What Are Normal And High Morning Blood Sugar Levels
The term morning blood sugar describes your blood sugar level after you wake up but before you eat anything. This fasting measurement shows how well your body controlled your blood sugar overnight.
When you eat, it leads to an increase in blood sugar. Insulin lets the sugar leave your blood and enter the cells in your body, converting it into useful energy.
If you dont regularly monitor your blood sugar to manage a condition like diabetes, you may not be aware of your fasting blood sugar level. But you might want to understand what your levels mean if you get a result back from your regular physicians checkup.
Consistently high blood sugar can cause tiredness and mental fogginess and can lead to serious health problems if untreated, but most mild cases cause no noticeable symptoms at all.
Most people learn they have high blood sugar after seeing a doctor about something else.
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In addition to modifying your food regimen, .
Why Is Blood Sugar High In The Morning
According to the American Diabetes Association, fasting blood sugar should be between 70-130 mg/dL, while the American College of Endocrinologists recommends a fasting blood sugar below 110 mg/dL. If blood sugar is higher than this range, it could be due to several different causes.
Insulin resistance: One of the most common causes of type 2 diabetes is insulin resistance. Insulin resistance occurs when the cells dont respond well to insulin, causing the pancreas to release more insulin to try to compensate. Over time, this can cause the pancreas to lose some of its functioning and lead to insulin deficiency.
Some of the possible symptoms of insulin resistance include:
- Waistline over 40 inches in men and 35 inches in women
- Blood pressure 130/80 or higher
- Fasting glucose over 100 mg/dL
- Fasting triglycerides over 150 mg/dL
- HDL cholesterol under 40 mg/dL in men and 50 mg/dL in women
- Patches of dark, velvety skin called acanthosis nigricans
Certain genetic and lifestyle factors are associated with insulin resistance. Some of these risk factors include:
- Sedentary lifestyle
Not enough insulin. In people who take insulin for diabetes, such as those with type 1 diabetes, high blood sugar in the morning before breakfast is likely a sign that they arent receiving enough basal insulin. It can also be a sign that the dosages of other types of diabetes medications need to be increased.
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Surprising Things That Can Spike Your Blood Sugar
When you first found out you had diabetes, you tested your blood sugar often. Doing so helped you understand how food, activity, stress, and illness could affect your blood sugar levels. By now, youve got it figured out for the most part. But thenbam! Something makes your blood sugar zoom up. You try to adjust it with food or activity or insulin, and it dips really low. Youre on a roller coaster no one with diabetes wants to ride.
Do you know all these blood sugar triggers?
Knowledge is power! Look out for these surprising triggers that can send your blood sugar soaring:
What Happens If Your Blood Sugar Gets Too High
You re also at risk of developing heart disease, even if you don t develop diabetes.
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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.
Precautions To Keep The Above Two Conditions In Control
There are a few precautions that you should take under the expert guidance in order to keep the raised levels of fasting blood glucose under control.
The available treatments for controlling the dawn phenomenon include the following:
- Take your medicines as advised by your doctor
- You can take either a green apple or a resistant cornstarch food item just before bedtime under the supervision of a medical expert.
- You can also try to eat a protein snack before These shall include nuts as well as cheese products
- Most of the patients are even advised to take vinegar either in the form of a drink or in the form of a tablet.
The best available treatments for controlling the Somogyi effect include the following:
- Changing the insulin that you use while also trying to alter the time of taking the same
- When you take your dose of insulin in the evening, you should eat a snack along with it
- If you are used to taking insulin just before going to bed, you should try to reduce the total amount of dose that you take
- Monitoring of A1C levels from time to time also go a great deal in keeping the effect under control
How Do You Determine Which of the Two Phenomenons is Adversely Affecting Your Blood Sugar Level?
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Hormones Raise Blood Glucose
Around 3-4 am each morning, there are a collection of counter regulatory hormones that are signaled in the body: glucagon, epinephrine, growth hormone, and cortisol, which result in a rise in blood sugar.
This change in hormones occurs to stimulate our awakening, to get us moving and to give us energy. This is referred to as the Dawn Phenomenon or Dawn Effect.
