Ep:319 DAWN PHENOMENON! - WHAT IS IT AND HOW TO FIX IT

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  • Опубліковано 11 вер 2023
  • DAWN PHENOMENON…..WHAT IS IT? IS IT A PROBLEM? HOW DO YOU FIX IT? Dr Cywes goes a little NERDY with his science but if you follow the discussion you will know much more than most of your doctors (unless you are one!). THE FIX SUGGESTIONS ARE AT THE END. Remember, ONLY YOU ARE IN CHARGE OF YOUR HEALTH. Please leave comments.
    Know the scientific truth about how your body works. Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below. #dawnphenomenon #dawneffect #cortisol #adrenaline #glucagon #insulin #metabolichealth #diabetes #obesity #starvation #ketosis #sugar #carbohydrate #carbs #lowcarb #fat
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    ROBERT CYWES M.D., PhD, ERIN SMITH PSYCHNP and SHERYL FOX RD ARE clinical PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. Our mission is to educate and treat CARBOHYDRATE ADDICTION in obesity, diabetes and metabolic syndrome. Replacing carbs with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using medications such as GLP-1 agonists and obesity surgery/devices to help people including those who have had bariatric surgery.
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КОМЕНТАРІ • 150

  • @loueckert4970
    @loueckert4970 9 місяців тому +62

    Morning is my favorite time for a walk. This morning I did 3 miles on the C&O towpath. 72 years old, lost 62 pounds in 9 months IF 18/6 and LCHF. Happy I found this channel. Thank you!!!

    • @AandC2206
      @AandC2206 9 місяців тому +1

      Wonderful!!!

    • @kevintaylor113
      @kevintaylor113 9 місяців тому +4

      Awesome! Now if that isn’t inspirational I don’t know what is going to get you up and going in the morning

    • @kathy32850
      @kathy32850 9 місяців тому +2

      Canal Fulton? Ohio?

    • @ChoosingToLive1
      @ChoosingToLive1 9 місяців тому

      Great job!!!!

    • @brendaandrandyking4126
      @brendaandrandyking4126 7 місяців тому

      Were you a type two diabetic

  • @AandC2206
    @AandC2206 9 місяців тому +46

    My husband and I love listening to Dr Cywes! He’s a CT surgeon and agrees with virtually everything Dr Cywes says!

    • @GaPeach2018
      @GaPeach2018 9 місяців тому

      What is a CT surgeon?

    • @LoveCarbsJourney
      @LoveCarbsJourney 9 місяців тому +3

      @@GaPeach2018 Might be cardio thoracic.

  • @vickiclark1998
    @vickiclark1998 9 місяців тому +35

    Absolutely 100% thank you for addressing night shift workers. I've been a night shift person for 25+ years.I work 12.5 hour shifts and sleep typically 6-7 hours without issues. Id love a cgm for management. I'm not diabetic, but I was headed down that road. I got a handle on that this year. I am a happy carnivore.

  • @user-ip9mw8yg9o
    @user-ip9mw8yg9o 9 місяців тому +9

    I borrowed one of my friends CGM for 14 days!!
    What a wake up I got…I learned so much, took it to bed, if I woke up checked BS. It would go down during the night, but started to rise before getting up… a lot.. as in today 121 , but then 2 coffees and a walk, in 2 hours is was at 90 ..
    I use to freak out in past when I just checked BS with the finger stick meter, when I would see high reading.. now have a total understanding of how my body operates, w help of the CGM..and this info from you Dr C.

  • @ChoosingToLive1
    @ChoosingToLive1 9 місяців тому +20

    Thank you for sharing this! This is the BEST explanation of what the dawn effect is, why it’s important, what role each of our hormones play, and what to do if our out-of-whack hormones are causing excessive and prolonged dawn effect. I took 3 pages of notes!
    My biggest take-aways:
    A) Excessive and prolonged dawn effect increases glucose higher and longer than what is intended for a healthy body. This counteracts keto efforts and increases inflammation.
    B) Six things we can do, no matter how healthy our hormones are at the moment, to reduce excessive, prolonged dawn effect.
    1. Reduce carbohydrates.
    2. Don’t eat excessive amounts of protein, especially at night.
    3. Reduce how much you eat at night.
    4. Don’t eat right away when you get up.
    5. Get a good night’s sleep.
    He does a great job explaining why the 5th through 8th hours of your sleep cycle are the most important. I’ve never heard it explained that way before.
    6. Do something active at night or early morning.

    • @hearthahn9134
      @hearthahn9134 5 місяців тому +2

      Your 6 points from your notes really helped me

    • @kebsriad
      @kebsriad 3 дні тому

      Good job bro

  • @Wyobrd
    @Wyobrd 9 місяців тому +16

    I figured out a "hack" for my morning glucose reading, which can be over 100. I wait and take my reading after a cold shower. Drops blood sugar like a rock for me- down into the 70's. I know it's just cheating and I need to get the waking number down but the cold shower is my Prozac and the lower blood sugar lasts for hours.

    • @robertcywes2966
      @robertcywes2966 9 місяців тому +2

      T1DM hack

    • @forester057
      @forester057 7 місяців тому +2

      Nice! Need to try that. Lower 100s isn’t actually bad. Your body would release insulin if it was harmful. It doesn’t. Be nice to have 80s in the morning though. Been very strict for over a year. Still over 100. Been at a low target weight stable for 6 months. Been trying mostly carnivore to see if that does anything. Lower but not significantly so far.

