What Should Your Blood Sugar Be When You Wake Up
The goal of diabetes management is to keep your blood sugar levels as stable as possible. This means that when you wake up, you want your glucose to be in range and to stay in range throughout the day.
For many people with diabetes, the overall target glucose range is between 70 mg/dL to 180 mg/dL . To start the day strong, the American Diabetes Association recommends that you aim to wake up with glucose levels between 80 to 130 mg/dL. Talk with your healthcare team about your glucose targets.
All Of The Research One Comprehensive Guide
Learning how to maintain healthy blood sugar levels is an important step towards managing type 2 diabetes and, for those with pre-diabetes, possibly even preventing it.
Generally speaking, there are two ways to control your blood sugar: medications and lifestyle changes.
This article will focus on the latter, detailing several lifestyle changes that have been shown to help people with diabetes maintain healthy blood sugar levels.
If youre interested in learning about various medications that help to regulate blood sugar, contact your healthcare provider.
The Cause Of Diabetes
Diabetes is an illness related to elevated blood sugar levels. When you stop releasing and responding to normal amounts of insulin after eating foods with carbohydrates, sugar and fats, you have diabetes. Insulin, a hormone thats broken down and transported to cells to be used as energy, is released by the pancreas to help with the storage of sugar and fats. But people with diabetes dont respond to insulin properly, which causes high blood sugar levels and diabetes symptoms.
Its important to note that theres a difference between type 1 and type 2 diabetes. Heres an explanation of the two types of diabetes and what causes these conditions:
Type 1 Diabetes
Type 1 diabetes is commonly called juvenile diabetes because it tends to develop at a younger age, typically before a person turns 20 years old. Type 1 diabetes is an autoimmune disease where the immune system attacks the insulin-producing beta cells in the pancreas.
The damage to the pancreatic cells leads to a reduced ability or complete inability to create insulin. Some of the common causes that trigger this autoimmune response may include a virus, genetically modified organisms, heavy metals, or foods like wheat, cows milk and soy.
The reason foods like wheat and cows milk have been linked to diabetes is because they contain the proteins gluten and A1 casein. These proteins can cause leaky gut, which in turn causes systemic inflammation throughout the body and over time can lead to autoimmune disease.
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Take A Hot Shower Or Bath Immediately After A Correction
Heat causes blood vessels to expand, which increases circulation and makes insulin more easily absorbed. Which is why if Im battling high blood sugar or resistance, Ill hop in the shower and turn up the heat!
Im pretty cautious when doing this because it can drop me fast. Which is why I only do it when Im correcting and not bolusing. If Im correcting, Im already high, so a fast drop is okay. If Im bolusing, the food is moving a lot slower through me than the fast moving insulin, which always leads to a nosedive low blood sugar in my experience.
Ramp Up Your Movement Each Day
Exercise helps improve blood glucose in people with type 2 diabetes by increasing insulin sensitivity and the bodys ability to use glucose as energy, according to the American Diabetes Association. In type 2, exercise helps improve insulin resistance, says James G. Beckerman, MD, a cardiologist in Portland, Oregon. The end result is lower blood sugars.
Crandall Snyder tells patients that exercise is like spring cleaning for the body. It takes the stored form of glucose and uses it for energy so the next time you eat carbohydrates there’s a place to put it, she says.
Because exercise can immediately reduce blood sugar levels in people with type 2 diabetes, work with your healthcare team to determine the right amount of activity and timing for you. A study published in September 2017 in Frontiers in Endocrinology found exercising 30 minutes after the start of a meal is usually best for maintaining blood sugar controls.
Learn more about managing your blood sugar in Diabetes Daily’s article “HbA1C: Everything You Need to Know.”
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Treat High Blood Sugar Early
The best way to prevent high blood sugar emergencies is to treat high blood sugar as soon as you have symptoms or when your blood sugar is well above your target range .
- Follow your doctor’s instructions for the steps for dealing with high blood sugar. Post the steps in a handy place at home and work. Make sure other people know what to do if you are unable to treat high blood sugar.
- Keep a record of high blood sugar levels. Write down your symptoms and how you treated them. And take the record with you when you see your doctor.
The Five Main Signs Of Mild High Blood Sugar Are:
Fatigue Increased urination Weight loss
High blood sugar is most often seen in people who have diabetes that isnt well controlled. The symptoms of high blood sugar can be mild, moderate, or severe. ~ WebMD
Moderate to severe high blood sugar
Moderate to severe high blood sugar is defined as above 350 mg/dl in adults and above 240 mg/dl in children. The symptoms of moderate to severe hyperglycemia are markedly different than those with mild hyperglycemia. Here are the five most common signs:
Blurred vision Drowsiness, restlessness, or difficulties waking up. Extreme thirst Lightheadedness
Its important to note that, if the body is not producing adequate insulin, additional symptoms may surface. The four other symptoms listed by WebMD include:
Abdominal pain Vomiting
Eating Right is Critical
All of the evidence-based recommendations for the management and prevention of diabetes from all major worldwide diabetes organizations advise people with type 1 or type 2 diabetes to use the GI part of the nutritional management of their condition.
