Can Januvia And Glipizide Be Taken Together Safely
Community Answers No, The two drugs are virtually identical. If both of the drugs are taken together may potentiate the risk of hypoglycemia. Yes Januvia can be taken with any other medication for Type 2 diabetes. There are studies in the prescribing information of januvia used in combination with glipizide, metformin, insulin. There are no contraindications to take the two products together, however, it is recommended to closely monitor patients hypoglycemia when januvia is used together with any sulfolyurea like glipizide. I take glipizide, metformin at their max dose and januvia . My diabetes is still out of control. my weight does not change. I eat no refined sugars. In the last 18 months my digestion has changed so dramatically that I can eat nothing but bland foods . Know more here READ THESE NEXT: Can a new diabetes drug also help my mother lose weight? Essential Info About Type 2 Diabetes Drugs When Blood Sugar HighContinue reading > >
Medications That Can Raise Blood Sugar Levels
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Delayed Effects Of Fatty Foods
Blood sugar levels typically peak within an hour or so after eating. However, a high-fat dinner containing fried foods, pizza, or cheesy casseroles might delay this normal jump in blood sugar until the morning. Why? Large amounts of dietary fat can make it harder for insulin to do its job, explains Scheiner. Plus, fat slows down digestion and absorption, which could cause blood sugar to peak later than usual.
Possible solutions: Opt for fish, skinless poultry, beans, and vegetables sautéed in olive oil over foods high in saturated fat like fried foods and those covered in cheese. Filling up half your plate with vegetables can also help cut portion sizes of other foodsand your fat intake from those foods.
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How A Continuous Glucose Monitor Can Help Control Morning Levels
Troubleshooting morning glucose levels can be tricky. As we have discussed, there are a lot of factors that influence overall glucose status in the body. Exercise, stress, circadian rhythm, macronutrient composition, nutrient timing, and more are continually affecting glucose management in your body.
If your morning glucose levels are higher than you would like, always start with the four fundamentals:
Of course, it can be difficult to tease out which specific factor is causing your issue, which is why it is crucial to track the data.
The gold standard for tracking glucose levels is with a continuous glucose monitor . When you use a CGM, you can see your glucose values in real time, 24/7. You donât have to wait for an annual blood test to determine whether the changes you made are working. Instead, you can troubleshoot solutions by trying different things out and seeing how they improve the numbers every single day.
Finding a signal through the noise of online âhealth adviceâ is difficult. But with NutriSenseâs Continuous Glucose Monitoring program, you donât have to guess what works for you. You have continual access to your data plus the support of a world-class team that has analyzed thousands of non-diabetic CGM usersâ data. Weâve done the hard work so you donât have to.
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A Simple Trick To Lower Morning Blood Sugar
If youre type 2 diabetic, you may be wondering why your blood sugar is so high in the morning.
Every other time you test, your levels seem to be within range
But those morning levels, sometimes they are sky high and it puts you in a panic, questioning what on earth you may be doing wrong.
Firstly, stop panicking morning rises are a common occurrence in diabetics. However, it is important to understand why it happens and what you can do about it
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Reduce Your Stress Levels Through Meditation
If you find your stress levels are high on a morning, you need to find a way to handle them. Stress is bad for you overall. Its known as a silent killer, as it raises your blood pressure and has no symptoms at all until you start to suffer from health problems seriously.
While exercise is a good way to reduce your stress levels, its not the only option. Nor is it the perfect option.
Meditation is a powerful way to keep your stress levels to a minimum. You can take in deep breaths, allowing your body to get all the oxygen it needs. Your mind focuses elsewhere, helping to release the tension and problems that are affecting your current levels of cortisol.
As your body can release more happy hormones, your stress hormones are suppressed. You can use breathing and meditation techniques regularly to keep your hormone levels balanced. Not only will you improve your morning glucose levels but youll find your overall health benefits considerably.
Make Sure Youre Getting Adequate Nutrition Throughout The Day
If you are restricting calories to lose weight, your body may not be getting enough of the basic building blocks it needs to properly manage glucose levels. The same thing can happen in those who are very physically active and consuming energy-dense, but nutrient-poor, diets.
