This whole diabetes thing has really challenged my logic when it comes to how I think the way things are/should be. You think you understand something and then something crazy happens to blow it all out of the water. I had an experience that completely baffled me a few days ago..
The first night/morning I went to bed with BG of 130. A bit high but a decent BG. I was a bit hungry, as I always am before bed but I don’t usually eat after 7 if I can avoid it. Most of us don’t. Common logic says, not good. So I wake up the next morning and take my BG and it’s a shocker: 235. WHOA. What happened here? I woke tired and was achy and my skin and feet hurt. Yeah, a fun side-effect of diabetes. And I was THIRSTY! So thirsty. So, here I am thinking okay, so I’m starving but my BG is so high what do I do now? Well I was hungry so I ate my normal stuff; Peanut Butter toast, skim milk and an apple. Okay I thought, now I’m ready for my sugar to go crazy. I couldn’t understand why I went to bed with good BG and woke up with bad. I thought well maybe, it was this whole delayed reaction thing but then that didn’t even make sense. It had been 6 hours since I ate when I did finally make it into bed. While that’s too long for a diabetic I was still thinking.. it’s late.. I don’t want to gain weight.
A couple hours later I take my sugar expecting the worst and I was SHOCKED. BG: 135. WHA? Hm. This is odd. Again, my thinking was that when you eat, your sugar goes up. But it was lower than ever. Odd.
Next night/morning same thing. Same scenario. BG 135 at bedtime and waking: 295!!! WHOA! Now that’s scary. I can take 235 because I can still go for a walk or whatever but once your BG goes into the 250+ it’s danger. You risk getting nerve damage and hurting your muscles and heart. Shit! What now? I’m STARVING in the morning because again, I don’t eat late so it had been 12 or more hours since I’d eaten. I have to eat. I did eat. Same thing.. Peanut butter toast and skim milk, apple. It’s become my favorite thing to eat. Anyway, 2 hours later I check my BG: 120. Hm. Now I’m SERIOUSLY confused.
When I get confused I head out onto the internet. What did we do before this gigantic wealth of electronic information?
I don’t know because I would be lost! So I search for about 20 minutes and finally fall upon several sites talking about “Dawn Phenomenon”. It explained me to the T. Everything, every single symptom and IDENTICAL scenarios. Bingo. That’s me I said. So I read on. Getting as much info on it, and how I can avoid it. This is where confusing logic plays a role. The following is cited from Diabetic-Talk.org :
The Dawn Phenomenon:
Everyone, diabetic or not, exhibits some Dawn Phenomenon. It is a natural part of our bodies’ circadian rhythms. Some have said it is the way our ancestors had the strength to rise and slay a wooly behemoth for breakfast.
Since most of us fast while sleeping, with teenagers a possible exception, our bodies use stored energy during sleep. If you have read our Nutrition Section, you know that the body uses all three macro-nutrients (carbohydrates, proteins, and fats) to store energy.
The most easily used is the storage medium of carbohydrates, called glycogen. Glycogen is made from glucose, and is stored in the liver and muscles. Since it is basically nothing more than a complex matrix of glucose, it is easy for the body to store and use, something the body does all day long. The technical term for the act of creating and storing glycogen is glycogenesis. When the body calls for the conversion of glycogen back to glucose it is called glycogenolysis.
Another macro-nutrient that is available to be converted to glucose is protein. Most of us think of our protein as being stored in muscle, but the body has protective mechanisms to make muscle wasting its last choice. One of the most useful and readily available sources of protein storage is in blood components, i.e., albumin (plasma). The body uses a process performed in the liver to convert amino acids, the building blocks of proteins, into glucose. The name for this process is gluconeogenesis, literally “the creation of new glucose”.
So, what does all this have to do with a high fasting BG? Overnight, usually between 4am and 11am, your body releases some hormones. These are Growth Hormone (GH) from the anterior pituitary gland, cortisol from the adrenal cortex, glucagon from your pancreatic alpha-cells, and epinephrine (adrenalin). These hormones cause an increase in insulin resistance, raising your BG. In addition, these hormones trigger glycogenolysis and gluconeogenesis, adding stored or new glucose to your bloodstream.
Dawn Phenomenon, and its associated increase in insulin resistance, is the reason most diabetics are far more sensitive to carbs in the morning.
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Pretty crazy eh? Yeah, that’s what I was thinking too. Good to know is what I say.
So I tried it out. Thinking, well, if it doesn’t work then I have a new set of problems that I’ll let the Doc sort out. That night I ate a teaspoon of peanut butter and 8 oz of skim milk for a snack before I went to bed. A high protein snack with a bit of fat in it. Something that takes a while to digest. That was the suggested form of therapy. And wouldn’t ya know it, I woke with lower BG than ever!
More confusing logic is that you would think that your BG would stay lower the less food you ate. Not so. it’s still about WHAT you eat but that’s the whole point … I believe that the Dawn Phenomenon kind of exists in me all day long. I’ve been eating more frequently really healthy stuff like fruits, veggies, and nuts and my BG has been stellar! I got a 104 yesterday. I don’t get those often. I stay anywhere between 120-150 most of the time. Still a bit higher than I want to be. With the above though process and eating habits I believe my BG will be near perfect soon.
