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What Do I Do To Lower My Blood Sugar

Intermittent Fasting for Type 2 Diabetes (Step by Step) | Jason Fung

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The Benefits Of Intermittent Fasting

While intermittent fasting may present risks for some, it could also provide benefits over and above other approaches. A 2017 study in the World Journal of Diabetes found that just two weeks of intermittent fasting led to significant weight loss as well as improvements in glucose levels. Its possible that intermittent fasting could lead to reduced insulin resistance, says Kerry Mansell, co-author of that study and a professor in the College of Pharmacy and Nutrition at the University of Saskatchewan in Canada.

Research supports this hypothesis. Some work on people with diabetes has found that intermittent fasting may increase insulin sensitivity and also reduce insulin levels in the blood. This is a big deal. Essentially, fasting is doing what we prescribe diabetes medications to do, which is to improve insulin sensitivity, Horne says. At least one small trial found that adopting an intermittent fasting diet allowed diabetes patients to stop taking their insulin drugs altogether. That studys findings still need to be replicated in a larger group. However, these sorts of results are encouraging. Insulin resistance is associated with higher levels of inflammation and other risk factors for cardiovascular disease. Even when people arent losing weight on a fasting regimen, some research has found that insulin sensitivity improves markedly, Horne says. This is something you typically dont see with other caloric-restriction diets.

Techniques To Manage Your Blood Sugar In The Morning

Based on your glucose levels and trends, there are a few things you can do to manage your glucose levels so they dont run high in the morning. Some of these strategies focus on adjusting medications to better suit your needs. Other strategies include adjusting your exercise routine, as well as what and when you are eating before bed.

  • If your glucose levels are in range before bed, they may rise throughout the night without enough insulin. This can be especially true for people who take long-acting insulin in the morning, since it may be wearing off before your next dose.

  • Consider changing the time of day when you take your long-acting insulin. You may also benefit from switching to either twice-daily basal insulin or ultra-long-acting insulin, or from starting on an insulin pump. Read our article, Are You on the Right Kind of Insulin, to learn more.

  • Check your blood glucose during the night between 3 am and 8 am. If you are running high during these hours, you may be experiencing the dawn phenomenon.

  • Talk with your healthcare team about finding the best nighttime insulin regimen for you. If you take basal insulin, you may need to delay the timing of your dose to as close to bedtime as possible. Another option is to try an insulin pump or automated insulin delivery system. AID systems will automatically adjust your basal insulin doses throughout the night to help keep your glucose levels stable.

  • Don’t Miss: How To Start Low Carb Intermittent Fasting

    Limiting Eating To 10 Vs 14 Hours

    Researchers found no decrease in glycogen stores in the liver following time-restricted eating. However, they note they didnt measure this at night when individuals would have been fasting.

    However, they did find that overall time in a healthy glycaemic range increased by approximately 3 hours a day, and fasting glucose was lower when the participants eating was restricted to a 10-hour window.

    The study didnt account for the potential impact of some participants glucose-lowering drugs. The group was also small and the participants older, making the results not generalizable to a wider population.

    It may be possible that a younger group of volunteers would be more sensitive to a time-restricted eating regime, as aging also decreases insulin sensitivity and mitochondrial function, both of which are important in switching from using more glucose for energy during the day to fats during the night, Andriessen said.

    The main reason for us to include postmenopausal women as opposed to pre-menopausal women is related to the fluctuations in hormones that occur with menstruation, she pointed out.

    The results, Andriessen said, are also not generalizable to people with prediabetes, another group that has been touted to potentially benefit from time-restricted eating.

    The authors behind the study say larger studies are needed to look at the more feasible 10-hour restricted eating window.

    The Risks Of Intermittent Fasting

    Pin on Healthy eating

    Low blood sugar, a.k.a. hypoglycemia, can cause a rapid heart rate, sweating, shakiness, and other symptoms. If severe, it can induce weakness, seizures, or even death. People with Type 2 diabetes are at increased risk for hypoglycemiaespecially if they go long periods without eatingand this was one of the first dangers experts looked at when assessing the safety of intermittent fasting. If you are taking medications that are aimed at reducing the amount of glucose in your blood, together with fasting these can cause potentially fatal hypoglycemia, Horne says. Its not a minor safety risk.

    For people who arent taking drugs to lower their blood sugar, Horne says the risk of hypoglycemia seems to be very low. People should still consult with someone who treats diabetesa physician such as an endocrinologist, or at least a nutritionist who is trained in diabetes treatment, he says. Like Corley, he says even people on blood-sugar medications could attempt intermittent fasting so long as they are working with an expert. Its not so much should they or shouldnt they. Its more the degree to which they should be monitored, he says.

    Aside from hypoglycemia, a second major concern is dehydration. High blood glucose causes general dehydration in the body, and people with Type 2 diabetes are already at elevated risk. Intermittent fasting may further increase these risks if people are drinking or eating less than they normally would.

    Read Also: What To Eat After Fasting For 24 Hours

    What Are The Trial Results

    In a nutshell, it showed a high percentage of T2D trial patients who experienced remission of the disease, compared to a control group. The initial rate of remission was 47 per cent in the treatment group and 2.8 per cent in the control group .

    Moreover, the treatment group lost about 9 per cent of their starting body weight there was no reduction for the control side.

