Learn More About How To Manage Diabetes
Remember, the normal fasting blood glucose level is between 70 and 110 mg/dL.
Frequent Measurements of Blood Glucose. The goal in this part of diabetes management is to strive to keep fasting blood sugars under 140 mg/dL and preferably closer to the 70 to 120 mg/dL range.
Ideally, one could monitor blood sugars 4 times per day to follow how well the sugars are controlled. This information could be used to adjust your diet and medications to achieve this goal. Usually blood glucose measurements are done before each meal and at bedtime.
Occasionally a doctor may want a patient with diabetes to test their blood sugar at 2:00 am to assess what the blood sugar is doing overnight. Generally, it is desirable to have blood sugars at 2:00 am run greater than 65 mg/dL to avoid overnight hypoglycemia .
It is very desirable for patients to keep a diary of these blood sugar measurements since this information will be a great help to the treating physician as he/she makes decisions regarding how best to treat the diabetes.
Bring this diary with you when you go to your doctor as s/he will be quite pleased but dont alter or fudge your results in an attempt to please your doctor this will prevent the appropriate changes to be made in your management.
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Its Easy To Get The Care You Need
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Whether you know it or not, every morning you experience a natural biological event called the dawn phenomenon. For most, this passes without health risk. Thats not the case, however, if you have diabetes.
But to ease your concerns, if you do have diabetes, endocrinologist Miguel Parilo, MD, offers advice on ways to control the effects of dawn phenomenon on your health.
What To Do About The Dawn Phenomenon
The dawn phenomenon can be more of a problem if you have type 1 diabetes, in which the body struggles to make enough insulin, compared totype 2 diabetes, the more common form of diabetes, Dr. Parilo says.
People with type 2 diabetes can usually do something about it limit the amount of snacking the night before, reduce carbohydrates to lessen the impact, or reasons, for blood sugar elevation overnight, he explains.
Dr. Parilo said that a sign that you may need help managing the effects of dawn phenomenon on your diabetes is when, despite positive lifestyle changes that youve made, youre still noticing this escalation of blood sugar beyond the goals that you and your health care provider have set for you.
When this happens, he said, your doctor will likely recommend further changes to overcome the effect of the dawn phenomenon. Perhaps, timing exercise or timing the types of meals or timing your medications to peak or work . Then the blood sugar may not escalate to the same extent.
If you use insulin, he said, we can change the type, the timing of it, and that can often positively affect the problem.
Dr. Parilo explains how to reduce the effects of the dawn phenomenon.
Click play to watch the video or read video transcript.
How can someone with diabetes help reduce the effects of the dawn phenomenon?
Other Causes Of High Morning Blood Sugar
Blood sugar can rise in the morning for reasons other than the dawn phenomenon. Dr. Parilo says these can include:
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What Foods Help Lower Blood Sugar Quickly
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The Signs When You Wake Up In The Morning That Could Signal High Blood Sugar
Type 2 diabetes can produce perceptible warning signs when blood sugar levels are consistently too high. What warning signs may surface when you wake up in the morning? One example could be waking up with a full bladder. Looking for an outline of the symptoms that may surface in the morning along with a brief explanation of the underlying mechanisms involved.
How might you know you should check for diabetes with symptoms found on waking in the morning? The most obvious might be a dry mouth but you may have suspected something was amiss if you had already spent the night getting up frequently to pass urine and feeling thirsty. The thirst and increased urination of diabetes are well known and occur when blood glucoses are really high. Many of the early symptoms of diabetes are more subtle or not there at all it is often called the silent killer. Some of these include non specific tiredness, drowsiness, blurred vision, sexual difficulties, poor healing of minor wounds, and fungal infections and boils.
But first thing in the morning, it the dry mouth and throat that should alert one to diabetes. In a child, a wet bed signals also the dehydration that may be present.
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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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What Is The Normal Range For Blood Sugar Levels And What Blood Sugar Level Constitutes A True Emergency
Dr. Horton answers the question: ‘Normal Range For Blood Sugar Levels?’
& #151 — Question:What is the normal range for blood sugar levels, and what blood sugar level constitutes a true emergency?
Answer:Now, in a normal individual we measure blood sugar under different circumstances. What we call fasting blood sugar or blood glucose levels is usually done six to eight hours after the last meal. So it’s most commonly done before breakfast in the morning and the normal range there is 70 to 100 milligrams per deciliter.
Now when you eat a meal, blood sugar generally rises and in a normal individual it usually does not get above a 135 to 140 milligrams per deciliter. So there is a fairly narrow range of blood sugar throughout the entire day.
Now in our diabetic patients we see both low blood sugar levels that we call hypoglycemia, or elevated blood sugars, hyperglycemia. Now, if the blood sugar drops below about 60 or 65 milligrams per deciliter, people will generally get symptoms, which are some shakiness, feeling of hunger, maybe a little racing of the heart and they will usually be trenchant or if they eat something, it goes away right away. But if blood sugar drops below 50 and can get down as low as 40 or 30 or even 20, then there is a progressive loss of mental function and eventually unconsciousness and seizures. And of course that is very dangerous and a medical emergency.
Best Way To Reduce A1c
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What Is Diabetic Ketoacidosis
Someone who has high blood sugar can develop a serious problem with a serious-sounding name: diabetic ketoacidosis . This happens if the body gets desperate for a source of fuel. The body wants to use glucose . But without insulin, that glucose stays stuck in the blood and isnt available to the cells so the body uses fat instead.
But that can sometimes cause problems. Why? Because when the body uses fat, chemicals called ketones are produced. These ketones get into a persons blood and urine and they can make a person very sick. DKA is a very serious problem for people with diabetes, but the good news is that it can be prevented and treated.
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 bodys blood sugar levels to rise in the morning .
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When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isnt enough insulin or the insulin doesnt work properly. Without the effect of insulin, the organs cant make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
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Still Frustrated With Your Blood Sugar And A1c Results
Your blood sugars and your insulin or medication needs never stay in one place. If you gain weight or lose weight, your insulin and medication needs will change. If you become more active or less active, your needs will change. If you make drastic or even small changes to your nutrition, your needs will change!
Working with your diabetes healthcare team, and diabetes coaches who can teach you how to make changes in your overall diabetes management plan are essential. Diabetes is a lifelong learning process.
Take a deep breath and be patient. If you dont like what youre seeing on your glucose meter, dont get madget studying! Take good notes and work with your team to make changes to reach your goals.
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Why Is My Morning Blood Sugar So High
A complex array of factors affects blood sugar levels, including hormones, diet, and lifestyle.
Q: I have prediabetes and now eat minimal carbs and sugar. My doctor told me to monitor my sugar levels, morning and night. At night, two hours after eating, my sugar levels are between 112 and 130 mg/dL . But in the morning, my fasting sugar level is always higher than the night number. Why is that? What am I doing wrong?
There are a few reasons why your blood sugar may be elevated in the morning. First, its important to understand that certain hormonal changes that occur overnight may lead to high blood sugar levels in the morning.
How To Lower Your Blood Sugar Without Medication
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