How Is It Determined If The Dawn Phenomenon Or Somogyi Effect Is Causing The High Blood Sugar Levels
Your doctor will likely ask you to check your blood sugar levels between 2 a.m. and 3 a.m. for several nights in a row. If your blood sugar is consistently low during this time, the Somogyi effect is suspected. If the blood sugar is normal during this time period, the dawn phenomenon is more likely to be the cause.
Some additional clues that the Somogyi effect may be the cause include nightmares, restless sleep and overnight sweating as these are all signs of low blood sugar levels.
Youre Getting Yeast Infections More Often Than Usual
Hyperglycemia may lead you to get more frequent genital yeast infections. The culprit is often a type of yeast known as Candida albicans, per the ADA. According to the Centers for Disease Control and Prevention, in females the symptoms can include: vaginal itching, redness or soreness pain during sexual intercourse pain or discomfort during urination and thick, abnormal vaginal discharge. While yeast infections are common in people who dont have diabetes, having more glucose in your blood puts you at higher risk of getting them. The yeast feeds off the glucose, and if your blood sugar is high theres more glucose in the urinary tract, explains Bandukwala. Uncircumcised men with hyperglycemia are also at risk, he says.
Were also seeing this happen a little more now with patients who take SGLT-2 inhibitors, which force the body to expel more glucose through the urine, the endocrinologist adds. The FDA has added a warning to the prescribing information for SGLT-2 inhibitors about a far more rare and potentially fatal genital condition, known as necrotizing fasciitis of the perineum, or Fourniers gangrene .
So Whats Making You High
As diabetics we are constantly striving to maintain a perfect blood glucose level. Having a high fasting reading constantly is a cause for major concern and can definitely affect your hbA1c and by extension your health if not corrected. For 3 or 4 days in a row, plan specific blood glucose testing times. You should also prepare your own meals during this testing period so that you are certain of the carbohydrate content. Try to have your last meal at least 2 hours before bedtime. Check your blood glucose at bedtime, wake up around 3 a.m to test again, and take the final reading at your usual wake-up time. Comparing these results can identify what is the underlying cause of your high blood glucose level in the morning. Sometimes it can also be a combination of issues. The table below is a guideline to follow to assist in identifying the problem. Always seek medical advice from your doctor pertaining to medication dosages and modifications.
|Find the Culprit of your Fasting High Blood Glucose Level|
If your 2 hour post dinner time is close to your bedtime there is no need to test again. If it is more than an hour apart include both tests. These are quite a lot of test which will be done over a couple day. Your fingers will be sore but it will lead to discovering your underlying problem.
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Blood Sugar Spike Symptoms
Learning to recognize the symptoms of hyperglycemia can help you keep your diabetes in control. Some people with diabetes immediately feel the symptoms of high blood sugar, but others go undiagnosed for years because their symptoms are mild or vague.
Symptoms of hyperglycemia typically begin when your blood glucose goes above 250 milligrams per deciliter . Symptoms get worse the longer you go untreated.
Symptoms of a blood sugar spike include:
- frequent urination
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.
Try eating your last meal at least 2 hours before bed so that you can check the 2 hour post dinner blood sugar reading. This will indicate if you are indeed giving the correct amount of insulin. If you have a good reading before bed but its much higher in the morning, then there is definitely another issue.
Read Also: Dangers Of High Glucose Levels
Causes Of High Blood Sugar At Night
There are many causes of high blood sugar at night, including:
- A dinner or bedtime snack high in carbohydrates: Eating starchy or high-sugar foods late in the day can lead to high blood sugar at night, as well as high blood sugar in the morning.
- Illness or injury: Trauma can trigger a hypermetabolic response , leading to high blood sugar.
- Too little exercise: Exercise helps the body more effectively use insulin, so lack of exercise could contribute to high blood sugar.
- Too little insulin or diabetes medicine: When the body does not produce insulin or does not use insulin effectively and you dont properly take your injectable insulin or diabetes medicine, glucose can accumulate in the bloodstream.
- Menstruation: Estradiol and are two hormones linked to a decreased production of insulin, which affects glucose metabolism and can potentially lead to high blood sugar.
- Pregnancy: Hormone levels fluctuate during pregnancy. Diabetes that occurs during pregnancy is known as gestational diabetes.
- : Stress, as measured by levels of a hormone called cortisol, is linked to decreased insulin production. When your body doesnt have enough insulin, glucose cannot get into your cells and be used for energy. As a result, glucose builds up in the bloodstream, leading to high blood sugar. When people are stressed, they may also overeat sugary foods or adopt other unhealthy eating habits.
