I’m Type 1, on MDI (Lantus split-dosed and Novolog) and metformin, with a CGM. I have a somewhat variable but usually present dawn phenomenon (DP) that has been lessened some by my metformin, but not entirely. One alcohol drink in the evening tends to eliminate it and result in much more stable levels throughout the morning; more than two tends to drive me into sustained, gradual lows overnight, thanks to alcohol’s effect of suppressing liver glucose output. Currently, I drink occasionally (maybe once a week, very rarely more than 2 drinks; sometimes will go a few weeks without, occasionally more frequently); however, I’ve been considering trying to implement a nightly alcoholic beverage as an intention component of diabetes management, since it’s the only thing I’ve ever found to reliably get me to wake up around 80 (adjusting insulin doses inevitable provides variable results at best). I don’t see major downsides to this, as someone with no evidence of any organ problems other than my diabetes and no personal or family history of alcohol problems, and given that I’m able to see this effect with a minimal amount of alcohol. My guess is that, for me, elevated glucose levels due to my DP represent a greater health risk than the alcohol.
I realize a pump would be the other obvious option, but I really don’t think I need a variable basal rate otherwise, and, as mentioned, my DP doesn’t seem very consistent anyway, so not sure how effective even that would be, vs something that removes it from the picture. Also, admittedly, I just really don’t really want a pump if I can avoid it.
I’m curious if anyone else uses alcohol in this way or has considered it?