Is Your Fasting Blood Sugar High Every Morning?
I recently had an issue where no matter what I did, my fasting blood sugar levels were always high every morning. They were in the range of between 12 mmol/L to 16 mmol/L. At first I chalked it up to overdoing it around the holiday season. Eating way more carbs than usual, especially late at night and very close to bedtime. I figured that I was off with my bolus for the meals I ate at night. However, after I cut out the extra carbs and still got high readings in the morning, I knew something was off. I realized that every morning religiously, I would wake up between 3 am and 4 am with a high blood sugar. Unfortunately if my blood sugar is above 8 mmol/L I cannot sleep. This problem prevented me from getting good quality sleep. I would often have to correct and monitor before I could go back to bed. I started to analyze my diet and my habits to see where I was going wrong. If you are experiencing a similar issue you can start with the below recommendations. Things to rule out as causes of high fasting blood sugar levels. The main concern is having a high fasting blood sugar for more than 4 or 5 days consecutively. The first step is to eliminate all of the below issues as being the culprit. Sometimes we overlook the simplest or most obvious things. 1. Not taking enough meal time insulin This is the first thing to look into. Make sure that you correctly determine the number of carbohydrates in your last meal of the day and take the insulin to suit. Be sure to also look out for sources of hidden carbs as well. Our bodies react to food and insulin differently at different times of the day. Many individuals including myself have a different carb to insulin ratio at night. I normally have to take a bit more insulin at night especially if the meal is high in carbohydrates(50 gr Continue reading >>
Why Is My Blood Sugar High In The Morning?
That early morning jump in your blood sugar? It's called the dawn phenomenon or the dawn effect. It usually happens between 2 and 8 a.m. But why? Generally, the normal hormonal changes your body makes in the morning will boost your blood sugar, whether you have diabetes or not. If you don't, your body just makes more insulin to balance everything out. You don't even notice that it's happening. But if you have diabetes, it's different. Since your body doesn't respond to insulin the same as most, your fasting blood sugar reading can go up, even if you follow a strict diet. The boost in sugar is your body's way of making sure you have enough energy to get up and start the day. If you have diabetes, your body may not have enough insulin to counteract these hormones. That disrupts the delicate balance that you work so hard to keep, and your sugar readings can be too high by morning. The effects of the dawn phenomenon can vary from person to person, even from day to day. Some researchers believe the natural overnight release of what are called counter-regulatory hormones -- like growth hormones, cortisol, glucagon and epinephrine -- makes your insulin resistance stronger. This will make your blood sugar go up. You may also have high blood sugar in the morning because: You didn't have enough insulin the night before. You took too much or too little medicine. You ate the wrong snack before bedtime. If the dawn phenomenon affects you, try to: Eat dinner earlier in the evening. Do something active after dinner, like going for a walk. Check with your health care provider about the medicine you’re taking. Eat breakfast. It helps bring your blood sugar back to normal, which tells your body that it's time to rein in the anti-insulin hormones. Eat a snack with some carbohydrates and Continue reading >>
Normal Range For Blood Sugar After Eating A Meal
When you have diabetes your blood sugar levels can be quite fragile. What are normal blood sugar levels? Blood sugar levels depend on what, when and how much you eat, as well as how effectively your body produces and uses insulin. Your blood sugar levels are an excellent indicator of your risk of developing diabetes; the higher your blood sugar, the greater your risk. Chronic high blood sugar can be a wake-up call, telling you that it’s time to lose weight and make healthier food choices. Normal Blood Glucose / Blood Sugar Level Ranges before Eating Target blood sugar levels depend on the time of day and if you already have diabetes or pre-diabetes. Before you eat, called a fasting or pre-prandial glucose level, a non-diabetic should have a glucose level between 3.88 and 5.3 mmol/L.. If your reading is higher than 5.33 mmol/L. but lower than 6.94mmol/L, you may have insulin resistance or pre-diabetes. Glucose readings above 7 mmol/L indicate you have diabetes. Ideally, if you have type 2 diabetes you should have a fasting glucose level between 3.88 mmol/L and 7.22 mmol/L, when your diabetes is under control due to a combination of diet, exercise and medication if needed. Normal Blood Sugar Ranges after Eating Your blood sugar or blood glucose levels starts to rise soon after you start to eat and is at its highest 1 to 2 hours after your meal. Normal postprandial, which means “after eating,” glucose levels are 6.67 mmol/L and below for non-diabetics, 8.83 mmol/L. and below for those with pre-diabetes and 10 mmol/L for diabetics. The National Institute of Diabetes and Digestive and Kidney Disease suggest that two hours after eating, diabetics should have a blood sugar reading of 10 mmol/L or less. If your blood sugar is higher than 18 mmol/L two hours after eating, Continue reading >>
My Blood Sugar Is 109 Is It Ok?
