Hello all…
I went for blood tests this morning (a1c/cholesterol etc etc…) and so fasted for about 12 hours. When I got back I had my usual breakfast but noticed I spiked considerably higher than normal (up to 180 when usually 117)… Could this be the fasting?
Thanks, Paul
Did you test before eating or only after? I’m willing to bet your bg was high before eating too.
I know some folks who attribute everything to “spikes”, but for me dawn phenomena is related to not eating, and can result in my bg going up by several hundred points between 6 and 10AM if I don’t eat.
For me, the most reliable way to nip dawn phenomenon in the bud, is to eat breakfast when I wake up. If I don’t eat and take my shot, my bg rises through the whole morning. I wouldn’t call it a spike, it’s just a slow steady climb of several hundred points.
Hi Tim,
Yes, I was 106 just b4 eating my usual brekky which means I spiked 74. I too always eat at 7am when I wake but today it wasn’t until 12:30 because of the fasting and time I got back from the lab…
I’ll post my 2 hour soon to see if its come back down.
Sorry, forgot to mention the 180 spike was at 1hr…
Thanks…
Just trying to grok your perspective… is “spiked 74” a lot for you or not?
Still, not eating breakfast for me at least, requires more insulin than if I eat breakfast. So I tie this not necessarily to fasting but to dawn phenomenon (even though it was lasting through noon!)
Hi Tim,
Yes, a spike of 74 is high for me. I really try to keep my BG under 140 but being type 2 (or maybe LADA - long story) my Dr has said with an a1c of 6 I don’t need Metformin at this time. I’m finding it harder and harder at meal times. All the common culprits like bread, rice, pasta and potatoes will spike me considerable so have cut down on those to very, very small portions. I’m wondering if going on Metformin will allow me to introduce some carbs? My Cardiologist has suggested I watch my cholesterol so eating lots of eggs and meat also worry me 
Doesn’t leave much choices
Maybe if I was taking Metformin I could eat that small piece of whole wheat, good for you bread without the spike over 140?
I just tested at 2 hours and at 156…
My understanding (I don’t take it 'cuz I’m type 1) is that Metformin works so well in many T2’s mainly through suppressing gluconeogenesis. So it doesn’t stop the absorption from carbs, but it does suppress the liver/glucagon stuff and it does suppress proteins and fats getting turned into bg rises hours after a meal.
I think this is the reason why low carb diets work so well for those on Metformin - the low carb stops the spikes in the hour or two after the meal, and the Metformin stops the rise in bg that I see as a T1 3-5 hours after a high-protein meal.
I think so think it may be like Dawn Phenomenom where your body thinks you’re starving so it dumps a bunch of sugar into your bloodstream
Oh, just IMHO: No way you’re a T2. 6 foot, 155 pounds you said in another thread? T1 or LADA, for sure.
I agree but getting a Dr here in Burlington who even knows what LADA is has been difficult… My cardiologist is the only one that agreed with me that I don’t fit the typical type 2 profile and will probably require insulin at some point.
My original Dr said “LADA, whats that?”.
Another Dr told me she didn’t want me to be her patient because I’d researched on the internet and thought I could be LADA instead of type 2. She wanted all her patients to be like sheep and only pay attention to her diagnosis… I left willingly 
I am a big sufferer of DP. If I sleep in on weekends a couple of hours my numbers jump 40 points. Even if I eat low carb,protein meal sometime I still get another spike around 11 am. Lately my numbers have been terrible in the morning no matter what I do. I take the maximum amount of metformin and it worked really well for 3 years but now it seems to have stalled. I’m thinking of asking doc to add another medication.
Well I am 5’5 and 107 lbs. considered “underweight” by the Dr but I am Type 2 diabetic…so it does happen. There are many thin type 2s. Paul you need your Dr. to check your c-peptide and also test to see how much insulin your body is actually making and this will make the diagnosis of type 2 or 1.5.
Hi LM…
Did you have the c-peptide test? Did it show you were type 2? Is this the only test I should ask for? I noticed your a1c is the same as mine. Could I ask what a typical meal is for you? Are you eating a low carb diet? Do you spike after eating certain carbs like bread/potatoes etc?
Sorry for the questions but you are the first I’ve found that is slim (could actually gain weight like myself) and not taking medication, who has been diagnosed with diabetes…
Paul