Dr. Sarah Hallberg on the dawn phenomenon

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Dr. Sarah Hallberg is a physician, board-certified lipidologist, Medical Director at Virta Health, Medical Director at the Indiana University Health Medical Weight Loss Program, and Executive Director at The Nutrition Coalition. She is the primary investigator on a recent clinical trial examining a technology-supported and medically-supervised ketogenic intervention that reverses type 2 diabetes and prediabetes.
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I thought this was just going to be a video confirming that yes, glucose levels are higher in the morning, which I've already observed for myself through testing and watching other vids, but you gave two very good reasons with actionable ideas that I haven't heard before. Thank you for your useful content!

yogameditationinsight
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I started taking one teaspoon ACV with my dinner of vegetables and chicken. My fasting sugar is coming down.

world-of-susan.
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From what I understand, everyone experiences dawn effect regardless of wether they have diabetes or not. Because our bodies produce cortisol, NE, and epinephrine (causing gluconeogenesis) in preparation for waking up.

jullietechonovember
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Very logical information, it is clear that lever is malfunctioning. I felt the same

ravicha
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I just got a constant glucose meter. I previously knew I was affected by dawn phenomenon, but I was really surprised by the degree.
Last night before bed I was at 103 mg/dl. It stayed around that level until around 5 am, when it started climbing. It peaked at 154, and is now down around 130 a few hours later. All I ate for the whole day before was 2 cans of tuna for lunch, then walked 11 miles for exercise. I was surprised by the size of the spike.

svracer
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Thanks for the info
When is the best time to take

Janumet
Gliclizide

Regards

suraprod
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Dr Bergs answer to this is first become keto adapted. As long as you're eating carbs...the liver is storing glucose....it dumps it as a meal at night when your sugars go low. So first step is be all keto. If that doesn't work which that works for most of the people then do adrenal you still have it after 90 days adrenal support ....do liver support. Almost all cases go away after this but most cases go away just with keto and fasting.

angelgirldebbiejo
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Another thing I wanted you all to discuss is what Jason Fung, in his book the diabetic code, says about Randle Cycle. When the body is in fat burning mode, it cannot handle glucose at all. So any ingested glucose would keep blood glucose up. So if your blood glucose rises when you eat some carbs while fasting or in Ketosis, though it appears to be insulin resistance, it is not what we think it is. It will be reversed when you eat more carbs and insulin goes up.

world-of-susan.
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I eat a plant based low carb diet and the more strict I got with my diet the higher my blood sugars would get in the morning. If I cheated and had a snack at night, my blood suger would be under 100 in the morning.

wildsmooth
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I really don't put a lot of concern in my numbers in cuz I believe a lot of it has to do with hormones and they can change without warning

MultiGoldie
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Thank You Dr. Sarah Hallberg. May you be treated well in Heaven!

jameskantor
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Sure appreciate all of Dr. Sarah’s works. May she rest peacefully and know she did great works for millions.

thiaco
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Curious. I'm a non diabetic, my last HbA1c a month ago was 5.1 Been on a keto diet for 8 months, BMI usually my BS always between 4.8 to 5.8 ave. HOWEVER in recent weeks I notice my BS being elevated to 6.1 in the morning, and will stay elevate for hours if and until I eat - when it then goes down. This is kind of the opposite of what supposed to happen. When I eat at lunch my fasting blood sugar will drop from 6.1 to 5.3 and remain around 5.5 all day long. I AM guessing that because of being in Ketosis for so long my body is not used to needing much Insulin production. (I eat very little carbs) - so when my BS raises in the morning there is a lesser amount of insulin around, and the liver isn't triggered...until I eat some protein and fat...then the insulin comes and lowers BS. IRONICALLY then to control my blood sugar to a lower level I need to eat first thing in the morning, and that seems to deal with it for most of the day....unless I don't eat again for a long time. Seems like the food is like metformin for me.

akanecortich
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I was able to get my diabetes under control on my own with no help from my doctors. I have given myself 3 A1c tests because I think they are more reliable. But I still stick my finger and get a reading on my glucose meter when I eat something questionable. Though my glucose is now in the safe range it isn't in the normal range either since my last A1c was 6.3 last check. My dawn phenomenon was quite high as well. But it is down most of the time except this morning when it was 132 mg/dL which isn't terrible but I don't even want it that high. But I didn't take my pill yesterday evening with milk and a little cream mix in. In my case it helps to drink a couple ounces of milk with just a little cream to help keep the Dawn Phenomenon down. I wish I can get free CGMs but I don't qualify.

PercentOS
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I think at some point they found the answer to everything, as to what happened next, was more surprising. Perhaps Golden Rose Ice Chic nail lacquer to fix Dawn syndrome?

ghirardellichocolate
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if i take a glucovance at 3 am i no longer have this issue. my question is, is this a safe medicine to take?

sharkair
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This happens with type one AND type two diabetes...

hellomandarkk
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So I was told when diagnosed with diabetes that fat was bad and that fat clogs the mechanism or locks that allow insulin into the cells and to metabolize for energy. Eat plant based avoid coconut oil. Use canola. Drink and eat soy based products to now I am practicing keto, fasting and extended fasts. eat fat, saturated fats the better butter eggs lard ect. So when you are  fasting and eating fats your insulin is low but sugar may surge while on a fast and keto diet??? So what is happening? Insulin is low glycogen being released and sugar stores from the muscles and now you have high blood sugar? I thought the point of insulin was to drive sugar down so if insulin is low and sugar is high isn't that bad? Does it influence your a1c? Do your red blood cells glygate? Or is it different than eating carbs, you raise sugar levels and higher insulin should drive sugar in the cells? I'm confused???

nicolastchikovani
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Stop eating all carbs. Even some vegetables are sugary. Carrots and beets for example.

tenminutetokyo
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Thank you for this wonderful video. God bless you. I have a query:
My Mother has diabetes for 23 years and as a result got peripheral neuropathy + urine infection since last 2 months. She is following vegetable diet now. Her glucose fasting is 275+ and post lunch is 162. What is possible solution for this situation

shreyaskonaje