Was he asking for any diagnosis Dave? I didn't see that question if he did.
What I DID see was him asking if anyone had any ideas about why hs fasting
level is higher than it is at any other time of the day, and any
recommendations on what to do about it.

Was your resonse which is fine, but don't you think he's got the
intelligence to have thought of that himself? I certainly do.

As for a reason why his BG MIGHT be higher in the morning, it could well be
that he's dropping low during the night and triggering a response from his
liver. Now it might not be that, but it's piss easy to check. All he has to
do is drink a glass of milk before bed and eat modicum of carb infested food
(a 10g of carb biscuit or a slice of bread) then see what the result is the
next morning. If he's got a normal BG, then he's also got his answer, and if
it's still high, then he's not, but he got SOMETHING other than a "see your
doctor". and he could do it BEFORE he could even get an appointment and
guess what, it won't kill him and it won't even HURT him.

Beav

Hi Michael

I'm glad to see that you got some answers on your questions from others
on this thread. By now you'll have read them and their references and
I'm sure you've got a fair idea of "dawn effect" and what questions to
pose to your doctor. You may also possibly have some non-medical diet
ideas that may assist you. If not, do a google search on "dawn effect"
in this ng and misc.health.diabetes.

Occasionally we get a poster who gets up-tight at the idea that people
may come to a newsgroup of a medical nature, such as this one, and
actually expect advice.

I'll repeat below something I posted recently as my opinion on that
aspect. I hope it helps you evaluate the responses you received.

Posted 19 Mar '04:

"I honestly don't care whether the source of the advice that helps me
beat this dragon comes from the my doctor, my dietician, the ADA, the
Australian DA, the collected experiences of the people here, or the back
of a cereal pack. Nor do I care if it's labelled ADA or Atkins, lo-carb
or high-carb.

First I read it, analyse it, and consider all the support and references
available to me at my level of comprehension. If it still appears to
have some merit and makes sense, I weigh the risks. If those risks are
medical, I ask the appropriate medical staff.  They may not support an
idea, but if they are unable to give me a valid medical reason not to
try something and that idea may assist in control, I'll try it.  

For example, both my doctor and dietician told me that testing more than
twice daily was obsessive and a waste of time and resources, but neither
would say it was medically dangerous. So I followed Jennifer's advice.

Any medical advice gained here or elsewhere on the net should be checked
with your medical advisers first. But to discard advice from people on
the cutting edge, simply because they do not hold medical
qualifications, is as stupid as disregarding an Olympic Gold Medallist's
coaching advice because he doesn't have a degree in Physical Education.
We are the ones out there on the arena.

This group of people is NOT representative of the vast majority of
diabetics. We are the ones who left the doctor's office looking for more
information, asking why and how rather than accepting instructions. We
are the ones using our bodies as the experiment, taking the risks. That
entitles us to pass on the results, good or bad.

Only time will tell if we will actually outlive the rest, or have a
better quality of life with less complications. I'm willing to bet my
life that we will. What you do is totally up to you."

Cheers Alan, T2, Australia.

not necessarily.  I used to jump all over the place with
bg's at night and I have the DP, big time.  snacking at
bedtime isn't a cure-all, believe you me.  Having said that,
it wouldn't hurt for him to try your suggestion.  Then, he
should make an appointment...

dave

At bedtime I take Ovaltine with skimmed milk.

It give a good sleep and does not increase my morning BS.

Works