Sigh. I'd consider 146 good in the morning.

I was running in the 170's to 180's in the morning, then I thought about my meds. They told me to take them with meals, which meant that the time between my dinner and my breakfast was often about 16 hours. It was just too long.

So I changed the interval, and started taking them 12 hours apart. Now I am back down to 140's and 150's in the morning.

Caveat: your experience WILL vary -- talk to your dr before you do anything, and a lot will depend on your mix of drugs. This definitely does NOT apply to you if you are on insulin.

I have heard of the dawn effect, but have not really seen it personally.

I'm still struggling to get the "Dawn Effect" to go away, but I have heard/seen others who have had luck with some light exercise about 30 mins before bed. (Light exercise being a slow walk for about 10 - 15 mins, or the stationary bike real slow, or even just some stretching/yoga.)

Others have had to attack the problem through a light snack right before bed. Some have managed with a small carb snack (like some carrots), others have had to rely strictly on protein snacks (like a piece of string cheese).

And, some have found the total opposite to be true - don't eat after a certain time.

You may have to experiment and find out which method works for you. I wish you much better luck than I have had in finding your solution. So far, I haven't hit on anything that works. But, I'm not giving up. I firmly believe, where there is a will there IS a way!