Finding The Cause Of Your Morning Blood Sugar High
Though the three most likely causes of high morning blood sugar can all be treated, first you have to know which one is the source of your condition. “If youre not sure, you might have to take the somewhat inconvenient step of waking up to check your blood sugar levels in the middle of your sleep pattern ” suggests Amori. Heres why:
- Consistent blood sugar from bedtime until about 3 a.m. and then a rise suggests the dawn phenomenon.
- Low blood sugar at 3 a.m. suggests the Somogyi effect.
- Blood sugar that increases from bedtime to 3 a.m. and then is even higher when you wake is probably due to waning insulin.
Using a continuous glucose monitor enables you to get this information without having to wake up for it. “These monitors potentially help identify patterns and severity of high and low blood sugars,” explains Amori.
The Dawn Phenomenon: What Can You Do
What is the dawn phenomenon that some people with diabetes experience? Can anything be done about it? Answers from M. Regina Castro, M.D. The dawn phenomenon, also called the dawn effect, is the term used to describe an abnormal early-morning increase in blood sugar usually between 2 a.m. and 8 a.m. in people with diabetes. Some researchers believe the natural overnight release of the so-called counter-regulatory hormones including growth hormone, cortisol, glucagon and epinephrine increases insulin resistance, causing blood sugar to rise. High morning blood sugar may also be caused by insufficient insulin the night before, insufficient anti-diabetic medication dosages or carbohydrate snack consumption at bedtime. If you have persistently elevated blood sugar in the morning, checking your blood sugar once during the night around 2 a.m. or 3 a.m. for several nights in a row will help you and your doctor determine if you have the dawn phenomenon or if there’s another reason for an elevated morning blood sugar reading. What you can do Your doctor may recommend a number of options to help you prevent or correct high blood sugar levels in the morning: Avoid carbohydrates at bedtime. Adjust your dose of medication or insulin. Switch to a different medication. Change the time when you take your medication or insulin from dinnertime to bedtime. Use an insulin pump to administer extra insulin during early-morning hours.Continue reading > >
What Is The Somogyi Effect
A second possible cause of high blood sugar levels in the morning is the Somogyi effect, sometimes also called rebound hyperglycemia. It was named after the doctor who first wrote about it.
If your blood sugar drops too low in the middle of the night while you are sleeping, your body will release hormones in an attempt to rescue you from the dangerously low blood sugar. The hormones do this by prompting your liver to release stored glucose in larger amounts than usual. But this system isnt perfect in a person with diabetes, so the liver releases more sugar than needed which leads to a high blood sugar level in the morning. This is the Somogyi effect.
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What Should I Do If My Blood Sugar Gets Too High
High blood sugar is also called hyperglycemia . It means that your blood sugar level is higher than your target level or over 180. Having high blood sugar levels over time can lead to long-term, serious health problems.
If you feel very tired, thirsty, have blurry vision, or need to pee more often, your blood sugar may be high.
Check your blood sugar and see if it is above your target level or over 180. If it is too high, one way to lower it is to drink a large glass of water and exercise by taking a brisk walk. Call your health care team if your blood sugar is high more than 3 times in 2 weeks and you dont know why.
Only You Can Prevent Blood Sugar Spikes
Its annoying but true: The best way to lower your blood sugar is to avoid a spike in the first place.
Eating whole foods that are low in sugar and exercising regularly will help keep your blood sugar in check. This can be beneficial for people with type 2 diabetes, but medications may also be necessary to keep blood sugar in a healthy range.
To avoid food-based spikes, try to steer clear of added sugars in your diet. The FDA recommends consuming less than 200 calories a day from added sugars.
That sounds pretty simple, but when you realize that 16 ounces of orange juice has 240 calories , its easy to see how sugar consumption gets out of hand.
Its best to avoid all sugary drinks and check the labels. There are hidden sugars in everything from bread to turkey slices, so double-check your favorite foods to make sure you arent getting any unnecessary sweetness.
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What To Eat In A Day To Lower Blood Sugar
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How To Avoid High Morning Blood Sugar
Weve all been there before.
You wake up. Lay in bed for a few minutes before getting up. Check your blood sugar. 115 stares back at you.
You smile to yourself: life is good.