This is in fact a normal response. This occurs in everyone, diabetic or not.
However, if you have diabetes or prediabetes there is one additional factor that impacts both the overnight glucose production and the rise in glucose with cortisol, and that is decreased insulin production or decreased utilization of insulin.
Other Reasons For High Morning Blood Sugar Levels
If you continuously wake up with high blood sugar levels and haven’t eaten a bedtime snack the night before, your doctor may need to prescribe you more basal insulin , says Dr. Spratt.
However, if you typically eat a snack that contains carbohydrates before going to bed and don’t counteract it with rapid-acting insulin, your blood sugar levels may be higher in the morning as a result. Switch to a snack that won’t raise your blood sugar levels â for example, a pairing of ham and cheese or a few bites of non-sweetened peanut butter, she says.
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Lastly, if your blood sugar levels dip too low in the middle of the night, your body may release hormones that “rescue” you from dangerously low levels, according to the Cleveland Clinic. The result is that your liver releases stored glucose, causing your blood sugar levels to be higher than usual in the morning. This is called the Somogyi effect.
If you’re experiencing low blood sugar in the four to six hours after a meal, that’s a sign that your basal insulin dose is too high, says Dr. Spratt.
“A lot of people have lows of which they are not aware of,” she says. “They wake up and their blood sugar is high and assume they must need more insulin at night.” But, she explains, it’s important to check your blood sugar at 2 a.m. or 3 a.m. to make sure you aren’t experiencing a drop in glucose levels.
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Target Blood Sugar Levels For Pregnant People With Diabetes
It’s possible for diabetes to cause problems during pregnancy. For example, according to the Centers for Disease Control and Prevention, people with type 1 and type 2 diabetes who have uncontrolled blood sugar levels could experience an increased risk of having a premature baby, needing a C-section and more.
Gestational diabetes â a type of diabetes that occurs in a pregnant person who has never been diagnosed with diabetes before â can also cause complications. These include giving birth to a baby who is larger than average and an increased risk of needing a C-section. The ADA suggests that pregnant people shoot for a target fasting blood sugar level of 95 mg/dL or less before a meal.
Keeping your blood glucose levels within the target range will help protect you and your baby.
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How Much Does Orange Juice Increase Blood Sugar
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Fasting & Elevated Blood Glucose
Type 2 diabetes for 20+ years. Started keto with intermittent fasting in January 2019. Why would my fasting blood glucose numbers during my 18-24-hour fast be elevated, then come down to normal ranges after eating?
Fasting can definitely raise blood glucose. This is due to the effect of insulin falling and the rising counter-regulatory hormones including increased sympathetic tone, noradrenaline, cortisol and growth hormone, in addition to glucagon. These all have the effect of pushing glucose from liver storage into the blood. This is normal. If you are not eating, you want to use some stored glucose. The question is this if you are not eating, and your blood glucose went up, where did that glucose come from? It can only have come from your own body . So, its a natural phenomenon, and the fasting now allows your body to use some of the glucose for energy.
Dr. Jason Fung
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Why Does Blood Sugar Go Up In The Morning What Is The Dawn Phenomenon
There are a few main reasons why your glucose levels may be higher in the morning. One of these is known as the dawn phenomenon.
The dawn phenomenon occurs early in the morning between 3 am and 8 am while you are still asleep. As morning approaches, the body naturally signals your liver to produce glucose, giving your body the energy it needs for the start of the day. Caused by changes in hormonal levels, the dawn phenomenon happens to all people, with or without diabetes. However, for those without diabetes, insulin levels increase and they do not experience hyperglycemia.
Another reason you may experience higher morning glucose levels is because your injected insulin wears off. If your body has insufficient insulin during the night, your glucose levels may start to rise. To combat this, you may consider trying a new basal insulin, adjusting the timing and amount of your basal dose , or changing your nighttime basal rates .
The last reason you may experience higher morning glucose levels is known as the Somogyi effect. This occurs if your glucose levels fall too low during the night, caused by too much insulin or medication. To respond, your liver produces more glucose to try to maintain your glucose levels, which may result in hyperglycemia. The Somogyi effect is not as common as the other reasons described.
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