    • @hearthahn9134
      @hearthahn9134 5 місяців тому

      Is there something about a 'stuck' vagus nerve that keeps sugar and/or numbers high? My physical change/improvement has usually taken much longer than expected.

  • @babysonographer9891
    @babysonographer9891 13 годин тому

    This is the best explanation I have heard of the dawn effect. I have been intermittent fasting for many months now - I was 25 pounds overweight when I started - and as I am reaching my goal weight - wearing a cgm most of this time - I can’t seem to get rid of the dawn effect although my blood sugars are very good all day. I definitely have just that spike to the low one hundreds for just a couple of hours first time in in the morning - and then it drops back down into the low 90’s and 80’s. I thought this was indicative of something I was doing wrong.

  • @Cher1924
    @Cher1924 9 місяців тому +5

    I have had this dawn effect forever. Now as ketovore I have high bs in am and it lasts until 12 noon. I do not eat breakfast because it makes it worse. I eat lunch and balance out.

  • @angies5082
    @angies5082 9 місяців тому +3

    Love all your videos. Please keep them coming. Thanks!

  • @karenchason1117
    @karenchason1117 9 місяців тому +1

    Thank you! I will be calling

  • @heidibatchelor7115
    @heidibatchelor7115 9 місяців тому +3

    Thank you for sharing on this topic! You always make things so clear.

  • @sarajohn6855
    @sarajohn6855 9 місяців тому +2

    Brilliant! So clearly explained. Thank you

  • @renatehepher6368
    @renatehepher6368 9 місяців тому +2

    So appreciate your teaching, thank you, Dr. SYWES.

  • @enidcronin9704
    @enidcronin9704 9 місяців тому +9

    Every morning at 6am I go for a mile long walk with the neighbours dog which sets me up for the day. However after walking my blood glucose rises approx 10 points but then goes down after 2-3 hours. I have commented before about why I struggle to lose weight in the winter months (I live in the UK) and the nights are drawing in and it always starts in September and lasts until March. I heard that our bodies are daylight sensitive and as it gets dark we start producing melatonin which affects the whole fat burning hormones. So I have changed my eating window to earlier in the day and going to bed earlier. So far it's working but I have yet to get into the short days of winter. I do wonder how people in the far north manage with 6 months of darkness then 6 months of daylight. At the worse here where I live relatively south we get 8 hours daylight and 16 hours darkness. If this is true it probably explains why so many fail when they start their diet on January 1st

  • @_Solaris
    @_Solaris 9 місяців тому +3

    Wow. This video is gold, doc 👍

  • @KarenScott6
    @KarenScott6 9 місяців тому +9

    Thank you for addressing this subject, it's been bothering me because even if I eat my last meal at 6pm and do my blood sugar at 9am with zero intake of calories overnight, I still have a blood sugar of 5.8 to 6.3. I moved over to carnivore about 3 weeks ago so I am still in the early stages. The massively different views on protein intake doesn't help much. But I am going to give it 3 months and then see if my blood sugar comes down before I fret too much.

  • @adorableadornments1101
    @adorableadornments1101 9 місяців тому +1

    Thank you for helping me to understand this better.

  • @JenniferStormyWeather
    @JenniferStormyWeather 9 місяців тому +5

    Always awesome help and wisdom ❤

  • @kimmcnichols9650
    @kimmcnichols9650 9 місяців тому +1

    Thank you
    This is the best explanation I’ve seen ❤

  • @johnstark5254
    @johnstark5254 9 місяців тому +3

    Thank you Dr Cywes for helping so many ... you are a man of all seasons!

  • @DK-pr9ny
    @DK-pr9ny 9 місяців тому +2

    Great video thank you.

  • @lavidaesbuena1965
    @lavidaesbuena1965 5 місяців тому

    Great video, explained very clearly.

  • @leonitasmaximus4004
    @leonitasmaximus4004 5 днів тому

    I am a T2 diabetic. I have the dawn phenomenon. The challenge I see is that I am insulin resistant. So my frustration with it comes from the fact that I don't eat anything for 12-16 hours and might be sitting at 145-160 when I wake up.
    I tested my BS over a 24 hour period every 2 hours. I can see my BS goes down by 5 mg/dl per hour over the course of the day as I fast. 8:30 = 165, 9:30 = 160, 10:30 = 155, 11:30 = 150, 12:30 = 145, 1:30 = 140.... So on until I get down to around 100-115 mg/dl.
    I have also found that for some reason when I incorporate food to break my fast my BS actually goes down. So I have been trying to figure out how much food and where and if my fasting is causing the phenomenon because I live so close to ketosis with my diet.
    I don't eat processed foods, sugar, very little carbs, etc. Most of my food comes from veggies and protein. I eat < 10g carbs per day,

  • @julitaalbertramdhari4247
    @julitaalbertramdhari4247 3 місяці тому

    Awesome, thanks for the explanation now I understand clearly

  • @macoediv
    @macoediv 9 місяців тому +1

    Moving my breakfast back a few hours was the best thing.

  • @user-en5jk7ev1u
    @user-en5jk7ev1u 6 місяців тому

    amazing data

  • @herbalannie7707
    @herbalannie7707 9 місяців тому +3

    Thank you. This explains why my eating a big fatty steak for dinner with no carbs explains why my fasting # is like 120 instead of around 100 which I like.

