Re: Fasting Glucose and the Dawn Phenomenon
Hi Coding. First off, you lab result of 123 was not "ok". It was in the pre-diabetes range. Since you are testing, I would also check what your 2 hour post meal reading is - this will give you a good idea of how you might want to adjust your diet (as fasting levels are often the last to go).
Yes, the dawn phenomenon does happen to all people. It is only people with a glucose impairment that will see an actual rise in blood sugar. If you don't have this problem, then your fasting will still be below 100.
Your a1c is good, but that isn't always the whole story and it indicates a good average, but doesn't indicate how high you are spiking after meals.
As for the meter - the industry standard is +/- 20%. So if your actual glucose is 100, the meter could read anywhere from 80 to 100. The only way to know for sure is to take your meter to the lab and compare it to the lab value (not the meter in the docs office as you don't know how accurate that one is either).
So this should be your plan of attack. Occasionally check 2 hours after meals. There is an expression that goes "eat to your meter". You will see which foods spike you. Up your exercise, avoid white foods (rice, potato, white bread, pasta), and then take your meter to the lab with you and test when they draw the blood so you will see how accurate your meter is.
Sorry I can't tell you any specifics about diagnosis, but at least this way you will be prepared for the labs in October and have some idea before hand what is going on.
Keep us posted.
Dxd T1 1966, 2001 dialysis, 2002 kidney transplant, 2003 insulin pump, 2008 pancreas transplant