What Are Risk Factors For Hyperglycemia
Major risk factors for hyperglycemia are:
- You have a family history of type 2 diabetes.
- You are African American, Native American, Hispanic or Asian American.
- You are overweight.
- You have high blood pressure or cholesterol.
- You have polycystic ovarian syndrome .
- You have a history of gestational diabetes.
Maintain A Healthy Weight
It is relatively more challenging for the body to use insulin and manage blood sugar levels with overweight or obesity. The body fails to actively respond to insulin due to extra weight in the body. It results in increased high fasting blood glucose levels and an increased risk of type 2 diabetes. Insulin insensitivity leads to weight gain, leading to poor insulin sensitivity, creating a loop.
Although the exact mechanisms are unknown, research links fat to insulin resistance and the growth of type 2 diabetes. Therefore, maintaining a healthy weight can help reduce the risk of high fasting blood glucose levels and even reduce the risk of type 2 diabetes.
What Can I Expect On The Day Of The Test
A fasting blood glucose test is often done with a common blood draw. A healthcare provider will:
- Clean the area inside your elbow to kill any germs.
- Tie a band around your upper arm, which will help the veins in your arm fill with blood.
- Insert a clean needle into a vein .
- Draw blood into a vial thats attached to the needle and labeled with your personal information.
- Remove the band and then the needle.
- Put pressure on the needle insertion site to stop the bleeding.
- Place a bandage on the area.
After the test, the healthcare provider will send the blood sample to a lab for testing.
In some cases, your healthcare provider may be able to test your blood sugar with a prick on the finger instead of a needle in the vein. The provider uses a blood glucose monitor and test strip to measure your blood glucose level in the office.
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Apple Cider Vinegar Or Lemon
The naturally occurring acids found in apple cider vinegar and citrus fruits, namely acetic and citric acids, are a cheap and powerful way to balance blood sugar . One of the most effective ways to use these is to simply add them to your food and water.
Vinegar and lemon juice go great in many different dishes as a marinade, a dressing, or simply drizzled over top. I will often sprinkle these over a good grass-fed steak or salad to help assist in digestion and absorption as well.
Putting lemon juice and a bit of stevia in your water is another great refreshment to have throughout the day to satisfy your sweet tooth and stabilize blood sugar at the same time.
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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 |
| Bedtime |
| Day 3 |
| Day 4 |
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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How To Prevent Hyperglycaemia
There are simple ways to reduce your risk of severe or prolonged hyperglycaemia:
- Be careful what you eat be particularly aware of how snacking and eating sugary foods or carbohydrates can affect your blood sugar level.
- Stick to your treatment plan remember to take your insulin or other diabetes medications as recommended by your care team.
- Be as active as possible getting regular exercise can help stop your blood sugar level rising, but you should check with your doctor first if youâre taking diabetes medication, as some medicines can lead to hypoglycaemia if you exercise too much.
- Take extra care when youâre ill your care team can provide you with someâsick day rulesâ that outline what you can do to keep your blood sugar level under control during an illness.
- Monitor your blood sugar level your care team may suggest using a device to check your level at home so you can spot an increase early and take steps to stop it.
Page last reviewed: 08 August 2018 Next review due: 08 August 2021
Long Acting Insulin Not Working For The Entire 24 Hours
THIS WAS THE CULPRIT FOR ME! I would normally go to sleep with a blood sugar of between 6.5 mmol/L and 7.5 mmol/L. Between 3:00 a.m and 4:00 a.m I would have a reading of between 12 mmol/L and 16 mmol/L. I normally took my basal insulin in the morning around 7:00 a.m. Lantus is supposed to be active for 24 hours controlling your blood sugar levels when you are not eating. However, in some individuals like myself, it only lasts about 18 to 20 hours. During long periods of time when we are not eating , the liver releases glucose to fuel the body. In my case, there was no long acting insulin in my body to handle this glucose, resulting in my high fasting blood sugars.
Also note that not eating will not help the issue. One may tend to not want to eat if they have a high fasting blood sugar. Eating and taking insulin will signal to the body that the fasting period is over and there is no need for the liver to release glucose into the bloodstream.
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What Is Low Blood Glucose
Low blood glucose, also called low blood sugar or hypoglycemia, occurs when the level of glucose in your blood drops below what is healthy for you. For many people with diabetes, this means a blood glucose reading lower than 70 milligrams per deciliter .1 Your number might be different, so check with your doctor or health care team to find out what blood glucose level is low for you.
How Do I Check My Blood Sugar
You use a blood glucose meter to check your blood sugar. This device uses a small drop of blood from your finger to measure your blood sugar level. You can get the meter and supplies in a drug store or by mail.
Read the directions that come with your meter to learn how to check your blood sugar. Your health care team also can show you how to use your meter. Write the date, time, and result of the test in your blood sugar record. Take your blood sugar record and meter to each visit and talk about your results with your health care team.
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What Causes High Blood Sugar Levels In The Morning
Commonly known reasons why your blood sugar may be high in the morning include high-carb bedtime snacks and not enough diabetes medications.
Yet two lesser-known reasons may be causing your morning blood sugar woes: the dawn phenomenon and the Somogyi effect. These causes of high morning blood sugar levels are a result of body changes and reactions that happen while you are sleeping.
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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, donât be overzealous about it.
References
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!
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Recommended Blood Sugar Targets For Most People With Diabetes*
Your targets may not be the same as the examples in this chart. Your targets are important and should be specific to you.
| A1C** | |
| 4.0 to 7.0 | 5.0 to 10.0 |
* This information is based on the Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada and is a guide.** A1C is a measurement of your average blood sugar control for the last two to three months and approximately 50 per cent of the value comes from the last 30 days.