  • @thomasbrennan1703
    @thomasbrennan1703 9 місяців тому +19

    I do value you videos. Just trying to learn their meanings and retain everything
    I pray you and doctor Ken berry are right about cholesterol. Earlier next year I should be able to afford a consult with you.
    After going off statins, doing the carnivore/ keto(primarily carnivore) for about 3 months my ldl did jump up to 190 from 49 and total cholesterol jumped up to 260 from 170
    Triglycerides 75
    Hdl 73.
    I don’t recall my insulin or blood sugar numbers but the doctor said they were ok
    I am going to repeat my blood work in December then March with my current doctor.
    Around the first quarter of next year I should be able to do a consultation with you. I just have to save up the money
    I really like my doctor of 22 years but he doesn’t seem open to looking you, ken berry and others in your group up.
    Hopefully the weigh keeps coming off. Down 35. 35 more to go
    Thanks for your videos

    • @jna9888
      @jna9888 9 місяців тому +5

      Yes, about 8 years ago my Dr said "You have a little touch of sugar, but nothing to worry about." I finally got my A1c and fasting glucose down after watching online Drs. I was heading to Diabetes.

    • @robertwood9984
      @robertwood9984 9 місяців тому +3

      ​@@jna9888👍, that's a shame we must doc ourselves, but that is our due diligence.

  • @ronananderson
    @ronananderson 9 місяців тому +3

    I watched a few of the docs videos from years ago. Wow he really looks healthier and younger now. Looks like the diet works.

  • @goldstar846
    @goldstar846 9 місяців тому +4

    I have looooong dawn effect. usually till early afternoon.
    I don't check it daily or even weekly. But I use it as a marker that I am still after 18 months keto and 60 pound weightloss still struggling with my insulin resistance. But I have checked recently and had ketones in the morning...so it is a work in progress. Humming along as Dr ROB SAYS ITS A LIFE CHANGE and I was happy to hear it can take 2 years because that means I still got positive things to look forward to 🙂

    • @KCCAT5
      @KCCAT5 6 місяців тому +2

      So glad to see that I'm not the only one whose numbers don't drop right away after waking up in the morning. My numbers won't change until about 90 minutes after I have had breakfast and some days breakfast isn't until 11:00 a.m. which means that my don't affect numbers will stay high until around 12:00 to 1:00. And I could not understand all this I'm still trying to figure out the science of all this and I love that Dr Cywes explains all this but I still have a lot to learn.

    • @hearthahn9134
      @hearthahn9134 5 місяців тому +1

      Me, too. I find it's helpful for me to praise God when I feel discouraged about slow progress in understanding or results. 🎉🎉🎉🎉🎉

  • @jayasree6823
    @jayasree6823 21 день тому

    Tnk u very much doc ❤

  • @jenn7047
    @jenn7047 2 місяці тому

    This is very interesting. I have also noticed that unsweetened coffee, black or with cream seems to cause an additional increase in glucose for me. Is that discussed in a video? I am planning to take a break from it for a while, move dinner earlier and walk in the morning per suggestions here, then see how my DE is going before trying it again.

  • @ellpeesmom
    @ellpeesmom 9 місяців тому +2

    Have lost around 80 pounds … would like to be 20 or so pounds even lesser … I’m a pescatarian … and a almond cracker lover (sorry, gotta have something … ) So I HAD been eating around 1130 in the morning. I went to the oncologist last week, she put be on Letrozole for recurrent Granulosa Cell Tumour. Her recommendation was for someone like me living with cancer to start eating green leafy vegetables as early in the day as I could, until as late into the day as I can. Sigh. So now I am eating zucchini slices or lettuce leaves with my coffee in the early a.m. Basically an anti-oxidant food infusion. Frustrating to “try” and do IF, & two meals a day to this BLD & snacks …. Oh, and I cycle around 30-40 kilometres a day & have been one legged for 8 years … from cancer no less .. then I watch your videos and it all makes good sense!! I recommend you to anyone that is struggling with weight & it’s implications.

  • @landerspolimis3690
    @landerspolimis3690 9 місяців тому

    I have subscribed to Dr Cywes YT channel, after all the sports physiology lectures I attended while studying to be a qualified personal trainer, it was never at this level, how is it that we are taught in nutritional modules that carbohydrates are our allies when participating in physical exercise and don’t debate it? Without offending Dr Cywes and the time he puts in on these quality videos/presentations, are his videos for healthy individuals or the overweight, or both?

  • @singit3630
    @singit3630 9 місяців тому +2

    All of this is of interest. I'm ketovore. A1C has gone from 5.6 to 5.1 to now 5.8. Bilirubin is 1.1. Guessing it's all related, pancreas liver and kidneys...think I need to quit playing and do carnivore straight 3 months then reassess the situation...

  • @rhonda.m
    @rhonda.m 9 місяців тому +1

    If i have current bloodwork do you have the different ranges for different countries. Im in Australia and they are different here.
    Also what is the time difference? Lol i will have to do a midnight consult . LOVE the work you do..honesty and non judgement. ❤

    • @robertcywes2966
      @robertcywes2966 9 місяців тому

      If I judge u then I'm judging myself

  • @craigfisher1062
    @craigfisher1062 9 місяців тому

    I completed an insulin response curve test over 3 hours after overnight fast 5pm to 10 am. My initial insulin was 24 at 10am. After a 100 ml shot of glucose it went to 50 and then dropped to 4. I have been a morning swimmer for 30 years 3-5km so possibly it’s an adaptation to heavy physical load.

