High Morning Blood Sugar

by Mary
(Sacramento, Ca.)

QUESTION: I can go to bed at night and my blood sugar is 112 but in the morning its 157 and when I fast it goes up..why??


ANSWER: Hi Mary,

To give an exact answer to your question, I need to know if you're a diabetic or not, your age and some of your lifestyle habits and foods you use to eat.

Anyway, although I don't have all these information, I will try to give an explanation to your morning high blood sugar.

If you think you're not a diabetic, you shouldn't exclude the possibility you might have diabetes.

Here's what happens: If you go to bed with normal blood sugar levels, during night (exactly early in the morning 4-5 am) there are some substances (hormones) our body produces to wake us up.

They are called "stress" hormones, which raise blood sugar levels. In a normal person, this rise is accompanied with increase in insulin levels too. As a consequence, a normal person is woken up without having high blood glucose.

In a diabetic, this doesn't happen, especially for type 2 diabetics. Their body still produces a little of insulin, but the insulin is not able to transport the glucose inside the body cells.

Thus, glucose remains in the bloodstream and diabetics they wake up with high blood sugar levels and high insulin levels (induced by high blood sugar).

What you can do, you may check again your fasting blood sugar levels, do an oral glucose tolerance test and check your A1C level in a lab. In this way you'll make sure if you have diabetes or not and what precautions you must take.

Hope I answered your question. Take care!

Dr.Alba

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