The University of Sydneys GI group defines the glycemic index as a relative ranking of carbohydrate in foods accord to how they affect blood sugar levels after eating.
Foods with a high GI value are rapidly digested, absorbed, and metabolized. These foods markedly increase blood sugar levels.
As a reference, here is a short list of high GI foods:
Fruit Rollup: 99
Sweetened yogurt: 33 Whole milk: 31
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What Is Diabetes & Why It Is
- Increase in the levels of blood glucose or high blood sugar leads to Diabetes. Glucose comes from the foods you eat. Diabetes is a disorder of carbohydrate metabolism, normally occurring in hereditarily predisposed individuals, characterized by unsatisfactory production or utilization of insulin and results in excessive glucose present in blood and urine.
How Can I Treat High Blood Sugar
Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:
- Be more active. Regular exercise can help keep your blood sugar levels on track. Important: dont exercise if ketones are present in your urine. This can make your blood sugar go even higher.
- Take medicine as instructed. If your blood sugar is often high, your doctor may change how much medicine you take or when you take it.
- Follow your diabetes meal plan. Ask your doctor or dietitian for help if youre having trouble sticking to it.
- Check your blood sugar as directed by your doctor. Check more often if youre sick or if youre concerned about high or low blood sugar.
- Talk to your doctor about adjusting how much insulin you take and what types of insulin to use.
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Eating Too Much Animal Protein Don’t Forget About These Foodsyour Browser Indicates If You’ve Visited This Link
Have you read recently about young adults not eating packaged or canned food? The interest in eating healthy has become so important to some, they will only consume fresh foods and refuse to buy or eat any processed food products even if they are healthy and a good source of nutrients.
Why Are My Blood Sugars High In The Morning
Heres a simple plan for diagnosing the source of high blood sugars in the morning.
It takes a little bit of effort, but you probably only need to do it a few times to diagnose the issue.
The Somogyi Effect is less common than dawn phenomenon. To diagnose either of these phenomena, scientists recommend checking blood sugar levels for several nights, specifically between 3 a.m and 5 a.m.
Compare these three glucose values and find the pattern:
- If your blood sugar stayed steady overnight, but rose in the morning, you are likely experiencing dawn phenomenon.
- If your blood sugar rose steadily throughout the night, your morning glucose highs may be the result of your diet or exercise choices , or a sign that you may want to adjust your insulin and glucose-lowering medication regimen.
- If your blood sugar dipped low in the middle of the night, you may be experiencing Somogyi effect.
The best option is to use a continuous glucose monitoring system . This will give you an entire nights worth of blood sugar values, making it easy to identify what direction your blood sugar moved while you slept.
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Avoiding High Blood Sugar And Dka
No matter how well they take care of themselves, people with diabetes will sometimes have high blood sugar levels. But the best way to avoid problems is to keep your blood sugar levels as close to your desired range as possible, which means following your diabetes management plan. Checking your blood sugar levels several times a day will let you know when your blood sugar level is high. Then you can treat it and help prevent DKA from happening.
High blood sugar levels don’t always cause symptoms, and a person who isn’t testing regularly might be having blood sugar levels high enough to damage the body without even realizing it. Doctors may use the HbA1c test to find out if someone has been having high blood sugar levels over time, even if the person has not had obvious symptoms.
Here are some other tips for avoiding high blood sugar levels and preventing DKA:
- Try to eat all your meals and snacks on time and not skip any.
- Take the right amount of insulin.
- Check your blood sugar levels regularly and your ketone levels when your diabetes management plan recommends it.
- Stick to your diabetes management plan.
Low Blood Glucose During Sleep
Your blood glucose level can drop while you sleep and stay low for several hours, causing serious problems.7 Symptoms of low blood glucose while you sleep can include
- crying out or having nightmares
- sweating enough to make your pajamas or sheets damp
- feeling tired, irritable, or confused after waking up
Although you may not wake up or notice any symptoms, low blood glucose can interfere with your sleep, which may affect your quality of life, mood, and ability to work. Having low blood glucose during sleep can also make you less likely to notice and respond to symptoms of low blood glucose during the day.
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What Causes High Morning Blood Sugars
Two main culprits prompt morning highs: the dawn phenomenon and waning insulin. A third, much rarer cause, known as the Somogyi effect, may also be to blame.
The occasional morning high will have little impact on your A1C, a measure of your average blood sugar levels over time that indicates how well managed your diabetes is. But if those highs become consistent, they could push your A1C up into dangerous territory.