Forty minutes later, when you sit down to eat, your blood sugar meter or CGM tells you that you are now at 180 ! You have eaten NOTHING. All youve done is prepare for the day and prepare food. Now you face the grim potential of chasing your high blood sugars all day long.
What is going on??
Let me explain why your blood sugar sometimes can be high in the morning and what you can do about it
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What Is Blood Sugar
Blood sugar, also called blood glucose, is sugar thats carried to the cells through the bloodstream. Blood sugar generally refers to the concentration of sugar in your blood at a specific time.
We get sugar from the foods we eat, which is normal, and its the bodys job to regulate blood sugar levels, so they dont go too high or low. When a person has balanced blood sugar, its called homeostasis.
Throughout the day, its not uncommon for blood sugar levels to go up and down based on when you eat and how your body releases a hormone called insulin. If youve just eaten, your blood sugar levels will go up, and then theyll settle back down. If you have diabetes, however, your blood sugar levels may have to be specially managed.
If your blood sugar is always high, you have hyperglycemia, which can happen in people who dont have a good handle on their diabetes. If your blood sugar is below normal, its called hypoglycemia, and this can happen in diabetics if they accidentally use too much of their medication.
So, what role does alcohol play in all of this and how does alcohol affect blood sugar?
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How To Lower Blood Sugar Immediately
Michael Menna, DO, is a board-certified, active attending emergency medicine physician at White Plains Hospital in White Plains, New York.
If you have high blood sugar, a condition also known as hyperglycemia, theres too much sugar in your blood and not enough insulin in your body to lower it. In people with diabetes, hyperglycemia can be caused by things like eating too many carbohydrates, lack of physical activity, stress from an illness or infection, nondiabetes medications , or skipping or not taking enough glucose-lowering medication.
Hyperglycemia requires immediate treatment to prevent serious complications, including nerve, tissue, and organ damage diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome . While taking rapid-acting insulin is the quickest way to lower your blood sugar, there are other ways like exercising and staying hydrated that can help. In cases of an emergency, contact your healthcare provider immediately.
Control How Much Sugar You Eat
While this one may seem obvious to some, donât scroll past just yet. How closely do you read ingredient labels? You likely buy and eat some processed foods unless you make all foods including sauces, dressings, and condiments, from scratch.
Thatâs OK youâre a modern-day human and convenience and cost matter. But, most packaged or pre-made foods contain added sugar or artificial sweeteners. Select carefully and, as an example, buy big tubs of steel-cut oats or quick-cooking oats over the flavored, sugary oatmeal in a box or cup.
Dr. Robert Lustig, a pediatric endocrinologist, professor, and specialist in childhood obesity, believes that sugar is so toxic to health that he recommends federal regulation against marketing sugar-laden products1 to children and even adding taxes to processed foods that contain added sugar.
These ideas may seem radical but are similar to rules that govern marketing alcohol to minors, and similar to the extra taxes consumers pay to purchase alcohol and tobacco products. Just as booze and cigarettes can be addictive for some, sugar can hook you and make you want more2.
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What You Can Do About High Morning Blood Sugar
Exercise, Fitness & Nutrition Expert | Lark Health
Blood sugar control is the name of the game when it comes to managing diabetes, but what happens when you start getting unexpectedly high blood glucose values in the morning? High morning blood sugar can be an indication that something is not quite right with your blood glucose management program. Once you figure out the cause, you and your doctor can work together to figure out what to do about it to get your blood glucose numbers right back on track.
How To Lower Ur Blood Sugar
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Monitor Blood Sugar Levels Closely
High blood sugar levels often do not cause symptoms until they run well over 200 mg/dL. As such, it is essential for a person with diabetes to monitor their blood sugar several times a day. Doing so will mean that blood sugar levels never get that high.
A person with diabetes can use a home glucose monitor to check blood sugar levels. These are available for purchase online.
Recommendations for how frequently to check glucose levels during the day will vary from person to person. A doctor can make the best recommendations regarding blood sugar monitoring to a person with diabetes.
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How Do I Pay For These Tests And Supplies
Medicare, Medicaid and most private insurance plans pay for the A1C test and some of the cost of supplies for checking your blood sugar. Check your plan or ask your health care team for help finding low cost or free supplies. Ask your health care team what to do if you run out of test strips. For more information about Medicare and diabetes, go to .
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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