Hyperosmolar Hyperglycemic Nonketotic Syndrome : A Complication Of Severe Hyperglycemia In Type 2 Diabetes
In people with type 2 diabetes, extreme hyperglycemia can lead to a very rare but serious condition called hyperosmolar hyperglycemic nonketotic syndrome, or HHNS). HHNS is most likely to occur when you’re sick particularly if you aren’t able to drink enough fluids or keep fluids down. It happens most often in elderly people and, like ketoacidosis, can result in a coma.
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What Are The Risks Of Hyperglycemia
Hyperglycemia can be a sign that your body isnt getting enough insulin. It is normal for patients with T1D to get hyperglycemia, and most of the time this is simply treated with insulin. If the body does not have insulin for approximately 8 hours, you could develop a condition called diabetic ketoacidosis, or DKA.
In DKA, your body breaks down fat for energy because it doesnt have enough insulin to use the sugar in your blood. This produces chemicals called ketones, which make your blood more acidic.
DKA is dangerous. Too much acid in your blood can make you pass out or even cause death.
Long Term Resolutions Doctor Might Suggest
Changing your diet is one of the best long-term resolutions to having high blood sugar levels. Your body actually wants to change and be healthy, and your cells cry out for help from you. Your body was made wonderfully and had the capability to reverse illnesses to a large degree but you have to help it do this.
Limiting your carbohydrate intake to one starchy food per meal such as ½ cup black beans or lentils, ½ cup yam, two small red potatoes , 1/3 cup chickpeas, or ½ acorn squash is a big key to keeping blood sugar levels lower, yet not too low.
Of course, this starchy food is not your only food for the meal. It’s balanced with 4-5 ounces of protein and a whole half plate of non-starchy vegetables with sugar-free dressing.
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Immediate Things To Do When Blood Sugar Won’t Come Down
With Type 1 diabetes, high blood sugar levels, especially > 250 mg/dl, mean it’s time to test for ketones in the urine. Don’t wait to take the test. If they are high, you are in ketosis. Call your doctor.
Exercising will not burn up the ketones. Drinking more water will help temporarily until you know what your doctor wants you to do. Continue taking blood sugar readings every half hour to inform your doctor of your progress.
Why Do I Need To Know My Blood Sugar Numbers
Your blood sugar numbers show how well your diabetes is managed. And managing your diabetes means that you have less chance of having serious health problems, such as kidney disease and vision loss.
As you check your blood sugar, you can see what makes your numbers go up and down. For example, you may see that when you are stressed or eat certain foods, your numbers go up. And, you may see that when you take your medicine and are active, your numbers go down. This information lets you know what is working for you and what needs to change.
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When To Call For Medical Advice
It is important to note that very high blood glucose levels can be dangerous and it is important to be aware of the symptoms and risk factors of the following conditions:
- Diabetic ketoacidosis a short term complication most commonly associated with type 1 diabetes
- Hyperosmolar Hyperglycaemic State a short term complication most commonly associated with type 2 diabetes
If you are struggling to keep your blood glucose levels under control, speak to your GP or consultant who can advise you or refer you onto a diabetes education course.
Starvation Can Cure Type 2 Diabetes
A new study shows that starvation can cure type 2-diabetes, just like gastric bypass surgery. Again, there is no need to explain the effect of the surgery with other speculative theories. The resulting starvation reverses diabetes. And the starvation isnt even necessary to do that. Guardian: Low-calorie diet offers hope of cure for type 2 diabetes Unnecessary starvation If a type 2 diabetic stops eating the symptoms of diabetes starts to go away. But starvation or surgery are unnecessarily painful ways to do it. Luckily diabetics can eat real food to satiety, as long as they avoid sugar and starch. The food that quickly turns into simple sugars in the gut. Cutting away their stomach or starving themselves is not necessary. All they need is good food. More Across the river for water: Surgery for diabetes PS A Gastric Bypass operation protects from eating too much carbohydrates in two ways. Number one: you can only eat miniature portions of anything. Number two: the smaller amounts of starch you eat is not digestedd as easily as the duodenum with the starch-digesting enzyme amylase is diverted from direct contact with the food.Continue reading > >
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Option To Discuss With Your Physician
Some doctors that are integrated care practitioners or functional medicine specialists may recommend Type 2 diabetics add 1/8 to ¼ cup of nopal at a meal. This is a recommendation that has been made at some First Nation hospitals for Native American Indians who are diabetic and have exceptionally high blood sugar levels. Cactus leaves are indigenous food for this population.