  • @MicheleHappe
    @MicheleHappe Місяць тому

    I’m 73 female and carnivore. I am also an extreme lark. I wake up at 2 or 2;30 am and go to sleep by 6 pm. I have the dawn effect 109. I finally checked before bed and it was 83. Btw I love my schedule and meditate for an hour every morning and am in the pool swimming laps by 5 am. I start work (health coach) between 7 and 10.

  • @michellejf777
    @michellejf777 8 місяців тому +1

    Hello thank you for the information in this video! I’m in Australia and would greatly love to know what tests I should be asking my Dr for?
    My fasting sugar is high in the morning and takes up until the afternoon sometimes to reach a suitable reading.
    I’ve tried fasting but little success.
    Any help would be appreciated.

    • @KismetWLS
      @KismetWLS 6 місяців тому

      There's quite a few keto/carnivore doctors in Australia, check out the videos that have been released by the Low-Carb Down Under conferences and people like Dr Suresh Khirwadkar.

  • @ashleybryant305
    @ashleybryant305 8 місяців тому +1

    Hi Doc, my wife and I have a little girl (4) who's been diagnosed with type 1. We live in the UK and are firefighting against the NHS, who are negligent and ONLY encourage high levels of carbs. We both live and abide by a Keto lifestyle the majority of the time and would love to schedule in a consult with yourself. How can we go organise this please? 🙏🏽

  • @DIAMONDGIRL57
    @DIAMONDGIRL57 3 місяці тому +3

    Had a scare. Checked my blood sugar level early morning, and it was 231 😮after eating a half pint of cream the night before.
    Tested again the next morning (eat healthy during the day) and it was 90. ❤
    Certainly don’t want to be insulin resistant or diabetic and forced to take medication.
    A great warning for me to stop eating high carb high fat foods especially at night.

  • @lynnwilliams5432
    @lynnwilliams5432 9 місяців тому +3

    If you are 65 older get a bone scan Dexascan. I waited sure of my great numbers until I broke my femur stem and had to have an anterior hip replacement. Two weeks afterwards I had the Scan. I am a Carnivore for 6 years and I Fasted with Dr Boz 72 hrs each week plus I am 81 yrs old went in this accident in great shape could sprint did 9 miles out to do one more fell noticing trash picking it up. Fell on the hardest of concrete. Still on the cane but hopefully can throw it.

    • @forester057
      @forester057 7 місяців тому

      Wow God help you recover quickly! Boz is great. Little extreme with the fasting imo. Fasting is great but she doesn’t ever seem to have any surplus eating time. She fasts every week too. Gotta decide for yourself based on you’re on body reactions.

  • @user-en5jk7ev1u
    @user-en5jk7ev1u 6 місяців тому +1

    we need Cortisol more data pls

  • @kevintaylor113
    @kevintaylor113 9 місяців тому +3

    It’s truly all in our own behaviors, isn’t it?

  • @tonybennett638
    @tonybennett638 9 місяців тому +3

    I'm up every morning at 2.00 am and have breakfast around 5.00 low carb .. been this way for three years since I gave up after thirty six years of shift work.

    • @stepheneverhardt4731
      @stepheneverhardt4731 9 місяців тому

      What time you do you go to bed? I go to bed at 9PM and up around 3-4AM and eat an hour after I get of bed.

    • @cinystarr4657
      @cinystarr4657 9 місяців тому

      @@stepheneverhardt4731 I go to bed around 8pm and I'm usually up at 2am & wide awake enjoying my coffee. I eat a banana at about 4-5am. I don't do keto but apply some principles of it & I love carbs but deprive myself constantly

  • @anitaprzygocki9350
    @anitaprzygocki9350 6 місяців тому

    This is so complicated!

  • @aplusatlanta1
    @aplusatlanta1 6 місяців тому

    My question is if the Dawn phenomenon is happening when you’re taking your fasting glucose in the morning how do you know if it’s a healthy or pre-diabetic range. Is that still a true reading of your normal fasting glucose? Or has it been skewed?

  • @user-cu3xn4xj3i
    @user-cu3xn4xj3i 7 місяців тому

    Hi Dr. How do I find a doctor like you? What type of dr should look for. Thanks you❤

  • @pragmatic111
    @pragmatic111 2 місяці тому

    I had hyperthyroidism many years ago. Was told my choice was surgical removal or radioactive medication. Chose the later. Which has decreased in amount since going carnivore:). My question is i take synthroid at around 3 am when up to bathroom. Does that interupt my night cycle?

  • @gypsyswingsw111
    @gypsyswingsw111 3 місяці тому

    So exactky what is a too high reading for dawn issue . I eat snall early evening no carbs morning 125 reading. . numbers are required to know what is too high and what is acceptable

  • @Crimepaysaskapolitician
    @Crimepaysaskapolitician Місяць тому

    My question is ,is it necessary and can the dawn effect lead to diabetes over time?

  • @thewrightoknow
    @thewrightoknow 9 місяців тому +1

    I get up early and finish breakfast by 6 am and eat last a 12pm and don't eat till the rest of the day till next breakfast? I have lost 80lbs, am I doing Keto wrong? I live in the UK and I can only get the tests my DR or nurse says I can, I have no choice.

