Well, let me tell you. I’ve had high morning numbers forever. It is called Dawn Phenomenon. I call it Darn Phenomenon. Search through the forums, you will find tons of information on it. To a certain degree it is a natural process that helps you wake up, but is often dysfunctional in diabetics. There are various things people do to treat the situation, I won’t go into them here, but you will find lots of info in the forums.
Glimepiride is a modern sulfonylurea, a drug which pushes your pancreas to continuously pump out insulin. When used in moderation, it can help diabetics with their fasting blood sugar levels. I believe (and Bernstein believes) that it is used far to much to compensate for insulin resistance and to cover the carbs in meals, stressing your remaining beta cells and accelerating your decline. Personally, I’ll not take a sulfonylurea.
I commend you on the exercise and diet, those are the first line of treatment. What surprises me is that in my view, the drug Metformin should be a first medication choice for type 2s. Even the society of clinical endochronologists has metformin first on it’s list in its latest guidelines (see page 19, http://www.aace.com/pub/pdf/guidelines/DMGuidelines2007.pdf). I’d encourage you to discuss metformin with your doctor. This is particularly appropriate if you are dealing with daily lows while on a low dose of Glimepiride. Should you not be on a low dose of Glimepiride, then you may be able to split your dose and actually be able to stack it with more at night and less in the morning. Again, discuss dosing with your doctor.