This is the 2nd time this week I have woken up with a BG around 215 and I am in my 9th week of my pregnancy. I correct and nothing happens so I correct 2 hors later and still at 200. So I correct a 3rd time and finallyu it goes down!! I am soo frstrated.

Sounds like it could be dawn phenomenon. Btw congrats on the baby.

-Missy-

hummm I have never been prego but I know sometimes if the site is a area I use a lot like the prime realestate  I can have issues with absorbing so I switch to another peice of land and bam it works first go round. also like missy said it can be dawn phenomenon I have that and just have differ. basals set at differ. times of the day to keep me smooth sailing.

I was thinking Dawn Phenom too, but with all the horomonal changes in the last trimester, it could be all horomones that are making you resist the insulin. If its only 2 days dont beat yourself up, but if its continual, you might want to call your doctor or endo. Let us know how it works out.

So I have try moving my site to diff area and no change.  I am still having morning BGs between 200 and 245 two or three times a week and I know this can not be good for the baby. I am 24 weeks now. I have talked to my endo about this and she does not seem to be worried about it. My PCP does not know anything about making any changes with my pump so I am looking for a new endo now. Not the best time to be looking for one.

I mean my God it takes half the day just to get my bgs in a good range. And she does not want to do anything about it. If I was not pregnant I don't think I would be so worried, but like I said I don't think these high bgs are good for the baby. I don't recall having this problem when I had my daughter, oh well.

Congrats on the baby!!!

Well I am thinking Dawn Phenom too.  Try to look up that the best you can.  I am still struggling to get my Dawn Phenom under control.

Don't stress you will figure it out!

Bill at July 15, 2010 at 10:26 AM

Congrats on the baby!!!

 

Well I am thinking Dawn Phenom too.  Try to look up that the best you can.  I am still struggling to get my Dawn Phenom under control.

 

Don't stress you will figure it out!

Thanks!

I saw my PCP yesterday morning and he sent me to the ER from his office because my bg was 300 and that was fasting. He said that something needed to be done but since my endo was not going to do anything it was time for him to get something done about it.

The ER doctors were great. They said that they think that it is Dawn Phenom too so they changed my Basal setting so I hope this helps. One of the ER doctors was an endo and he set up for me to come and see him on Monday but if I have any problems before that to come back to the ER.

Hope it is only Dawn Phenom and nothing else. Trying to stay positive.

Congrats on the baby, and hopefully everything will work out well with the ER doctor that's an Endo! Hope all is resolved and your blood sugars are changed to normal.

I would say like Bill try not to stress. Sounds like the endo from the ER is trying to figure things out. Hope things work out.

Congrats on the baby. I sure hope everything works out with the new endo.

What is this Dawn Phenomenon that everyone is talking about? Can someone fill me in.

Don't quote me on this, but between the hours of 3-5am you body releases hormornes to get you ready for the day.  You liver releases glucose as well.

Here is a great article I found.

"

Dawn Phenomenon

Very high blood glucose in the early morning due to the release of certain hormones in the middle of the night. The body makes certain hormones called counterregulatory hormones, which work against the action of insulin. These hormones, which include glucagon, epinephrine, growth hormone, and cortisol, raise blood glucose levels, when needed, by signaling the liver to release more glucose and by inhibiting glucose utilization throughout the body.

In the middle of the night, there is a surge in the amount of growth hormone the body releases, followed by a surge in cortisol, which effectively cranks up glucose production in the liver, presumably to prepare the body for daytime activity after a period of fasting. In people who don’t have diabetes, these processes are offset by increased insulin secretion by the pancreas, so blood glucose levels remain relatively stable. However, in people with Type 1 diabetes, whose pancreases don’t make insulin, and in people with Type 2 diabetes, whose livers may not respond to insulin well enough to stop glucose production, changes in glucose metabolism during sleep can have a profound effect on morning blood glucose levels. Typically, the blood glucose level rises between 4 AM and 8 AM.

It is important to realize that high morning blood sugar may be caused by something else: the body’s rebound from low blood glucose levels at night. Rebound hyperglycemia, also caused by the release of counterregulatory hormones, represents the body’s defense mechanism against low blood sugar. The only way to tell the two phenomena apart is to check your blood glucose level in the middle of the night (around 3 AM). If your blood sugar is high, you are probably experiencing the dawn phenomenon; if it is low, rebound hyperglycemia is probably at work.

If you experience high blood glucose levels when you wake up, talk with your health-care team. They can recommend further testing and changes in your meal, exercise, or insulin regimen to alleviate the problem."