  • @XaqNautilus
    @XaqNautilus 9 місяців тому +1

    Thanks for your videos Dr. Cywes.
    Is it possible to counteract the dawn effect for more effective fasting? I like to eat breakfast as my 1 meal a day.

    • @robertcywes2966
      @robertcywes2966 9 місяців тому +2

      Eat when it suits u best. Ignore the internet BS advice on mealtimes. Just be consistent as u can

    • @Dr_Boult
      @Dr_Boult 7 місяців тому +1

      Multiple studies shows that an early eating window was actually better. You get to overlap the natural glucose dump of the dawn effect with your meal's effect then spend longer in a fasted state. Breakfast is only bad if you also do lunch and dinner.

  • @lynnwilliams5432
    @lynnwilliams5432 9 місяців тому +2

    My opinion is if you exercise resistance and step race early morning your dawn effect glucose is higher. Maybe test later?

    • @robertcywes2966
      @robertcywes2966 9 місяців тому +1

      Testing later doesn't fix the issue

  • @LuckySC2
    @LuckySC2 9 місяців тому +1

    Well, this confuses me more... regarding my husband, Steve, and his morning glucose problem. We already do all the things, have been very strict very low carb for 3.5 years. He's taking the Trulicity like you prescribed, but still having the early morning highs in the 130-140-150's.

    • @robertcywes2966
      @robertcywes2966 9 місяців тому

      He needs more... exercise in the am. See u in jax

  • @blsrulz
    @blsrulz 9 місяців тому +1

    Does cortisol lower BS in type 1 diabetics ??

  • @lilareed2320
    @lilareed2320 6 місяців тому +1

    Hello dr Cywes….is this dawn effect why i wake up (hot) in the middle of the night and then have fitful sleep afterward? Like my insulin is still to high (even though i stop eating by 5p)- and it drops BS down too low in the night, body panics- pumps out adrenaline and cortisol to wake me up to solve the low BS. But i thought the liver gives you the glucose when you need it….im confused….and tired! LOL

  • @bethpadilla8724
    @bethpadilla8724 7 місяців тому

    Dr Cywes,what is considered a high blood sugar in dawn phenomenon

  • @carlestridge423
    @carlestridge423 9 місяців тому

    How about omad. Workout 6 days aweek. Carnivore diet no sugar. Low carbs. 75 yrs old

  • @gins8781
    @gins8781 9 місяців тому

    7:43 I think what he meant to say is that if you’re not able to get the sugar (OUT) of the bloodstream and into the tissues, the Dawn Effect is greater and lasts longer.

  • @carmenochoa180
    @carmenochoa180 Місяць тому

    Thank you dr Robert. Im from Australia and im doing ketogenic diet for 10 years and started with dawn phenomenon about 3 months ago, also im doing fasting until lunch time and my lunch is bulletproof coffee, im eating very little for dinner. But during the day my dugar is okay. Please help me. 🙏 God blessing you for helping people. Regard Carmen. 👍

  • @Rebel-Rallycom
    @Rebel-Rallycom 9 місяців тому +2

    Thank you! Ive been trying to find this information for years! My cortisol and blood glucose is always high in morning - but A1C is always in 4 range and normal insulin- so very confusing… Im low carb and don’t binge- female- and have alot of muscle and low body fat % fluctuates around 20 - however I do have very low T3-T4 and now wondering if my adrenals are trying to do the work of my thyroid - and then glucose spikes and cortisol raises to offset glucose? Mornings are not fun for me! Would love to be a morning person…

  • @debeholland
    @debeholland 7 місяців тому

    Should you take your vitamins first thing in the morning or wait for a few hours later . . . does it matter?

  • @cindymccleister4010
    @cindymccleister4010 9 місяців тому +2

    Dr. Cywess, why did TSH go up at 4.96. T3 \T4 were not done, only TSH. I'm Keto for 2 months, 20 total carbs per day. LDL went from 99 to 181. Scary! HDL WENT FROM 76 TO 73. TG FROM 112 TO 144. I'm so worried I'm not doing keto right. i have been increasing fat but not 1 to 1. I do know I'm afraid of hitting large percentage of fat intake daily. But yet my numbers are up?
    Thank you Dr Cywes. I would like consultation with you soon.

    • @robertcywes2966
      @robertcywes2966 9 місяців тому

      See a metabolic health specialist like us

  • @janetmcburney4582
    @janetmcburney4582 9 місяців тому +2

    What is considered high BS. Mine is usually around 105 in the morning.

  • @Oceanman551
    @Oceanman551 4 місяці тому

    My bp goes up at this time. Is this caused by carbs?

  • @KCCAT5
    @KCCAT5 6 місяців тому

    I am a creature of habit. I pretty much eat everyday a carnivore diet I stop eating at a certain time I don't usually have snacks after dinner and I noticed that my numbers in the morning with the dawn effect can range anywhere from 100 to 130. And the thing that I noticed with that is the numbers will not change until after I eat and I have digested breakfast,abt 90 min postprandial. Now I wake up at 8:00 a.m. I don't normally eat breakfast until 10:00 or even 11:00 depending on what's going on the only thing I have when I wake up is some green tea with a little liquid Stevia and that's it. And I'm racking my brain to try and figure out why my numbers get so high in the morning.

