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    • 10 hours, 47 minutes ago
      TEH likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      People keep sending me articles with headlines that suggest stem cell transplants “cure” diabetes. However, as mentioned above, a lifetime on immunosuppressive drugs carries its own risks that are probably worse than the risks of well-controlled diabetes. They’ll figure out a way to hide these engineered beta cells from our immune systems someday. I might be willing to call it a “cure” when that happens, although I’ll probably to too old to benefit by then.
    • 10 hours, 47 minutes ago
      TEH likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      I am aware that cell therapies are being researched. This may be a panacea in the future. But, for me, red flags are waving. There are many possible dangers with these experiments. I only have this one life. There are no do-overs if something goes wrong, or if there are side effects. So, I tread carefully. Even with all the health issue that I have, I enjoy the one life that I have.
    • 12 hours, 29 minutes ago
      Janis Senungetuk likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 13 hours, 38 minutes ago
      Amanda Barras likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 13 hours, 47 minutes ago
      René Wagner likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      I decided not to have kids when I was young enough to do so. I was too worried I may pass it to them, or their children.
    • 14 hours, 35 minutes ago
      Marty likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 16 hours, 32 minutes ago
      Lawrence S. likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 16 hours, 32 minutes ago
      Lawrence S. likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      I follow diabetic research rather meticulously. Most advancements are top-notch. But please take note of the risks and warnings. My spouse, on an entirely different issue (lower lumbar pain) injected umbilical stem cells one ago and has had intense headaches ever since.
    • 17 hours, 12 minutes ago
      KCR likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 17 hours, 46 minutes ago
      mojoseje likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 18 hours, 1 minute ago
      Gary R. likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 1 day, 11 hours ago
      Amanda Barras likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      I had two healthy pregnancies. The only issues were low blood sugars and my babies being born early other than that they are 38 and 35 years old, healthy children.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I use them all. I use an app when I’m eating out. I use labels when at home. If not on the app I estimate.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I generally do a very rough guess of carbs and correct if needed by adding more insulin for an also rough guess for effect of fat and protein later. My alert is set at 130 to remind me so I don’t get too high. I watch arrows a lot. I have had individual sensors lately that are not accurate. This can throw me off, where the sensor reading will be going up fast at say 180 and I will test my blood and it is 130. Sometimes I will have already corrected for the 180. This can cause a very rough day having to feed the insulin. I am hoping sensors will continue to get more accurate. So much depends on it especially with the algorithm. I usually don’t wait for my algorithm to correct because it will let my bg get too high. I know I’m supposed to let the algorithm do its thing but my goals are more strict. I am on G7 and Omnipod 5. I would like to be able to set my target at 100.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I should have clicked the fourth option. I use the labels if available. If not, I estimate.
    • 1 day, 16 hours ago
      atr likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      We knew the risk was 50%. My wife miscarried 4x. We ended up with three great sons, only 1 has T1D. His eldest daughter (of 2) also has T1D.
    • 1 day, 16 hours ago
      atr likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      47 years ago i had my pregnancies and didnt hear about her carrying T1D antibodies but i did have concerns about my child having diabetes. When she was about 12 there was a study to see her chance of developing diabetes ,this blood test was negative. 2 of my grandchildren have been tested and were negative . At the time of my pregnancies i had diabetes for 10 years
    • 2 days, 5 hours ago
      Watertail likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      oh and this one...... when I see a new doctor they say... "let's get some blood work to see if you have diabetes" and I ask them... did you even read my intake forms that say I have had T1 D for over 40 years? ughhhhhh
    • 2 days, 5 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I use the nutrition labels as a starting point. For home made foods or for restaurant meals, my wife who was a nutritionist, helps come up with a carb estimate. Then there are times that I just have to take a wild ass guess. I have collected a list of over a hundred common foods that I eat and I keep that keep that list in a notes app on my phone right next to my T-slim app. I often check the nutrition labels for things on my list to see if the recommended carb levels for that item have changed. Then I adjust my list as needed. I also check my BG response to listed carbs I eat. I have adjusted some items over time. So, I would call this approach a hybrid. As Daniel Bestvater notes above, we are only controlling one item out of 6. Your mileage may vary.
    • 2 days, 5 hours ago
      Watertail likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      Not really trigger words as much as not understanding or even aware of the difference between Type 1 and Type 2.
    • 2 days, 5 hours ago
      Watertail likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      And it's especially frustrating when HCP's ask about "checking your sugars? Be a professional dammit, ask about my "blood glucose"
    • 2 days, 5 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I count carbs, acc. To Mabel if I have, look up nutrition for items, and estimate if needed. Used to always cook myself till this yr, now in apt where food is provided, so now looking up a lot to estimate. Going pretty well
    • 2 days, 5 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      Years ago I used to calculate out carbs with a scale & book. Then I realized it didn’t seem to make a huge difference. I had many discussions with an endocrinologist friend about this topic and we both found that highly accurate carb counting didn’t seem to make much difference. As long as you are in the ballpark. I think we need to realize the pancreas produces at least 6 BG regulator hormones and we are only injecting one, insulin. So we need to do our best but not stress over it. This is at least why 2 identical meals can result in two different BG levels.
    • 2 days, 5 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      It depends on the situation. At home I calculate carbohydrate with my scale. At restaurants it depends on if they have nutritional information available. If they don't have it, I estimate. The same with eating with other people's houses even while using my scale.
    • 2 days, 8 hours ago
      AmyM likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      If I have a label I use it. Mostly I guesstimate then use the info the next time I eat the same meal. I am a big eater with no weight problem. When I go out, usually 2-3 times per week, I have to put in 90 grams of carbs, then add if not enough because I will go low before I go high. The other times, when eating at home, I eat less. Exercise is key. I just got back from 3 trips in 6 weeks. To Sicily, Boothbay Harbor, Maine, and to visit family in Baltimore. Only in Baltimore did I have issues with BG, because I wasn’t walking as much, although I did walk 1.5 miles most days. A1C when got home was 6.3. Time in range about 75%, down from usual 85%. I’ll take that. Not traveling for another year probably and will get back on track.
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    Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)?