The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or an animal. The body naturally tightly regulates blood glucose levels (with the help of insulin that is secreted by pancreas) as a part of metabolic homeostasis. If blood sugar levels are either increased or decreased by a greater margin than expected this might indicate a medical condition. What Is Blood Sugar? What does it mean when someone refers to blood sugar level in your body? Blood sugar level (or blood sugar concentration) is the amount of glucose (a source of energy) present in your blood at any given time. A normal blood glucose level for a healthy person is somewhere between 72 mg/dL (3.8 to 4 mmol/L) and 108 mg/dL (5.8 to 6 mmol/L). It, of course, depends on every individual alone. Typically blood sugar level in humans is around 72 mg/dL (or 4 mmol/L). After a meal the blood sugar level may increase temporarily up to 140 mg/dL (7.8 mmol/L). This is normal. A blood sugar level between 72 mg/dL (4 mmol/L) and 108 mg/dL (6 mmol/L) is considered normal for a healthy adult. What Is Normal Blood Sugar Level? Adults A normal blood sugar level is between 72 mg/dL and 108 mg/dL (4 to 6 mmol/L) for a healthy person. The concentration of glucose in the blood of a healthy person in the morning on an empty stomach is between 68 mg/dL and 108 mg/dL (3.8 and 6.0 mmol/L). Two hours after consuming foods or drinks rich in carbohydrates, the values are usually between 120 and 140 mg/dL (6.7 and 7.8 mmol/L). Children For children up to 6 years of age desired blood sugar level before eating is between 100 mg/dL (5.5 mmol/L) and 180 mg/dL (10 mmol/L). Before sleep values should be between 110 mg/dL (6.1 mmol/L) and 200 mg/dL (11.1 mmol/L). For children between Continue reading >>
Controlling Blood Sugar In Diabetes: How Low Should You Go?
Diabetes is an ancient disease, but the first effective drug therapy was not available until 1922, when insulin revolutionized the management of the disorder. Insulin is administered by injection, but treatment took another great leap forward in 1956, when the first oral diabetic drug was introduced. Since then, dozens of new medications have been developed, but scientists are still learning how best to use them. And new studies are prompting doctors to re-examine a fundamental therapeutic question: what level of blood sugar is best? Normal metabolism To understand diabetes, you should first understand how your body handles glucose, the sugar that fuels your metabolism. After you eat, your digestive tract breaks down carbohydrates into simple sugars that are small enough to be absorbed into your bloodstream. Glucose is far and away the most important of these sugars, and it's an indispensable source of energy for your body's cells. But to provide that energy, it must travel from your blood into your cells. Insulin is the hormone that unlocks the door to your cells. When your blood glucose levels rise after a meal, the beta cells of your pancreas spring into action, pouring insulin into your blood. If you produce enough insulin and your cells respond normally, your blood sugar level drops as glucose enters the cells, where it is burned for energy or stored for future use in your liver as glycogen. Insulin also helps your body turn amino acids into proteins and fatty acids into body fat. The net effect is to allow your body to turn food into energy and to store excess energy to keep your engine running if fuel becomes scarce in the future. A diabetes primer Diabetes is a single name for a group of disorders. All forms of the disease develop when the pancreas is unable to Continue reading >>
13 Natural And Easy Ways To Lower Your Blood Sugar