  • @megan7985
    @megan7985 8 місяців тому

    I have 16 month old twins that wake up frequently during the night. Needless to say my sleep is extremely disrupted. I work extremely hard on my circadian health to at least make sure the sleep I do get is good sleep. I have a cgm and see zero dawn effect right now. If anything my sugar is low in the morning. When I was carnivore before pregnancy I had fasting sugar in the 90's. I'm curious to see if that changes as Im in ketosis longer. I'm only 2 weeks in.

    • @kenadams5504
      @kenadams5504 8 місяців тому +1

      I find my blood sugar and ketone levels are inversely proportional to each other .Generally , my blood sugars are higher on carnivore .

  • @barblacy619
    @barblacy619 9 місяців тому +1

    I’m wondering if for people in diabetic families (lost 6 relatives to DM2) if the Dawn Effect could be a trigger to empty my bladder and wake up…4 to 8am suspect because 4 is usually when I stir. Go to bed 10 pm. Less than20 grams of carbs per day my diet. Only sour pickles, sauerkraut and olives taper oxalate dumping are my veggies.
    Any one out there have any ideas??

  • @marileedereuck8515
    @marileedereuck8515 7 місяців тому

    Ketone IQ not available in South Africa.... Like many other things 😢

  • @nicksvisiontohear
    @nicksvisiontohear 3 місяці тому

    I wake early because of my media work. I found that my dawn effect went from 5.8mmol at 4:30am up to 6.8 within two hours, I'm a type two diabetic and carnivore. Is this normal range in racio for the dawn effect?

  • @kathrin9674
    @kathrin9674 8 місяців тому

    so... if I wake up with a blood glucose around 84 at let's say 5 o'clock in the morning, but my blood sugar rises up to 105 until 9 o'clock (no breakfast) and continues to climb up to 110 until 11 o'clock and then drops slowly it is NOT a dawn phenomenon? Can someone from y'all answer that to me, please?

  • @laurarozelle7246
    @laurarozelle7246 9 місяців тому +1

    Female age 70 on carnivore 1+ years. 5'6", 120lbs. Always slim, but had 6.0 a1c. A1c still 5.9. Terrible muscle aches, cramps and ingesting tons of magnesium, salt, etc. Am LMHR: LDL 220, HDL 113, TRGLY 42. Trying some potatoes and raw milk aroun 30 carbs day. Aches/cramps better. Hope lowers A1c. Would love to get stats to dr Cywes.

    • @jjperry3995
      @jjperry3995 8 місяців тому +1

      Don’t forget thiamine deficiency. Elliott Overton on YT will give you a place to start.

    • @laurarozelle7246
      @laurarozelle7246 8 місяців тому

      @@jjperry3995 Thank you! I'll ck him out.I 🙂

  • @noellaribeiro6520
    @noellaribeiro6520 9 місяців тому +1

    Good day Dr. Cywes!!
    If what you're saying that the dawn effect can be mitigated or played out by not having / avoiding breakfast in the morning then how do you explain the hunger that most people experience first thing in the morning.
    Is the hunger caused by low blood sugar or high blood sugar called the dawn effect.
    Kindly throw some light on the morning hunger factor in the morning upon waking? Is the blood sugar up or down when we experience hunger upon waking?
    And how does one go about addressing that morning hunger? Should we deny our biological need for food after a long night of fasted sleep upon waking?

    • @annaschonberger1525
      @annaschonberger1525 9 місяців тому +3

      Most people? I am never hungry in the morning as I wake up. Lunch is my big meal of the day, I don’t have dinner - sometimes a bit of cheese or olives for evening snack, or not. I get hungry in 3-4 hours after morning coffee if I don’t have breakfast before. Certainly not a “biological need” to eat first thing in the morning!

    • @barblacy619
      @barblacy619 9 місяців тому +3

      When I reduced my daily carbs to less than 20 grams a day and quit all fruits and vegetables to begin a carnivore elimination diet ( I wanted to lower my fasting insulin and see what foods caused my severe joint inflammation), the remaining food was fatty meat, butter, eggs and hard cheese. My morning hunger (when I ate plant based for 36 years i was always ravenous) disappeared.
      Fatty meat filled me up like nothing I’d eaten since I delivered my son (an attorney now).
      I was scared of intermittent fasting also called time restricted eating because as a child we were poor and had food scarcity. Now I have coffee with butter at 10am (awake at 6) and eat my meal between noon and 3 pm and I go to sleep about 10. I’m just not hungry!!
      Yesterday a 1/4 of an avocado caused severe joint pain in my right hand, just like I USED to have eating plant based.
      Spinach, kiwi, almonds and avocados very high in oxalates. They had created all the joint issues, or it was vegetable seed oils and grains. But when I reintroduced grains I got brain fog, anxiety and depression. I really think the oxalates were the inflammation issue.
      In a nut shell, try fatty meat, lots of eggs, bacon, beef and butter as a 90 day elimination diet. Reintroduce a food one at a time and be amazed at your return to issues (and lack of hunger!?)
      I hadn’t realized I was anxious and depressed until the reintroduction of those items, and I’m still experimenting- 2 years ago I went ketovore, lost the 40 pounds (back to high school weight) and effortlessly have kept it off. 2 years!!
      Dr Ken Berry is an excellent guide to the Proper Human Diet and has several playlists to get you started. Don’t under eat. Eat when hungry 2 or three meals NO SNACKS in a 6 to 8 hour feasting window and eat until comfortably stuffed. Morning hunger will magically disappear. I was pleasantly surprised.
      I will be praying that you don’t give up and keep educating yourself to find the healthiest diet to suit your lifestyle. God bless you.