If you decide to do this, monitor your blood sugar levels more closely, as cactus is quite effective at lowering blood sugar level.
One study on the effect of nopal on blood sugar levels tested its effect on those with type 2 diabetes. The addition of the nopal to the meal lowered the need for insulin and also reduced the after-meal peaks of blood sugar at 30 and 45 minutes.
Korean scientists determined how cactus works in the body. Cactus inhibits glucose absorption from the intestine and enhances glucose uptake from insulin-sensitive muscle cells through the AMPK/p38 MAPK signaling pathway in the body.
If you add cactus to your meal, don’t be overzealous about it.
Lopez-Romero, P., et al. The effect of nopal on postprandial blood glucose, incretins, and antioxidant activity in Mexican patients with type 2 diabetes after consumption of two different composition breakfasts. J Acad Nutr Diet 2014 Nov 114:1811-8.
Try Pip Lancets for yourself. Were pretty sure youll never go back to traditional lancets!
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.
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Normal Blood Sugar Levels Vs Hyperglycemia
If youve been diagnosed with diabetes, your endocrinologist will tell you what your target blood glucose levels are. Your levels may be different from what is usually considered as normal because of age, pregnancy, or other factors. You will be given two target levels, or ranges, one applying to when you haven’t eaten for a number of hours and one for after meals .
Why Is My Blood Sugar High At Night
There can be various reasons for your blood sugar levels to increase at night. Too little insulin or diabetes medication, too little exercise, too much food, menstruation, pregnancy, injury or medical operation, illness or infection, stress or non-diabetic medication are all factors that can cause the blood sugar spike at night.
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Moderate To Severe High Blood Sugar
If your blood sugar levels are consistently high , you may have moderate to severe symptoms of high blood sugar. These symptoms include:
- Blurred vision.
- Flushed, hot, dry skin.
- Restlessness, drowsiness, or difficulty waking up.
If your body produces little or no insulin , you also may have:
- Rapid, deep breathing.
- A fast heart rate and a weak pulse.
- A strong, fruity breath odor.
- Loss of appetite, belly pain, and/or vomiting.
If your blood sugar levels continue to rise, you may become confused and lethargic. You also may become unconscious if your blood sugar levels are very high.
Current as of: July 28, 2021
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD – Internal Medicine& Adam Husney MD – Family Medicine& Rhonda O’Brien MS, RD, CDE – Certified Diabetes Educator
To learn more about Healthwise, visit Healthwise.org.
Youre Developing Blisters Dryness Or Other Skin Changes
Small pieces of extra skin, called skin tags, may form in the creases of skin, especially if you have diabetes and youre trying to find ways to manage your weight, notes the ADA. Dark, thick areas of soft skin may form on the back of the neck or hands, armpits, face, or other areas. These can be a sign of insulin resistance, Zanini says. Blisters, infections, dryness, itchiness, discolorations, and abnormalities of the skin can all be warning signs of high blood sugar. Check with your doctor if these skin changes develop.
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Awesome Foods That Regulate Your Blood Sugar
Hypoglycemia, diabetes, or addictions to sugar can all cause blood sugar issues for people, but there are many foods that regulate your blood sugar that can help fight this problem naturally. I always hate to see people turn to medicine before food to fight high blood sugar problems, since there are so many wonderful foods that nature has given us that regulate your blood sugar. A healthy diet can fix an array of issues, and though no diet is perfect for all of us, there are some mainstay foods that help keep insulin levels down, and blood sugar level even. We should all be eating more of these, and focusing on the benefits they offer. I know it can be hard to turn down sweets, breads, unhealthy fats, and processed foods, but I promise itâs worth it. Eating foods that regulate your blood sugar helped me get rid of a lifelong addiction to sugar,fast food, and processed food, and even overcome a seizure condition. Add these delicious, nutritious foods to your diet and youâll see the effects almost immediately.
How To Treat Low Blood Sugar At Night
Having a low blood sugar at night is the worst. THE WORST! If you are treating your diabetes with insulin, you know what Im talking about. That feeling when you wake up in the middle of the night soaked in sweat and shaking due to low blood sugar.
Your whole body goes into stress mode, and all you can think about is EATING! I absolutely hate it, so I wanted to share my approach on how to treat low blood sugar at night with you guys.
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