The conversation between human and AI assistant.
[|Human|] HiI am a type 2 diabetic and on Diamin 500mg. I try my best to keep a low carb intake and I am generally successful in keeping my blood sugar levels below 180 mg/dl (10 mmol/L) however I have dawn phenomenon and I have it bad. I wake up in the mornings with an average level of 280 mg/dl or above, and then struggle the rest of the day to get it down to acceptable levels. Is there anything I can do?
[|AI|]  Welcome to Chat Doctor. Certainly your sugars are very high in the morning, and you already know about the dawn phenomenon. I hope you got your endocrinologist on board to help you. Stress is the biggest cause for this along with poorly controlled diabetes. Try to take your evening meal early between 5-6 pm and have a snack prior to going to bed. Take insulin per carb count. This will certainly avoid hypoglycemia at night and hyperglycemia during the morning. Other thing you should do is to keep you sugar levels little high before going to sleep that means decreasing the dose of meal time insulin during the supper time. Do regular exercise after eating to prevent post prodigal high sugars. Good luck