    • @robertcywes2966
      @robertcywes2966 9 місяців тому +3

      Very few of my pts are hungry in the am...usually an emotional or carb hunger

  • @brendaandrandyking4126
    @brendaandrandyking4126 7 місяців тому

    I heard that griwth hormone wont happen much if your glucose is high or your insulin is high.....????? Is that true

  • @cptpapa
    @cptpapa 9 місяців тому +1

    Does a meal that does not spike blood sugar break or stop ketosis temporarily? Or stop autophagy? Thank you

  • @lucasdaniel4805
    @lucasdaniel4805 3 місяці тому

    My fasting insulin is 5.7
    C peptide is 0.25
    But....fasting glucose 110-130
    HbA1c 5.7
    What can be the reason?
    I did keto, carnivore for years but nothing helps.
    HDL 54
    Triglycerides 57
    ALT 25
    AST 16

  • @marktapley7571
    @marktapley7571 9 місяців тому +1

    18 minutes and not a word about long term glucose storage as glycogen by the liver.. As blood sugar drops through the night, glycogen will dump into the bloodstream, temporarily raising glucose in the morning. Everyone needs to keep the eating window at about 11 hours, then nothing but water till you start again in the morning. No snacking. Protein is hardly ever a problem because people do not tend to overeat protein (like carbs) and it does not generate near as much glucose as carbs.

    • @robertcywes2966
      @robertcywes2966 9 місяців тому

      Liver cycles glycogen continuously.. se tag studies

  • @vladonweb1
    @vladonweb1 Місяць тому

    One thing I learned for sure. You can not trust anyone. Some doctors are telling you, you have to have breakfast. Some doctors are telling you that's the Dumbest think to do to have breakfast. If doctors knew what they're doing, they would leave 120 years. Average doctors in the United States die in the age of 65. What the hell?

  • @ryanmcevoy5075
    @ryanmcevoy5075 7 місяців тому

    My problem is flying to South Africa from England 😂

  • @6140LIBRA
    @6140LIBRA 9 місяців тому +1

    I've heard others say take advantage of the dawn effect by eating in morning and not raising your blood sugar later again.

    • @kimantonell2123
      @kimantonell2123 2 місяці тому +1

      Yes Dr Boz recommends this.

    • @6140LIBRA
      @6140LIBRA 2 місяці тому

      @@kimantonell2123 I didn't want to be disrespectful😀

  • @vjy21ctra
    @vjy21ctra 7 місяців тому

    Does a regular dawn phenomenon affect hba1c in the long run?

    • @forester057
      @forester057 7 місяців тому +1

      Yes it does. It averages in just like having a pile of pancakes (ok not that high). It’s what keeps my A1C 5.4. Would love to get rid of the dawn effect for sure.

  • @StrongBodyandMind33
    @StrongBodyandMind33 2 місяці тому

    So basically those of us who are in construction are fucked because we always wake up way earlier than the average Joe

  • @TheShaggy1966
    @TheShaggy1966 4 місяці тому

    I’m nobody’s expert and not a doctor but my experience doesn’t match well enough to the equations expressed here to really know what to think. I’m T2D and have this dawn effect as it’s fairly variable. T2D meds Metformin and Glipazide have little to no effect.
    For the past 6 weeks with only a couple exceptions I’ve eaten 1 meal per day, almost zero carbs. Add to that several 48-60hr fasts. Zero snacking only coffee (80% decaf) and little fat, and a couple electrolyte salt drinks (zero carbs and no aminos). Gym 5-6 times per week with weight training and some occasional running sprints. Zero alcohol. I look quite fit, thin, and strong to typical observer but have NAFL, average fasting glucose over 180. If I literally eat nothing for 2.5 days and only have limited liquids and still work out my glucose is still never ever below 115 and typically 135-145.
    Today I nearly collapsed from effects of dawn phenomenon; clearly I had a massive spike of adrenaline and glucose shot to 230. It’s been hours recovering from what feels like 10 servings of caffeine and B12.
    No matter what I try I can’t seem to improve this dawn phenomenon. 😡

  • @Savanahrose1956
    @Savanahrose1956 9 місяців тому +1

    I'm 67. Been on carnivore 6 weeks. Have not lost any weight. Not eating carbs at all. Just ribeye at night. Couple of hard boiled egss at 2 pm. I was diagnosed at 18 with under active thyroid. Can't take the meds . Screws up my heart beat. Is there a natural suppliment I could take to help the thyroid so I can lose the 80 lbs I need to take? I have reversed diabetes. As well as other medical conditions but the weight is still there.

    • @Rebel-Rallycom
      @Rebel-Rallycom 9 місяців тому +1

      I would watch Dr Bright- she specializes in women and thyroid- I would guess you are under eating and not eating enough fat so your body has completely slowed down your metabolism to protect itself! Good luck!

