Fruits to Eat and Avoid If You Have Diabetes

Fruits to Eat and Avoid If You Have Diabetes


Hello, I am Ty Mason of thediabetescouncil.com,
researcher, writer and I have type 2 diabetes. Today I want to explain why your blood sugar
is so high in the morning. After you watch the video today, I invite
you check out the description box for my new ebook. This is one of the most comprehensive diabetes
meal planning book you can find. It contains diabetes friendly meals/recipes,
recipes for different goals such as 800-1800 calories per day meal plan, diabetes meal
planning tips and tricks. There are also tons of diabetes friendly recipes
for everyone! Morning blood sugar readings can sometimes
be all over the place. Depending on what you had for dinner or what
snacks you had during the evening. What time you took your medicine can play
a factor as well. But if you have consistently high blood glucose
readings every morning, it could be one of three reasons that we are going to discuss
in this video. DAWN PHENOMENON
Researchers feel the most common reason for high blood glucose levels in the morning is
the dawn phenomenon. The glucose is going up from sources other
than digested food. Some of it is produced by the liver from stored
starch and fatty acids. Livers that produce too much glucose are one
of the main ways diabetes causes high blood glucose levels. Other organs also produce small amounts of
glucose. This is called “gluconeogenesis” for those
of you who like the technical stuff Organs produce glucose to keep blood glucose
from going too low at night or other times of not eating. From about 2 AM to 8 AM, most people’s bodies
produce hormones, including cortisol, glucagon, and epinephrine. All these hormones increase insulin resistance
and tell the liver to make more glucose. The idea is to get you enough glucose to get
out of bed and start the day. Everyone has a dawn phenomenon. Otherwise they’d be too weak to get breakfast. But in people without diabetes, insulin levels
also increase to handle the extra glucose. People with diabetes can’t increase insulin
levels that much, so their early morning blood glucose levels can rise dramatically. Experts disagree on how many people have a
dawn phenomenon. Estimates range from 3% to 50% of Type 2s
and from 25% to 50% of Type 1s. Is dawn phenomenon a serious problem? It can be serious. According to the American Diabetes Association,
“Some people with dawn phenomenon find that their glucose continues to rise until they
eat in the morning. For others, levels will settle down a few
hours after waking, regardless of whether or not they eat.” According to columnist Wil Dubois, the higher
your A1C, the more likely you are to have a significant dawn phenomenon. It could be that spending a number of hours
each morning out of control is having a significant effect on your overall control. Some people have high glucose levels in the
morning because their medicines wear off overnight. This could be true of medicines like insulin,
and metformin. If you are taking any long-acting medicine,
consider asking your doctor about changing meds, doses, or times THE SOMOGYI EFFECT
In some cases, medicine can be too strong. If your glucose goes too low in the night,
you could have a rebound high in the morning. This is called the Somogyi effect. If you are waking up high and are suffering
pounding headaches, or find your sheets sweat-soaked, the odds are you are having lows in your sleep…You
need to visit with your doctor about taking less meds. According to Dubois, the new insulins are
much less likely to cause a Somogyi reaction. But because of cost, people are going back
to NPH insulin. NPH is cheaper, shorter-acting, and more likely
to cause a low, leading to a rebound high in the morning. WANING INSULIN
If you take insulin and have been experiencing high blood
sugar in the morning, your insulin may simply be wearing off too soon. If this is the case, your doctor can adjust
your dosage or change what time you are taking the insulin to prevent high glucose levels. Pinpointing the Cause for Effective Treatment
It’s important to understand what’s causing your morning hyperglycemia before your doctor
can treat you. To pinpoint which of the three reasons is
behind your high numbers, check and record your blood glucose before you go to bed, at
3 a.m., and then first thing in the morning. Although it isn’t fun to set a middle-of-the-night
alarm, continue to do so for a few nights in a row. If your blood sugar is fairly even when you
go to bed and at 3 a.m. but is higher in the morning, you are probably experiencing dawn
phenomenon. If your blood sugar is low at 3 a.m., but
high in the morning, you probably suffer from the Somogyi effect. If your blood sugar is elevated at 3 a.m.
and then higher still in the morning, you probably have waning insulin. Even if you’ve identified the reason behind
your high morning number, never attempt to correct it on your own. Instead, talk with your doctor. Together, you can find a treatment plan that
gets you back on track in the morning. How can this situation be corrected? Once you and your doctor determine how your
blood sugar levels are behaving at night, he or she can advise you about the changes
you need to make to better control them. Options that your doctor may discuss include:
Changing the time you take the long-acting insulin in the evening so that its peak action
occurs when your blood sugars start rising Changing the type of insulin you take in the
evening Taking extra insulin overnight
Eating a lighter breakfast Increasing your morning dose of insulin
Switching to an insulin pump, which can be programmed to release additional insulin in
the morning I hope this has answered your question concerning
high morning blood glucose levels. Don’t forget to get my new ebook. Like this video and subscribe to our channel
so we can continue to bring you informative videos like this one in the future. Thanks for watching!