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Question: From Chicago, Illinois, USA: I am 52, was diagnosed with type 2 diabetes about a year and a half ago, and currently do not take medication. My daily glucose level is in appropriate ranges (80-120 mg/dl [4.4-6.7mmol/L] pre-meal, and under 180 mg/dl [10 mmol/L] after meals). Why would my pre-breakfast readings, after not eating for 10 hours or more, be above as high as 135 mg/dl [7.5 mmol/L]? Answer: You have asked a very important and commonly asked question. Your experience is like many with type 2 diabetes. As the pancreas slows down in its ability to make insulin, the liver begins to spill out larger amounts of sugar. At our center we call this a "leaky liver". It is a very common occurrence for people to go to bed, not eat, and see their fasting blood sugar higher than before. This is caused by the lack of enough insulin to turn off the leaky liver. There are medicines available (Glucophage [metformin], for one) to turn off this leaky liver. If your hemoglobin A1c is above normal range, you might want to discuss the possibility of adding this medicine to your diabetes treatment plan. Also, increasing exercise will improve your sensitivity to your insulin so it will work more efficiently. KS DTQ-20010520132545 Original posting 11 Jun 2001 Posted to Daily Care and Type 2

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search CWD --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:18:29 2006
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