Being diagnosed with Type II diabetes can be a bummer, and it can be a struggle to keep blood sugars under control. Sometimes, you may find yourself with blood sugar levels that are higher than normal (let's say around 150, for example), but not excessive enough to necessitate taking more medication. You don't feel very good with the higher blood sugar, but taking medication can make your blood sugar TOO low. So what can you do to lower your blood sugar up to 40 points without taking more medication? Try the following these 13 tips and see if you can lower your blood sugar naturally. (See also: How to Reduce Your Risk of Diabetes) Health Disclaimer: As always, you need to be careful to monitor your sugar levels so as not to become hypoglycemic (that's when your blood sugar is too low, which is dangerous). Talk to your physician before making any changes to your diet. And remember, these 13 tips for lowering blood sugar may work for many people, but they won't work for everyone. Carb Intake Carbs are basically sugar, and everybody should make an effort to control their intake, especially diabetics. 1. Cut Back the Carbs Effects seen: Immediate Your diet is something you want to talk to your physician about, but the simple fact is that a lower carb diet makes it easier to maintain stable blood sugar levels. It's part of why you're hearing so much about the Paleo Diet these days. Carbohydrates are found in starchy foods — root vegetables, grains, rice, and legumes — and all of their derivatives, like bread, pasta, sushi, French fries, mashed yams, and even lentil soup. As someone who has been diabetic for nearly 20 years, I can attest that eating a diet low in carbohydrates, but rich in leafy greens, nuts, dark fruits like berries, and lean meats has had an amazing eff Continue reading >>
Why Do I Have High Blood Sugar Levels In The Morning?
Some people experience very high blood sugar levels in the morning. But what implications does this have for a person's health? There are two main causes of high blood sugar in the morning, the dawn phenomenon and the Somogyi effect This article explores these two causes of high blood sugar levels in the morning. It also discusses what risk factors may cause people to experience them and gives practical advice around how to better manage blood sugar levels. Contents of this article: The dawn phenomenon The dawn phenomenon has to do with natural body changes that occur during the sleep cycle: Midnight - 3 a.m. While most people are sleeping, their body has little need for insulin. During this period, however, any insulin that may have been taken during the evening causes the blood sugar levels to drop off drastically. Between 3 - 8 a.m. The body automatically begins to dish out stored sugar (glucose) in preparation for the upcoming day. In addition, hormones that actively reduce the body's sensitivity to insulin are also being released. During this time period, counter-regulatory hormones are being released. This can interfere with insulin, which may lead to a rise in blood sugar. These include growth hormones, such as: cortisol glucagon epinephrine These events are all happening simultaneously as bedtime levels of insulin are beginning to taper off. Each of these events ultimately plays a part in causing blood sugar levels to rise at "dawn" or in the morning. Who the dawn phenomenon affects Although people with diabetes are generally more aware of the dawn phenomenon, it actually happens to everyone. However, it affects people with or without diabetes differently. Typically, people who do not have diabetes tend not to notice these high blood sugar levels in the morning. Continue reading >>
What Should Your Blood Sugar Level Be In The Morning?