    Home > LC Polls > Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)?
    Previous

    If you have a school-aged child with T1D, do you make any changes to their T1D care routine when they go on summer break? Share how you adjust to a summer schedule in the comments!

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    If you have attended a wedding while wearing T1D devices, do you try to place your pump and/or sensor sites somewhere not visible?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    40 Comments

    1. Jana Wardian

      I always take 10 grams of “ghost carbs” when I wake up to help even out the feet on the floor syndrome as I call it.

      4 years ago Log in to Reply
      1. Jeannie Hickey

        So agree, most women call it “feet on the floor” I’ve heard med call it “after shower” rise!

        4 years ago Log in to Reply
      2. Annie Wall

        My “dawn phenomenon” is like yours. My blood sugar seems to rise from a fairly normal place as soon as I get up so I have to bolus something, maybe 1-2 units.

        4 years ago Log in to Reply
      3. Stephen Woodward

        This is feet on the floor not DP, which only happens in your sleep cycle.

        4 years ago Log in to Reply
    2. Jose Almodovar

      Prior to Control-IQ it was a daily ritual. Now I’m wake up about 90-110.

      1
      4 years ago Log in to Reply
    3. Retired and glad

      I raise my basal a couple of o
      Points starting at 3 am each day to counteract it.

      4 years ago Log in to Reply
    4. Sahran Holiday

      Yes. Endocrinologist thought it was rebound til I figured out was my NPH running out. Put me on ultralente helped. Now 16 years on Omnipod just program higher basal starting 3:00 am

      1
      4 years ago Log in to Reply
    5. Jeannie Hickey

      Always, starts about 4a. THEN a rise again soon after I get up – 5a, or 6, or 7. Within 45 min I’ve gone up 50-60 points. Loop covers it well, but the other 2 pumps require 15g “fake”carb bolus.

      1
      4 years ago Log in to Reply
    6. Gerald Oefelein

      I do but my pump increases basal to compensate.

      4 years ago Log in to Reply
    7. Tray Geiger

      I actually experience the complete opposite–a huge drop starting around 4-5 AM. My basal is the lowest of the day during those hours, by far. I don’t understand it!

      4 years ago Log in to Reply
    8. connie ker

      Lots of mornings, I take humalog and just wait for the numbers to come down before eating anything but do drink some coffee while I wait. This is realtively new but since I watch on a cgm, I can see the numbers whenever, wherever. If I take more Lantus, it may increase the chances of lows during the night, but might increase by a unit to see if that doesn’t help the pre dawn syndrome.

      4 years ago Log in to Reply
    9. Laura Siner

      Yes but TSlim sleep mode adjusts for it

      1
      4 years ago Log in to Reply
    10. Beth Franz

      No – strangely enough. I usually bottom out around 1 – 2am and very very slowly rise. I do have feet on the floor bump of 20 points the second I get out of bed.

      4 years ago Log in to Reply
    11. Shannon Barnaby

      Yes always but because of that I have my basal set higher for that time of day.

      2
      4 years ago Log in to Reply
    12. Eve Rabbiner

      I thought I did when I was on Medtronic’s automated system. Now I am living unlinked and can control my basal myself and I’m steady all morning.

      4 years ago Log in to Reply
    13. Tod Herman

      Yes, I find it occurring almost every day. So much so that I am surprised that this question says it’s “abnormal!”

      4 years ago Log in to Reply
      1. Robert Brooks

        I would agree. Circadian hormonal variation that affects blood glucose levels in normal. For clarification, if you mitigate the dawn rise by increasing basal insulin delivery, you still have the dawn phenomenon.

        4 years ago Log in to Reply
    14. kristina blake

      I used to, while on MDI. First thing we tried was splitting my Lantus dose. That helped somewhat, but once I got my pirst pump (pre-CGN days) and saw that I could vary the basal setting by time of day, it basically doesn’t happen all that often. My CGM data shows me when I should start the very early morning increase in basal since insulin can take some time to do its job. I do rise due to my first cup of coffee (black – no additives) so I bolus for 6 grams and that handles it.