What Happens To Your Body During Fasting
The changes that occur in the body during fasting depend on the length of the continuous fast. Usually your body enters into a fasting state eight or so hours after the last meal. Your body will initially use stored sources of glucose and then later in the fast it will break down body fat to use as the next source of energy. Using your bodys fat stores as an energy source can, in the long run, lead to weight loss. Losing weight, particularly if you are overweight, can also lead to better control of blood glucose, blood pressure and cholesterol levels. However, fasting should not be used as a way of losing weight in the long term.
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Fasting Blood Sugar Levels Chart
Picture source: https://templatelab.com
The chart below shows the fasting blood sugar levels for a healthy individual. Fasting blood sugar levels chart: Normal: 70-99 mg/dl Prediabetes: 100-125 mg/dl Diabetes: 126 mg/dl and above
It is possible to stay healthy by knowing when to test and what to look for. When your blood sugar level is high, it is indicated by insulin resistance or diabetes. Diabetes medications are lowering blood sugar levels in people with low fasting periods. Doctors typically use an HbA1c test to assess their overall blood sugar control. By using the HbA1c test, you can measure how much sugar is in your blood over time. The procedure for this test is to be performed at a doctors office or in a laboratory. The right time to test is determined by a number of factors, including treatment goals and other factors.
Reasons For A High Fasting Blood Sugar With Type 2 Diabetes And What To Do About It
10/10/2019 by Michèle TheiÃen
Do you have Type 2 Diabetes and struggle with high fasting blood glucose values? Have you often been annoyed about your high blood sugar in the morning?Sometimes high fasting sugar levels are just trickier than going to bed with high values and your sugar level just staying high all night.
Do you start the night with a pretty good starting value and overnight, the blood sugar rises even though youre unaware of having emptied your entire fridge throughout the night?
So, how do these high fasting values come about?
If you have Type 2 Diabetes, you probably have a bit of extra fat around mid section. Physicians call it abdominal fat. If that fat accumulates in our liver cells, they become less sensitive to the hormone insulin. And this is exactly where the problem lies.
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Studies On Blood Sugar And Fasting
Not all studies show that intermittent fasting is a magic wand when it comes to reducing your blood sugar levels. Research indicates daily caloric restriction and diets that mimic fasting also have a positive effect on blood glucose levels.
A 12-month study that compared alternate-day fasting to daily caloric restriction found both methods of calorie reduction lowered fasting glucose levels. Other studies also support the theory that its the caloric restriction that reduces fasting glucose and the risk for atherosclerosis.
However, intermittent fasting may still be among the easiest ways to restrict your caloric intake. You may find its easier to limit your calories for a few hours or a few days per week versus every day.
If you already have insulin resistance, or if your intermittent fasting protocol causes you to stress, fasting can cause an increase in your blood sugar.
A Brazilian study suggests the stress of fasting might increase the production of free radicals. These stress-induced free radicals can harm the cells in your pancreas, which is the organ responsible for insulin production. Damage to your pancreas can inhibit your ability to reduce glucose in your bloodstream and can lead to an increase in your belly fat. The Brazilian study, however, is an outlier.
Is Your Fasting Blood Sugar High Every Morning
I recently had an issue where no matter what I did, my fasting blood sugar levels were always high every morning. They were in the range of between 12 mmol/L to 16 mmol/L. At first I chalked it up to overdoing it around the holiday season. Eating way more carbs than usual, especially late at night and very close to bedtime. I figured that I was off with my bolus for the meals I ate at night. However, after I cut out the extra carbs and still got high readings in the morning, I knew something was off.
I realized that every morning religiously, I would wake up between 3 am and 4 am with a high blood sugar. Unfortunately if my blood sugar is above 8 mmol/L I cannot sleep. This problem prevented me from getting good quality sleep. I would often have to correct and monitor before I could go back to bed. I started to analyze my diet and my habits to see where I was going wrong. If you are experiencing a similar issue you can start with the below recommendations.
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Why You Should Check Your Blood Sugar
Testing blood glucose can help you manage diabetes by showing you:
- How well your diabetes treatment plan is working
- How exercise and food affect your blood sugar levels
- How things like stress and illness affect your levels
- How well your diabetes medication is working
- When your blood sugar levels are too high or too low
Get More Quality Shuteye
Getting good sleep is our best weapon against any illness. Many otherwise healthy individuals develop chronic ailments simply because they are not getting enough sleep. These same individuals develop insomnia, turning the problem into a vicious cycle.
In one study by the Harvard Medical Center, volunteers sleeping only for hours per night had more cholesterol in their blood. High cholesterol reduces insulins ability to regulate blood sugar. High cholesterol also leads to obesity, heart disease, and strokes.
Before making other significant changes, ensure you get 7-9 hours of sleep every night. You will likely notice an improvement in multiple areas of your life.
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The Risks Of Fasting With Diabetes
As well as not eating food , fasting is also usually a time of prayer, reflection and purification. If you treat your diabetes with certain medications such as insulin, there is also the danger of the blood sugar levels after fasting becoming too low. This can lead to a hypo, or having your blood sugar levels too high which can lead to diabetic ketoacidosis , which would require hospital treatment. The symptoms of DKA include feeling very thirsty and passing a lot of urine.
If someone is fasting and does not take in fluids to reduce their thirst, this will accelerate dehydration and they will require urgent admission to hospital.
If you’re worried about fasting with diabetes, check with your GP or diabetes team, particularly if you’re not sure what to do with your diabetes treatment during fasting. If you can’t get hold of them, it’s best not to fast. And if you require urgent medical help you can use the NHS 111 online service.