While it is beyond the scope of this article, there is a dynamic interplay between the various metabolic pathways of the body: fat metabolism, ketone metabolism, glucose metabolism, protein metabolism, and more. Your glucose needs can significantly vary depending on which of these metabolic pathways are dominant.
The liver holds approximately 100g of glucose in the form of glycogen. It takes about 24 hours for it to be depleted while fasting or ~90 minutes of moderate-high intensity. Glucose can be synthesized from several substrates , but generally speaking, it is easiest to simply consume the glucose you need.
Therefore, a relatively sedentary person may do well with 50-100g of carbohydrates per day, whereas an athlete or a person with a physically demanding job may do best with 2-4 times that value. The best way to determine your needs, of course, is through accurate monitoring of your glucose levels.
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What Is The Dawn Phenomenon
Your body uses glucose for energy and it is important to have enough extra energy to be able to wake up in the morning. So for a period of time in the early morning hours, usually between 3 a.m. and 8 a.m., your body starts churning out stored glucose to prepare for the upcoming day.
At the same time, your body releases hormones that reduce your sensitivity to insulin. In addition, these events may be happening while your diabetes medication doses taken the day before are wearing off.
These events cause your body’s blood sugar levels to rise in the morning .
How Can I Prevent Low Blood Sugar In The Morning
If you have diabetes, make sure you regularly check your glucose levels, especially before bed. If your blood sugar regularly dips while you sleep, consider using a continuous glucose monitoring device, which alerts you when your blood sugar goes too low or too high. Try to follow these guidelines for healthy glucose levels:
- before breakfast: 70130 mg/dL
- before lunch, dinner, or a snack: 70130 mg/dL
- two hours after meals: under 180 mg/dL
- bedtime: 90150 mg/dL
If you dont have diabetes but experience regular hypoglycemia, you may also want to periodically check your glucose levels. Try to keep your glucose level from dropping below 100 mg/dL throughout the day and before bed.
Whether or not you have diabetes, follow these tips to avoid waking up with low blood sugar:
- Eat balanced meals with healthy carbohydrates, proteins, and fats regularly throughout the day.
- Have a bedtime snack.
- If you drink alcohol, avoid excessive intake and have a snack with it.
- Avoid exercising too much at night.
For a bedtime snack, try these suggestions:
- 1 apple with 1 tablespoon of peanut butter
- 1 ounce of cheese and a small handful of whole-grain crackers
- one 8-ounce glass of milk
- 1/2 avocado spread on a piece of whole-grain toast
- handful of berries with a small handful of nuts and seeds
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Dont Rely On Supplements Or Vitamins
Theres no shortcut to maintaining good blood sugars. A supplement or vitamin alone will not give you healthy blood sugar levels and they can interact negatively with other medications. Speak to your healthcare provider and perhaps ask for a referral for a dietitian who specializes in blood sugar control before incorporating dietary supplements, shakes, or vitamins to achieve blood sugar control.
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What Causes A Low Blood Sugar Level
In people with diabetes, the main causes of a low blood sugar level are:
- the effects of medicine especially taking too much insulin, medicines called sulfonylureas , medicines called glinides , or some antiviral medicines to treat hepatitis C
- skipping or delaying a meal
- not eating enough carbohydrate foods in your last meal, such as bread, cereals, pasta, potatoes and fruit
- exercise, especially if it’s intense or unplanned
- drinking alcohol
Sometimes there’s no obvious reason why a low blood sugar level happens.
Very occasionally, it can happen in people who do not have diabetes.
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Eat Protein In The Morning
To help bring blood sugar levels down eat something when you get up but make sure its a protein or a protien/ veggie breakfast.
If you go and eat loads of carbs for breakfast toast and cereals being the worst offenders when your blood glucose is already high, it will only push it up further.
Try eating a delicious veggie egg scramble, egg muffin cups, or a quick berry protein smoothie.