I’m combining the Dawn Phenomenon logic with the Glycemic Load way of eating. I went shopping last night and it was so amazing! Much, much better than my first carb-free low-carb shopping experience. I’m more cognizant of fats now too. I’m not going crazy but I need to be aware.
As my body is able to use the insulin that it produces (through good eating and exercise) I will probably gain some weight. I think I’ve talked about this before. But anyway, right now a lot of my glucose is expelled and not used. This is not good of course but it’s keeping me at this current weight.
Don’t be tempted by the above to keep your BG high to lose weight. If you think for one second that this is a good idea, I need to help you understand how terribly horrifying this could be for you. If you don’t already know, as your BG stays high your nerves die and then blood supply to that area of the body eventually loses it’s ability to bring blood to it. It dies. You lose a toe, hand, leg, finger, arm….. get the idea? You WILL lose weight, I bet a leg weighs 50 lbs at least! I wonder what a hand weighs? 10 lbs? Better yet, what does a new, 10,000 prosthetic weigh? I bet a lot more than the real deal! Oh and if you wanted to be able to find your prosthesis in the morning that might be tough when you lose your eyesight from prolonged exposure to high BG levels.
You get the idea… don’t even tempt yourself with it.
Okay so with that being said lets talk a bit more about confusing logic… ha ha.. I like this one. Brain teaser!
Alcohol and blood sugar. What is your first instinct about that statement? Mine was that it would undoubtedly raise BG like mad! Interestingly enough, and that’s why I call this a brain teaser, that is just not the way it works. Now, biologically I don’t really understand why yet, but I know it’s true. It was one of the things that you can do to cancel out Dawn Phenomenon. Drinking a glass of dry to semi-sweet wine will in fact keep your BG good whilst in sleepy land. To further this conversation I did a little test to prove or disprove this. I used hard-alcohol to test the theory so I can’t say whether wine works or not. I had gotten stressed about something and my BG popped up about 60 points to 180. I drank 1 shot of brandy and it brought it down 20 points almost immediately. Another shot and another 10 points down. Now, I wouldn’t recommend this as your way to stay in a good BG range but if you like to occasionally like to partake in spirits then I’d say that’s perfectly acceptable. In MODERATION. And there are a few rules to this as well.. Now this logic WILL make sense to you. You want to balance the ratio of alcohol content with whatever you decide to put it with. For instance a screwdriver has Vodka and Oj. I would think that this could be okay and tolerated for the most part. Vodka has a pretty good alcohol content and would balance out the oj for the most part. I would only have one though. You might be playing Russian Roulette with the next one. Dry to semi-sweet wines is a good choice and red wines are especially beneficial to your health. They contain an anti-oxidant found in grapes and the experts say that the actual alcohol is beneficial in lowering blood pressure as the “feeling” you get is very mellowing. All good stuff. A glass a night to ward off Dawn Phenomenon might be in my near future. I’ll have to switch to the kind of wine I buy right now as all we have is sweet but there are plenty of great-tasting wines that aren’t full of sugar. Shiraz and Riesling are two wines that are better in the sugar dept. Merlot would be the perfect choice, but I have not found one that I really love to drink. And let’s face it, if it doesn’t taste good there really is no point in putting it in your face.
So in closing, think less of what you CAN’T have and more about what you CAN! Understand that knowledge is power and the more you know the better armed you are in dealing with the big, crazy D. Eat whole, unprocessed foods or nearly unprocessed, that will take your body longer to break down. Think of your food in terms of what it can do for you internally and really start getting to know the nutritional values of the things that you eat. Understand that food is supposed to taste good but not to be used as an emotional crutch. And if you’re not an emotional food eater, then you’ve probably just become a fat/sugar addict. There is hope. You CAN get off the crap.
Get some books that help you understand the glycemic loads of foods. While you need to steer clear of making unhealthy obsessions about food by trying to know every single value of every single food, the books that are geared towards glycemic recipes will help you understand how to put foods together for good glycemic loads.
Eat well. Eat what you like just swap out processed foods for unprocessed ones. A fresh apple is just as delicious as a glass of apple juice. And way better for you, good for your skin and teeth, bowls and great for your overall nutritional health.
Avoid empty calories! You’ve got to be aware that some of the things that you’re putting in your face are completely deprived of nutritional content. You’re going to spend the points anyway so why not spend them on something that is going to make your head, tummy and heart happy?
Don’t go hungry. Keep your metabolism high by eating like a monkey. Imagine how they move through the forest and on their way collecting nuts, seeds, fruits, berries, grass and other really amazing foods. De-evolve your eating habits and by that I mean just keep it simple. Grab that piece of fruit sitting on your kitchen counter and if you don’t have any you should go get some. Grab a handful of alomonds. Get yourself a carrot. Hell, make a smoothie out of simply berries and yogurt. Just keep it simple.
We all already know all of this stuff. The media buzzes with the newest greatest latest eating trends all the time. Some of them resurface again and again and those are the ones that forge on based on the principles I’ve talked about previously. Just plain and simply eating good foods. That’s a broad term I know, and if you’re still confused get yourself a good health food book or talk to your dietician. That would actually be my first advice- A good knowledgable Doctor that can help you make better choices and teach you why. I’m actually considering that as well.
be good to yourself,
Time to eat. Well
Payton



















