Fasting blood sugar readings can set the tone for your entire day. When your morning blood glucose is high or low, you have to adjust your number before you can get your day started. Understand what your morning target should be and the other factors that may contribute to problem readings. Tight control starts with managing your overnight and morning readings. Video of the Day The American Diabetes Association recommends a fasting blood sugar between 70 and 130 for diabetics. A morning blood sugar reading below 70 indicates a hypoglycemic reaction, or low blood sugar condition. Blood sugar readings over 130 are considered high readings and should be treated according to your care team's recommendations. Gestational Diabetes Gestational diabetes occurs when a woman who has never been diagnosed with diabetes develops high blood sugar during pregnancy. High blood sugar levels during pregnancy can cause your baby to be larger than average at birth, have low blood sugar problems after delivery and possibly have respiratory problems. Keeping your blood glucose levels within the target range will protect you and your baby. The National Institute of Diabetes and Digestive and Kidney Diseases recommends that women with gestational diabetes keep morning glucose numbers below 95. Your doctor or diabetic educator may have a different recommendation based on your pregnancy and medical history. Testing your blood sugar within 10 to 15 minutes of waking up will help ensure that you receive an accurate reading. Wash your hands before you test to eliminate any contaminants that can cause errors or inaccuracies. Do not eat or drink anything before you test. Caffeine may cause increases in blood sugar, so avoid coffee before testing. If you suffer with high morning blood sugar numbers wi Continue reading >>
High Fasting Levels
High fasting levels are a huge problem for many ladies. Fasting blood sugar levels, levels taken first thing in the morning when you wake up, are the hardest thing to control with gestational diabetes. But why is that? When we're sleeping we are not eating and drinking and we are not active and so the body is left to it's own devices with regards to controlling blood sugar levels. Impacts on fasting blood sugar levels Many things can impact fasting levels: what you've eaten earlier in the evening when you last ate hydration levels how well you've slept the dawn phenomenon the Somogyi effect What you ate earlier in the evening Bearing in mind how much of each food group converts to glucose in the bloodstream and the time taken, your fasting levels may be impacted by this. Too much carbohydrate in your evening meal or as a snack before bed can contribute to high fasting levels, as your body can only produce or use so much insulin, so if you raise your blood sugars too high by eating too much carbohydrate, your body can spend the night battling to try to lower your blood sugar levels. A high fat meal such as takeaway food can also cause higher blood sugar levels and so eating a well paired evening meal is important. When you last ate The key to stabilising blood sugar levels is to eat small amounts, often. We obviously cannot do this throughout the night, but if you eat your evening meal early and do not eat again until breakfast the following day, it can be an extremely long time to go without eating. Likewise, if you eat a large meal just before going to bed, this too can have a detrimental effect on your fasting levels. Hydration levels Dehydration will cause higher blood sugar levels. Water helps to flush excess sugar from the body and so it is important to stay well h Continue reading >>
6 Things To Do If Your Blood Sugar Is Too High
Grapefruit also has a low glycemic index (GI), around 25, which means it doesn't raise blood sugar as quickly or as much as high-GI foods like white bagel (72) or even a banana (48) or watermelon (72). (The highest GI score is 100.) A 2006 study published in the Journal of Medicinal Food, found that people who ate grapefruit (juice or half a fruit) before a meal had a lower spike in insulin two hours later than those taking a placebo, and fresh grapefruit was associated with less insulin resistance. All 91 patients in the 12-week study were obese, but they did not necessarily have type 2 diabetes. While the results are promising in those without diabetes, blood-sugar reactions to food can vary widely, so if you have been diagnosed with type 2 diabetes, test your blood sugar after eating grapefruit to make sure it can be part of your healthy eating plan. Getty Images Blood sugar is a tricky little beast. Yes, you can get a high reading if you throw caution to the wind and eat several slices of cake at a wedding. The problem is that you can also have a high blood sugar reading if you follow every rule in the type 2 diabetes handbook. That's because it's not just food that affects blood sugar. You could have a cold coming on, or stress may have temporarily boosted your blood sugar. The reading could be wrong, and you need to repeat it. Or it could mean that your medicine is no longer working, and it's time to try a new one. The point is, it's the pattern that matters, not a single reading. Whatever you do, don't feel bad or guilty if you have a high blood sugar reading. A 2004 study found that blood sugar monitoring often amplifies feelings of being a "success" or "failure" at diabetes, and when readings are consistently high, it can trigger feelings of anxiety or self-bla Continue reading >>