      4 years ago Log in to Reply
    15. Patricia Dalrymple

      No, unless you want to count being carb-bad the night before.

      4 years ago Log in to Reply
    16. Carol Meares

      I have adjusted my basal to reflect and adjust for dawn phenomena and I have to be careful about my morning foods as my insulin needs are higher in the morning for food eaten.

      4 years ago Log in to Reply
    17. Becky Hertz

      I probably have, but now no since I’m on a pump. However my early morning basal (3-5 am) is not significantly different than those around it.

      4 years ago Log in to Reply
    18. Christina Trudo

      I did for a great many years, but haven’t for the last 15 or 20. (I’m 70)

      4 years ago Log in to Reply
    19. Lisa Moir

      Since being on a pump/CGM, I don’t experience dawn phenomenon any more, but I need to be careful with morning exercise because of the increased insulin I get from 3-5 AM. I drop pretty quickly if I don’t eat a snack.

      4 years ago Log in to Reply
    20. George Lovelace

      The Dexcom G6 and Tandem w/CIQ have finally eliminated that problem

      1
      4 years ago Log in to Reply
    21. Janis Senungetuk

      Yes. Since starting Control-IQ that hasn’t been an issue.

      1
      4 years ago Log in to Reply
    22. George O Hamilton

      My BG almost always rises. So I have the basal rate on my pump to increase beginning at 5:30 AM. The effect is that my morning BG usually stays stable until whatever time I choose to eat breakfast and take the mealtime bolus.

      4 years ago Log in to Reply
    23. ConnieT1D62

      I used to but not anymore with Tandem Control IQ. Without Dexcom G6 and CIQ, most likely I would still be experiencing dawn phenomenon.

      1
      4 years ago Log in to Reply
    24. Ahh Life

      Feet on the floor,

      Watch the BG soar!

      The control IQ keeps me flatline from about 2200 hours to 0530 hours. Then the fun begins. I have been advised NOT to cover it with basal but to use corrective doses. Between the growth hormone factors and the gastroparesis random number generator factors, I am having an exciting every-day-is-new-on-the-roller-coaster experience. Ain’t life fun? 🙈 ⚠

      4 years ago Log in to Reply
      1. Stephen Woodward

        This is not DP, which only occurs during sleep. You are describing feet on the floor and are doing what I do if this happens.

        4 years ago Log in to Reply
    25. Kathleen Amper

      I use to have a pretty severe one but then menopause hit and now it’s not so bad.

      4 years ago Log in to Reply
    26. Donna Condi

      I have my basal set higher to cover it so since being on Tandem it is not an issue. If I don’t do much or eat breakfast I can straight line up to 12:00 noon before it starts to come down.

      4 years ago Log in to Reply
    27. Grey Gray

      MM automode compensates.

      1
      4 years ago Log in to Reply
    28. Stephen Woodward

      This is a very poorly written question as can be seen by the comments. DP happens only while sleeping and that should have been in the question to eliminate the “feet on the floor” syndrome which only happens after you wake.

      1
      4 years ago Log in to Reply
    29. Stephen Woodward

      Dawn Phenomenon

      https://www.diabetesdaily.com/learn-about-diabetes/understanding-blood-sugars/is-my-blood-sugar-normal/high-blood-sugar-hyperglycemia/fixing-high-morning-blood-sugars-dawn-phenomenon/

      https://beyondtype1.org/dawn-phenomenon/

      4 years ago Log in to Reply
    30. Daniel Smith

      Yes, dawn phenomenon is pretty constant and I have it programmed into basal. As others are mentioning foot on the floor can be a real pain to deal with.

      4 years ago Log in to Reply
    31. Molly Jones

      After reading comments, it looks like mine is not dawn phenomenon. It is always when I awake.

      4 years ago Log in to Reply
    32. Cheryl Seibert

      Since starting on a CGM in 2012, I’ve had a very quick, severe morning rise 5am-6am timeframe (I’m a morning person, so no surprise). I also have a natural rise at 11am and 10pm for some reason. I’m currently 90-93% in range so my endo is happy with the short-term(30-60 min) rise in the morning. I plummet soon after… prebolusing, basal corrections, carb ratio adjustments make no difference. The only thing that eliminates it is a hot shower immediately after eating or getting up and moving around, as opposed to sitting and reading the paper 🙁

      4 years ago Log in to Reply
    33. n6jax@scinternet.net

      I am the reverse !! I wake up because of a LOW BG… I have a snackThen I go back to bed for a few hours more.

      4 years ago Log in to Reply
    34. Jamie W

      It’s really hard to tell, because there are so many things that could make my blood sugar rise at any time.

      4 years ago Log in to Reply
    35. T1D5/1971

      That’s what the higher early morning basal rate is programmed for. Correct basal rate means no hyperglycemia.

      4 years ago Log in to Reply

    Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)? Cancel reply

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