    Symptoms Of High Blood Sugar In The Morning

    If you wear a continuous glucose monitor , or if you routinely check your blood glucose every morning, you can see whether or not you are experiencing early morning hyperglycemia. In addition, you may also experience some of the signs and symptoms of hyperglycemia, which may include:

    • Frequent and excessive urination

    Also Check: 16/8 Intermittent Fasting Plan

    What Abnormal Results Mean

    If you had a fasting blood glucose test:

    • A level of 100 to 125 mg/dL means you have impaired fasting glucose, a type of prediabetes. This increases your risk of developing type 2 diabetes.
    • A level of 126 mg/dL or higher usually means you have diabetes.

    If you had a random blood glucose test:

    • A level of 200 mg/dL or higher often means you have diabetes.
    • Your provider will order a fasting blood glucose, A1C test glucose tolerance test , depending on your random blood glucose test result.
    • In someone who has diabetes, an abnormal result on the random blood glucose test may mean that the diabetes is not well controlled.

    Other medical problems can also cause a higher-than-normal blood glucose level, including:

    • Overactive thyroid gland
    • Swelling and inflammation of the pancreas ( pancreatitis
    • Stress due to trauma, stroke, heart attack, or surgery
    • Rare tumors, including
    • Weight loss after weight loss surgery
    • Vigorous exercise

    Some medicines can raise or lower your blood glucose level. Before having the test, tell your provider about all the medicines you are taking.

    For some thin young women, a fasting blood sugar level below 70 mg/dL may be normal.

    Recommended Target Blood Glucose Level Ranges

    Diagnosis of Type 2 Diabetes

    The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.

    In addition, the International Diabetes Federations target ranges for people without diabetes is stated.

    The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.

    NICE recommended target blood glucose level ranges

    Target Levels by Type

    *The non-diabetic figures are provided for information but are not part of NICE guidelines.

    Read Also: What Foods Can I Eat While Intermittent Fasting

    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.

    Random Blood Sugar Test

    This measures your blood sugar at the time youre tested. You can take this test at any time and dont need to fast first. A blood sugar level of 200 mg/dL or higher indicates you have diabetes.

    Random Blood Sugar Test

    140 mg/dL or below N/A

    *Results for gestational diabetes can differ. Ask your health care provider what your results mean if youre being tested for gestational diabetes.Source: American Diabetes Association

    If your doctor thinks you have type 1 diabetes, your blood may also tested for autoantibodies that are often present in type 1 diabetes but not in type 2 diabetes. You may have your urine tested for ketones , which also indicate type 1 diabetes instead of type 2 diabetes.

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    Fasting Blood Sugar And Diabetes With Sports Dietitian Meghann Featherstun

    • PostedJanuary 5, 2023

    Whether or not youre diabetic, blood glucose has a major impact on your performance and recovery when training and racing. Ive enlisted the help of a registered dietician to explain the ins and outs of blood glucose, insulin, diabetes, and fasting as it relates to running.

    Meghann Featherstun

    Blood glucose also known as your blood sugar used to be a topic primarily reserved for doctors and individuals with diabetes. But as athletes have become more tuned into nutrition and the impact it has on performance, glucose monitoring is becoming more widespread. The tools for monitoring blood glucose have also come a long way from repeatedly pricking your finger!

    If you have type 1 or type 2 diabetes, youre likely all too familiar with monitoring your blood glucose. Newer devices called CGMs continuous glucose monitors allow for simple, ongoing monitoring with an app on your phone. While these are mostly used by diabetics, some athletes are using them to look at how their training and fueling impacts their blood glucose.

    High Blood Sugar Levels When You Wake Up

    Diabetes Type 2 Facts: low blood sugar prolonged fasting

    If your fasting glucose before breakfast is 100125 mg/dL , its higher than doctors would expect to see in a person with healthy blood sugar control.

    Fasting blood glucose in this range means you could have prediabetes a health condition that significantly increases your risk of developing type 2 diabetes, heart disease, and stroke.

    Also Check: Best Intermittent Fasting For Keto

    The Oral Glucose Tolerance Test For Diabetes

    The oral glucose tolerance test is yet another method used to detect diabetes, but it is usually only done during pregnancy to diagnose gestational diabetes or for someone who is suspected of having type 2 diabetes yet has a normal fasting glucose level. It can also be performed to diagnose prediabetes.

    Causes Of Impaired Fasting Glycaemia

    IFG develops if your body becomes unable to control glucose levels. Your body may be unable to use insulin properly or produce less insulin. There are a number of factors that may make you more likely to develop IFG. If youre black or South Asian and over 25, or if youre white and over 40, and you have one or more of the following risk factors, then you may be at risk of IFG:

    • one of your parents, brother or sister has type 2 diabetes
    • youre overweight or you carry extra weight around your middle rather than your hips and thighs
    • you have high blood pressure or you have had a heart attack or stroke
    • you have polycystic ovary syndrome and you are overweight
    • you have had diabetes during pregnancy
    • you have severe mental health problems

    Also Check: What Is Intermittent Fasting To Lose Weight

    Recommended Reading: Is Intermittent Fasting Or Keto Better

    How To Lower Blood Sugar Level While Fasting

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    How To Lower Morning Blood Sugar

    What Is Type 2 Diabetes

    Trying to learn how to lower morning blood sugar? Heres why your glucose levels rise in the morning and a few things you can try to keep them in range.

    Waking up with high glucose levels may feel like it doesn’t make sense. You spend several hours asleep, not consuming any carbs, and yet somehow your glucose levels are still high when you wake up in the morning.

    Why does this happen? What can you do to make sure your glucose levels are safely in range in the morning? Learn more about some tips on avoiding high morning blood sugar levels so you can start your day off right.

    Also Check: When Should I Do Intermittent Fasting

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