    • @eshea3621
      @eshea3621 9 місяців тому

      When you say you can't take thyroid meds what exactly have you tried? Generic T4 - levothyroxine? Be aware generics are not all equal & often not equal to brand names. Manuf are allowed to vary the so called " inert" ingredients that are not really inert they can affect how T4 is absorbed. Also you can be allergic to them. A generic nearly killed my mom one time while she took brand name for decades without problem. Generic 4 me meant increase dose every 12-18 mo when already at high doses thus at risk of heart problems. Synthroid keeps me at stable dose for decades.
      Also have they tried T3 or T2 with you.
      Do you realize that there are certain foods/ supplements that can enhance or inhibit thyroid function?
      Selenium used judiciously can help. Be aware of dosage limit.
      Old timers remedy - add kelp.
      I have never used iodine but some swear by it but it's another area you really have to do your homework on.
      Make sure taking thyroid meds by themselves. Early morning best time. I keep by my bedside. Good luck.

  • @vince1229
    @vince1229 9 місяців тому +10

    I was very low carb for four years. All sorts of heart arrythmias and other anomalies. Couldn't sleep. In January I started waking up at 2am with a thumping fast heart rate. After six months of this I introduced 4 slices (42 gms carbs) of bread per day and overnight all cardiac and sleep issues vanished. Not electrolyes. So the theory that carbs are not necessary for humans as proposed by Prof. Bart and Dr. Paul Mason may not be accurate for many people.

    • @_Solaris
      @_Solaris 9 місяців тому +6

      I wouldn't minimize or dismiss your experience (never!), and I despise the phrase, "you just weren't doing it right". I know we're all different.
      I wonder, in the spirit of inquiry, if a ketogenic diet relatively or _very_ high in fat could cause a metabolic physical stress/anxiety in some bodies.
      Maybe a higher protein ratio relative to fat could produce more blood sugar via gluconeogenesis, thereby reducing this metabolic stress some experience, eliminating the need for carbohydrate consumption.
      I have _no_ idea if this is valid 😄 -just a thought.

    • @qfvb98
      @qfvb98 9 місяців тому +2

      Same thing happened to me. Brought back carbs in the form of fruit like Dr. Saladino and Georgi Dinkof suggested. It took 3 or so weeks but my sleep eventually recovered.

    • @taradodson8097
      @taradodson8097 9 місяців тому +2

      ​@@_SolarisI'm actually experimenting with the higher protein now. I've been carnivore for a couple years, started doing higher fat but then started having headaches. My theory is that glucose goes down too much (I get headaches when the dawn effect is supposed to occur. Anyone have thoughts about this? I didn't get the headaches when I first started carnivore, so I'm led to believe protien is too low.

    • @_Solaris
      @_Solaris 9 місяців тому +4

      @taradodson8097 sounds reasonable. Maybe some really have to watch macros and dial them in and others just eat meat & fat to taste.
      I might be lucky in that I don't need to overthink it and just eat whatever in context of carnivore.
      One thing I'm pretty sure of is that everyone is different. Biological systems are so complex that it's hard to believe there is a one-size-fits-all.

    • @ekondigg6751
      @ekondigg6751 9 місяців тому

      @@qfvb98 I'm a bit wary of Dr Saladino nowadays. He looked at a study from the '40s on 100 people on a white rice only diet. I've only been able to look at an abstract as, even today, the study is behind a pay wall, but of the 100 people taking part, 9 died. The study involved telling the participants to eat the white rice diet and were sent home - so nobody knows how compliant the participants were. Also, they took part in very variable times, from 2 months to 11 years. This setup is not going to be conducive to meaningful results, yet based on this, Saladino is telling us to eat at least 100g of carbs, while he eats 200g or even 300g of carbs. That's the amount you would typically eat on a SAD diet. So he's now effectively eating SAD. By the way, Asians have not been eating white rice for centuries, it was only for the rich, in small quantities until the industrial revolution allowed it. Then, a previously unknown disease broke out in epidemic proportions: Kwashiorkor. A disease of malnutrition caused by eating the white rice because it's a nutritional desert. The participant in the study who lasted 11 years was clearly non-compliant, otherwise they would not have survived for so long.

  • @blsrulz
    @blsrulz 9 місяців тому +1

    Are you in the states??

    • @robertcywes2966
      @robertcywes2966 9 місяців тому +1

      Yes

    • @blsrulz
      @blsrulz 9 місяців тому

      @@robertcywes2966 ok great, I'm a type 1 diabetic 36yrs @17 next week as a matter of fact. Looking to talk about the carnivore diet to even better control my diabetes, A1C 4.7 as of last week on a basically heavy meat/fruit diet. Where are you located? Internet saying Jacksonville FL?? I'm in Ocala FL.

  • @teresamcnulty8471
    @teresamcnulty8471 4 місяці тому

    Really? Any real ideas how to turn off those three traitorous hormones that force my fasting glucose to rise up into the 200's by noon when I'm supposed to have a keto meal? And doesn't really go down enough until evening?

  • @RiteOn
    @RiteOn 9 місяців тому +1

    The phenomenon, is not in need of fix. The title is misleading. unfortunate.

    • @Gail-gf7km
      @Gail-gf7km 7 місяців тому

      That depends on how extreme the dawn effect is. Mine is pretty drastic. From 96 to 184 in 20 minutes.

    • @RiteOn
      @RiteOn 7 місяців тому

      @@Gail-gf7km Your level is in need of fix but the dawn effect is a natural process that does not need fixing. It's easy to fix your level. Quit supplying your body with glucose . . . it was never needed and is causing harm. Your body makes all the glucose needed . . . trust that.