Four Reasons For Morning High Blood Sugar Levels
Q: Dr. Stanislaw, why do I go to bed with a good blood sugar reading, but then wake up and it’s too high? A: There are 4 reasons for unexplained high morning blood sugar levels. Having a thorough knowledge of why blood sugar levels do what they do is an essential, yet often lacking, piece to good diabetes care. Morning blood sugars can be especially hard to understand. You go to bed and your blood sugar level is perfect....Ahhh. Then you wake up and it's awful?! What happened?? I’ve had type 1 since I was seven years old. When I was diagnosed in 1980, blood glucose testing didn’t even exist. I had to pee in a cup twice a day and test how much sugar was in it, which only told me if I had been high over the past few hours. There was no way to ever know what my glucose level was in the moment…we’ve come a long way! Being able to know what your glucose level is at any time is a fabulous advancement that allows you to have better care. But more information can lead to new frustrations. Back then, if I woke up and didn’t feel low, all was good. Today, we can know exactly where our level is at anytime and if it’s in good range we’re happy and smiling! But if it’s not, we’re likely frowning and not feeling so hot. So let’s take a look at four reasons why blood sugar can be high in the morning: 1.) Your BACKGROUND MEDICATION is set too low. A perfectly set regimen of oral blood sugar management medications and/or basal/long-acting insulin dose should keep your blood sugar normal throughout the night and allow you to wake up with a normal blood sugar level. However many people with diabetes are not on adequate oral meds and/or do not have a properly set basal insulin dose to allow this to happen. I help my patients figure this out via planning a specific typ Continue reading >>
Blood Sugar: What Causes High Blood Sugar Levels In The Morning
There are two reasons why your blood sugar levels may be high in the morning – the dawn phenomenon and the Somogyi effect. The dawn phenomenon is the end result of a combination of natural body changes that occur during the sleep cycle and can be explained as follows: Your body has little need for insulin between about midnight and about 3:00 a.m. (a time when your body is sleeping most soundly). Any insulin taken in the evening causes blood sugar levels to drop sharply during this time. Then, between 3:00 a.m. and 8:00 a.m., your body starts churning out stored glucose (sugar) to prepare for the upcoming day as well as releases hormones that reduce the body's sensitivity to insulin. All of these events happen as your bedtime insulin dose is also wearing off. These events, taken together, cause your body's blood sugar levels to rise in the morning (at "dawn"). A second cause of high blood sugar levels in the morning might be due to the Somogyi effect (named after the doctor who first wrote about it). This condition is also called "rebound hyperglycemia." Although the cascade of events and end result – high blood sugar levels in the morning – is the same as in the dawn phenomenon, the cause is more "man-made" (a result of poor diabetes management) in the Somogyi effect. There are two potential causes. In one scenario, your blood sugar may drop too low in the middle of the night and then your body releases hormones to raise the sugar levels. This could happen if you took too much insulin earlier or if you did not have enough of a bedtime snack. The other scenario is when your dose of long-acting insulin at bedtime is not enough and you wake up with a high morning blood sugar. How is it determined if the dawn phenomenon or Somogyi effect is causing the high blood sug Continue reading >>
The “normal Blood Sugar Range” May Be Misleading You