What Is High Blood Sugar
High blood sugar occurs when theres a buildup of excess glucose in the bloodstream. This is more often a concern for someone with diabetes than it is for someone without it. Our bodies are typically pretty great at keeping our blood sugar in perfect balance, Deena Adimoolam, M.D., assistant professor of endocrinology at the Icahn School of Medicine at Mount Sinai, tells SELF. But in some situations, like when a person has diabetes, high blood sugar can happen.
Blood sugar is measured in milligrams per deciliter , and a fasting blood sugar of greater than 125 mg/dL is considered hyperglycemic, the Cleveland Clinic says. A person can also be considered to have hyperglycemia if their blood glucose level is higher than 180 mg/dL one to two hours after eating, the Cleveland Clinic says.
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What Are The Complications Of Low Blood Glucose
Mild-to-moderate low blood glucose can be easily treated. But severely low blood glucose can cause serious complications, including passing out, coma, or death.
Repeated episodes of low blood glucose can lead to
- high blood glucose levels, if worry or fear of low blood glucose keeps you from taking the medicines you need to manage your diabetes8
- hypoglycemia unawareness, a condition in which you dont notice any symptoms of low blood glucose until your blood glucose level has dropped very low
Foods With A Low Glycemic Load
We mentioned previously that blood sugar levels can be controlled by considering a foods glycemic load.
The glycemic load is calculated by multiplying the foods carbohydrate content by its glycemic indexa measure of how much a food affects blood sugar levels and then dividing by 100.
White, processed bread, for example, tend to have a higher glycemic index because they largely contain a mixture of carbohydrates but often lack fiber32. Sprouted grain or whole wheat bread, on the other hand, has a lower glycemic index due to the presence of fibers.
Its important to consider a foods glycemic index, but also to look beyond it when designing your diet.
Studies looking into the effectiveness of a diet enriched for low glycemic index foods found a mild but significant decrease in participants blood sugar levels compared to those who ate a regular diet containing more carbohydrates33.
This may be because a food with a high glycemic index may not deliver a large amount of sugar when eaten in moderate proportions.
Instead of glycemic index, it may be better to focus on a foods glycemic load. Foods with a low glycemic load include oats, barley, beans, and non-starchy vegetables such as asparagus and Brussels sprouts.
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How Can I Pay For Tests And Diabetes Supplies
Medicareexternal icon, Medicaid, and most private insurance plans pay for the A1C test and fasting blood sugar test as well as some diabetes supplies. Check your plan or ask your health care team for help finding low-cost or free supplies, and see How to Save Money on Diabetes Care for more resources.
What Causes Low Blood Glucose In People With Diabetes
Low blood glucose levels can be a side effect of insulin or some other medicines that help your pancreas release insulin into your blood. Taking these can lower your blood glucose level.
Two types of diabetes pills can cause low blood glucose
- sulfonylureas, usually taken once or twice per day, which increase insulin over several hours
- meglitinides, taken before meals to promote a short-term increase in insulin
The following may also lower your blood glucose level
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What To Do Next If You Cant Reduce Blood Sugar Naturally
Contact your healthcare provider if you have tried but are unable to successfully reduce your blood sugar by practicing healthy lifestyle behaviors. Your doctor can talk to you in greater detail about your diet and exercise routine, and identify where you might be able to make further improvements.
Patients can expect to have their blood pressure checked and monitored over a period of weeks to establish the diagnosis. It will be treated with lifestyle changes and the patient will be monitored regularly. They may also have lab testing. If the blood sugar remains uncontrolled, medication will be the next step, says Dr. Raja.
There may be some instances where blood sugar cannot be reduced naturally, and medications are needed to control and reduce blood sugar. If your doctor recommends taking medication for your condition, dont hesitate to ask any questions you may have and make sure to inquire about all your available treatment options for reducing your blood sugar levels.
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Avoid Alcohol The Night Before And Sugar In Anything The Next Morning
Like to enjoy a tipple the night before you go to bed? Its time to cut down or back on that completely. The alcohol dehydrates the body and will mean your blood glucose level will be more saturated. The smaller amounts of glucose will affect you in bigger ways.
But this doesnt help you on a morning, right? Well, look out for drinking anything sugary on a morning. This includes your glass of orange juice. You may even want to avoid plain water!
You want to drink something that is going to keep your sugar levels to a minimum and not spart the release of insulin. That means looking for something that packs plenty of protein. Remember that protein berry smoothie? Consider that as your morning drink/breakfast. You can follow it with a glass of water if youd like.
A green smoothie would be another excellent option. It packs you full of nutrients, and you can add in the protein to get that filling element.
If you really want water, add a slice or two of lemon. You get some sweetness but without the large amounts of sugar hitting your system causing a problem.
Keeping your morning drink routine perfect will also help you reduce the stress hormones. Coffee is a stimulant and will just make your stress levels even worse. Anything with caffeine will do the same and thats usually what youll add sugar to. Opt for lemon water for a refreshing drink and then a smoothie for a no-caffeine, nutrient packed breakfast.
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