What Are Some Tips To Prevent Nighttime Blood Sugar Level Dips
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Easy Ways To Lower Blood Sugar Levels Naturally
High blood sugar, also known as hyperglycemia, is associated with diabetes and prediabetes. Prediabetes is when your blood sugar is high, but not high enough to be classified as diabetes.
Your body usually manages your blood sugar levels by producing insulin, a hormone that allows your cells to use the circulating sugar in your blood. As such, insulin is the most important regulator of blood sugar levels .
However, multiple factors can impair blood sugar management and lead to hyperglycemia.
Internal causes for high blood sugar include when your liver produces too much glucose, your body makes too little insulin, or your body cant effectively use insulin. The latter is known as insulin resistance (
2 ).
The Centers for Disease Control and Prevention reports that 13% of U.S. adults live with diabetes and that another 34.5% have prediabetes. This means that close to 50% of all U.S. adults have diabetes or prediabetes .
Blood sugar management is especially important for people with diabetes, as chronically high blood sugar levels can lead to limb and life threatening complications (
Increased insulin sensitivity means your cells can more effectively use the available sugar in your bloodstream.
Exercise also helps your muscles use blood sugar for energy and muscle contraction .
Whats more, researchers recommend doing so-called exercise snacks to lower blood sugar and prevent the damage that sitting all day can do .
Try Changing Your Exercise Timing
Your body only has two major storage pools for glucose: the muscles and the liver. Late evening exercise â particularly if it is long in duration or high-intensity â can significantly deplete those stores. Combined with inadequate re-fueling, some people can experience hypoglycemia the following morning.
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If You Are Taking Levemir During The Morning
Levemir is a long acting insulin that has duration of between 18 and 24 hours.
If you take Levemir in the morning, this can mean that the effects of the insulin can wear off during the night.
This may also be the case, albeit to a lesser extent, if you are on a split dose of Levemir, that is taking an injection during the evening and an additional dose at breakfast.
Have A Protein/ Fat Combined Snack
Many people find that a bedtime snack helps lower morning highs.
This is most likely because it shortens the fasting time and may slow down the livers own glucose production. If youre not using the apple cider vinegar method above, try having a mix of protein and fat combined before going to bed.
Here are a few ideas:
- A tablespoon of natural peanut butter
- A small piece of chicken with avocado or 5 olives
- A small handful of macadamia nuts
- A couple of slices of cheese
These are all simple snacks that contain both protein and fat.
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Have A Protein/fat Snack
This is something to try the night before, but you can do it first thing in a morning if youre not going to eat your breakfast right away. Protein and healthy fats break down slowly in the body. This means the length of time you will fast is technically shorter: since it takes more time to get rid of the food and create the empty space.
Youll hear that cheese before bed is bad for you. It gives you nightmares because your digestive system is still working while you sleep. Well, sometimes its worth putting up with the initial nightmares to keep your glucose levels to a minimum on a morning.
So, what can you do on a morning instead? Start your day with a tablespoon of apple cider vinegar and eat a slice of cheese. The two working together will help to balance out the hormones and get your digestive system working sooner than if you waited for breakfast.
Cheese is the protein/fat element, but the apple cider vinegar will have a direct effect on the blood sugar levels. Scientists havent worked out why it is so effective, but it has been proven. Check out more info on what kind of cheese can a diabetic eat here
You can also have a handful of nuts to get the same benefit. The nuts will also give you the selenium that your body needs to help balance out some of your hormones. You can keep nuts in your draw beside your bed to grab a handful before you get up!
Maintaining A Healthy Weight
Whether you are overweight or of normal weight, you need to maintain control of your weight gain during the course of your pregnancy.
Depending on your weight at the time of conception, as well as your height, your doctor will be able to tell you how much weight you should gain at any point during your pregnancy. The total gain can range anywhere from 15 pounds if you are obese to as much as 40 pounds if you are of normal to low weight.
Weight loss during pregnancy is not only badit can be dangerous. You should never embark on a weight loss program of any sort while you are pregnant. Rather, focus on managing your weight gain within the recommended limits with the appropriate nutrition and exercise.
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