A fasting blood sugar test measures the amount of a type of sugar, called glucose, in your blood after you have not eaten for at least eight hours. Checking for an ideal fasting blood sugar is one of the most commonly performed tests to check for prediabetes and type 2 diabetes. So what should your fasting blood sugar be? The normal blood sugar range is 65-99 mg/dL. If your fasting blood sugar is between 100 and 125 mg/dL, you have “impaired fasting glucose,” also referred to as “prediabetes.” If your fasting blood sugar is more than 126 mg/dL on two or more occasions, you have full-blown diabetes. What Is Prediabetes? People defined as having impaired fasting glucose/prediabetes are individuals whose blood sugar levels do not meet criteria for diabetes, yet are higher than those considered normal. These people are at relatively high risk for the future development of diabetes. According to the American Diabetes Association (ADA), prediabetes is not a disease itself but rather a risk factor “for diabetes as well as cardiovascular disease.” However, the ADA also state that prediabetes can be considered an “intermediate stage” in the diabetes disease process.(One might wonder how prediabetes can be a both a risk factor for diabetes and an intermediate stage of the diabetes disease process simultaneously). In addition to increasing the chance of developing diabetes, it’s well-established that people with impaired fasting glucose/prediabetes are more likely to be overweight or obese, especially with what’s known as abdominal or visceral obesity. They also are more likely to have high triglycerides and/or low HDL cholesterol, and hypertension. Even Normal-Range Blood Glucose Levels Can Increase Diabetes Risk There’s a lot more at stake for thos Continue reading >>
Low Blood Sugar (hypoglycaemia)
A low blood sugar, also called hypoglycaemia or a "hypo", is where the level of sugar (glucose) in your blood drops too low. It mainly affects people with diabetes, especially if you take insulin. A low blood sugar can be dangerous if it's not treated promptly, but you can usually treat it easily yourself. Symptoms of low blood sugar A low blood sugar causes different symptoms for everybody. You'll learn how it makes you feel if you keep getting it, although your symptoms may change over time. Early signs of a low blood sugar include: feeling hungry sweating tingling lips feeling shaky or trembling feeling tired becoming easily irritated, tearful, stroppy or moody turning pale If not treated, you may then get other symptoms, such as: weakness blurred vision difficulty concentrating unusual behaviour, slurred speech or clumsiness (like being drunk) feeling sleepy seizures (fits) collapsing or passing out Hypos can also occur while sleeping, which may wake you up during the night or cause headaches, tiredness or damp sheets (from sweat) in the morning. If you have a device to check your blood sugar level, a reading of less than 4mmol/L is too low and should be treated. Treatment for low blood sugar Treating a low blood sugar yourself Follow these steps if your blood sugar is less than 4mmol/L or you have hypo symptoms: Have a sugary drink or snack – try something like a small glass of non-diet fizzy drink or fruit juice, a small handful of sweets, or four or five dextrose tablets. Test your blood sugar after 10-15 minutes – if it's 4mmol or above and you feel better, move on to step 3. If it's still below 4mmol, treat again with a sugary drink or snack and take another reading in 10-15 minutes. Eat your main meal (containing carbohydrate) if you're about to have it or Continue reading >>
Blood Sugar Testing For People With Pcos And Chronic Stress
We take blood sugar pretty seriously ‘round these parts, for a host of reasons. Blood sugar instability (dysglycemia) wreaks havoc on our adrenal glands – those tiny endocrine powerhouses whose overproduction of the stress hormones adrenaline and cortisol can greatly impact thyroid function. Hypoglycemia, or low blood sugar, can trigger a cascade of hard-to-manage symptoms, including mood imbalance, energy dips, head fog, and insatiable cravings. And while our adrenals are pumping stress hormones, the hypothalamus gets a little distracted from its job spurring thyroid hormone production vis a vis disruption to the hypothalamic, pituitary, thyroid (HPT) axis. Next thing you know, your thyroid has become sluggish. So, yes, we spend a lot of time coaching our thyroid and adrenal clients on how to maintain stable blood sugar and avoid hypoglycemic episodes. (Jill calls these hair-raising episodes “the pit.”) Although low blood sugar can cause short-term concerns for many of us, consistently high blood sugar poses serious, long-term risks. Anyone with polycystic ovary syndrome (PCOS), or people who are in prolonged periods of extreme stress, are at risk for elevated blood sugar, and would be well-served to monitor trends in blood sugar to nip any potential increases in the bud. PCOS is a condition characterized by hormonal imbalance. One such hormone impacted in women with PCOS is insulin, produced by the pancreas to allow our cells to access the energy available from our food. In essence, insulin regulates the amount of sugar in our blood. Women with PCOS are at a particular risk for insulin resistance (meaning that the body’s cells no longer respond as effectively to insulin) and type 2 diabetes. Those conditions, in turn, lead to higher risks of other complicati Continue reading >>