbA1c of 70 than i would 90.
I do have a video on whether your basal insulin dose is correct. I think it’s under the type 1 programme section l. Same principles though.
Lastly you’ll know if you have insulin resistance if you have a HbA1c in the diabetes range and/or require medications to manage it.
But as above, that doesn’t necessarily translate to problems
Hope that helps
@@diabetesdietguy wow thanks for the reply - few days without insulin to see if it makes a difference - can't do no c-peptides so need a baseline insulin level - that is where your site was helpful a lot of other low carb keto vlogs don't cover or gloss over the IR / dawn effect / HBA1C subjects for viewers taking insulin - Thanks again very kind of you to respond - all the best - yes you are helping people well done
@@jimlofts5433 thanks Jim
All the best and keep me updated.
Make sure you run it past the doctor before doing anything drastic though as obviously I dont have the full picture 👍
Check out "Beat Diabetes" Dennis Pollach. He talks about the liver [fatty] when is heals your dawn effect will improve. For some it may take 1-2 years.
Hello. New follower. I am not diabetic but my fasting glucose goes up after I wake. My fasting levels are not at an optimal range. Fasting is anywhere from 90-120 (90 to start then creeps up after I wake and goes back down) I have been pulling my hair out trying absolutely everything to lower my fasting levels and DP. I am monitoring just for optimal health. Appreciate any feedback.
Hi Erin
Thanks for the comment
I guess it depends on what your sugars do during the day?
If they remain between 90-120 ish then I wouldn’t worry. These are normal levels
If you don’t have diabetes then you don’t have diabetes - and that is very easily tested for - and therefore by definition you don’t have a problem controlling your glucose levels or it would show up on the tests and thus you would be diagnosed with diabetes.
So my advice would be to not to worry unless your doctor says you have a problem or have diabetes or pre diabetes
Hope that makes sensee
@@diabetesdietguy Thank you for replying. You are right. Honestly I think I really needed to hear that. My levels are under 130 most of the day. Some times (yesterday after an apple) it went to 140. I really like your content and will continue to enjoy it even if I am not diagnosed as I want to keep it that way.
I'm newly diagnosed type one or Lada and I have trouble with the dawn phenomenon to its the only part of the day I haven't got much control of.
It’s a tough one to navigate Brad
The best people can do who aren’t using a pump are set an alarm or correct your glucose when you wake up.
If you’re well controlled otherwise through the rest of the day it shouldn’t cause any long term problems
But if it’s an issue this is one reason some people will explore a pump
Give the man an accordion.
I’m not diabetic, nor insulin resistant. I’m also keto and don’t eat much carbs at all. But I too, like many others in the same situation, deal with the dawn phenomenon. How do I fix this? The only thing that seems to move the needle is weight training, which I assume works by reducing cortisol in general?
Hey
Few questions.
What does your glucose level go to? And what readings are you comparing this against
May I ask if no diabetes why are you monitoring glucose
And weight training typically actually increases cortisol very acutely but not chronically. It’s likely the exercise effect in general lowering glucose levels 👍
@@diabetesdietguy 130 at the most-only before lunch. And I began monitoring because of the dawn phenomenon-noticed it with a fasted glucose level on some bloodwork. And I continue to monitor because it’s part of knowing the GKI level, so I know how I’m doing with Keto.
My insulin/homa IR levels are fine by the way.
@@HigherSelph ok I got you
I really wouldn’t worry if the highest is 130. That’s a normal blood sugar.
@@diabetesdietguy I know. Again, just trying to get the dawn phenomenon in check. Thx for your time.
I have Dawn phenomenon…Anywhere from 130-145..then levels are great two to three hours afterwards..even when I was on Metformin, the DP occurred. Been on keto since last summer…
Does a regular dawn phenomenon affect the hba1c in the long run?
It can do yes. Any glucose rise will affect it to some degree. If you fix the ride with a correction or change to basal rate the affect will be small
If on the other hand it throws out your glucose levels for a while during the day then this can add up
@@diabetesdietguy Thank you sir.
Type 1 diabetics aren’t the only ones that suffer from the dawn Phenomenon, I wish you would talk about the dawn phenomenon with type 2 diabetics.
This video was not very helpful to me!
@@shirleystevenson5878 correct Shirley
Apologies if ya feel left out
This video is in the type 1 playlist made for type 1,s. Unfortunately I can’t cover every eventuality in each video or they would all be very long videos.
For future reference, What would you like me talk about for type 2’s on this subject?