i have type 2 diabetes i check my sugar at bedtime do not eat anything else i wake up and check my sugar and


Question:
it is around 20 higher than it was when i went to bed

Answers:
Unfortunately this is not that uncommon. People have not quite understood that FIBER helps control diabetes and so please, eat a fiberous meal prior to bedtime.

In my view - not a scientist - but when I get the disease (and I will - both sides of the family), I wlll be eating lots of fiber and also lots of natural stuff, including sprouts etc.. because *I see Diabetes* as being an effect of having 'overprocessed foods' and that creates the need for more insulin AND therefore leads to insulin depletion or reduced insulin production. Play around with it.. and see if eating oatmeal as your last meal of the day is helpful with your numbers in the morning :)

Other Answers:
Type 2 diabetes starts off with insulin insensitivity, which is your body not responding to normal levels of insulin. Your pancreas will then work harder to make more insulin (because it senses the high blood sugars) until it is at maximum production. At this point, a slow burnout of the pancreas occurs and the insulin levels slowly drop until the pancreas burns out (at least for insulin production). So, insulin is what your body secretes to lower the blood sugar (allows more sugar into your muscle cells, etc). Diabetes is diagnosed when your sugars get too high.

The effect you are describing is probably due to the other side of the coin. When your body has LOW blood glucose, your pancreas secretes GLUCAGON, which goes to the liver and stimulates production of glucose (sugar) from energy stores there (in the form of Glycogen). This will keep your blood sugar up during periods of starvation so you (and the rest of us) don't go into a coma. The body has other energy sources (fat and muscle) but it takes longer to mobilize those sources and you need something to get you through the night.

There is another phenomenon related to persons using insulin. When insulin is used in too high an amount at dinner time, the blood sugar will drop dangerously low during sleep. The body will then produce huge amounts of glucose to counteract the hypoglycemia, which will then cause skyrocketing morning sugars. This is called the Somogyi effect and the common mistake by patients is to increase their dinner insulin level (they should do the opposite).

In some diabetics, their pancreas also does not produce glucagon. This can result in wild swings in the sugars from very very low to very very high (so-called brittle diabetics). They often have to be on strict diet and insulin control.

Hope this helps.a swing of 20 overnight is not worrisome, but a normal phenomenon.

I have not had any figures that high. The only thing I can suggest is talk to your Diabetes Educator.
Source(s):
I am also a Type 2 Diabetic.



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