1. < Diabetes & Endocrine System

How to control Morning blood sugar for a diabetic patient?

Posted by pritj @pritj, Mar 26 4:54am

I have seen pattern with Morning blood sugar as below
1. Have very limited diet like soup and some snacks and go for a walk for 30 min then night bed sugar is 125 to 135 range. And in that case, in morning fasting blood sugar is 170
2. If we had brown rice and Lenthils then go for 30 min walk then check , bed night time sugar is 200, but morning blood sugar is 145/150 .

So here problem is if we eat less and have walk then blood sugar is lower after dinner but then it shows high blood sugar for next morning

And if we eat proper then night bed sugar is hight but morning blood sugar is high ( around 10+ hours of gap between night dinner and morning check time)

Interested in more discussions like this? Go to the Diabetes & Endocrine System Support Group.

Mentor
Cheryl, Volunteer Mentor | @cehunt57 | Mar 26 11:34am

@pritj Welcome to Mayo Clinic Connect! I am 50 years diabetic and can relate to the concerns you expressed. As I read your post three things came to mind:

1) you mentioned rice. For whatever reason not all carbohydrates are equal. Mathematically this makes no sense. Dieticians have done a deep dive and attempted to explain this with something called the glycemic index. I find it super confusing and don’t want to go there. A simpler way of looking at it is that the same amount of carbohydrates from say rice, pasta, potatoes may have a different result on your body. For example I find that rice will raise my blood sugar faster and more than an equal amount of carbohydrates from potatoes. This could also be an individual thing and it might be helpful to scope it out personally. It is really tedious but you can keep a food diary plus pre and post prandial (before & after eating) blood sugar records for a few weeks. You eat the same things throughout the day for several days (boring!) then switch it up for the next few days. It can help you learn how to identify what foods present more problems for you. My nemesis turned out to be rice and pasta. I still eat them but REALLY limit the frequency and also the portion sizes when I do so.

2) & 3) Morning blood sugars can be affected by two things that can occur during the early morning hours of the night. One is called the Dawn Phenomena the other is called the Symoji Effect. I can’t remember the difference between the two at the moment but it has something to do with your metabolism waking up in the morning and your body raiding glucagon supplies from your liver to prevent the sensation of starving. You can look up these two things for a more complete explanation. Both of these can cause morning blood sugar elevation.
I may have spelled Symoji incorrectly. Siri and Miriam Webster aren’t being helpful at all. They kept giving me “emoji”. It is a medical term outside of their expertise. The same thing happened with “prandial” when I tried to check that spelling. They were insistent on telling me “perennial”!

REPLY
1 reply
celia16 | @celia16 | Mar 26 4:52pm

Are you type 1 or 2? If 2, do you take insulin? Or meds?

What are your blood sugar goals?

REPLY
abida | @abida | Mar 27 4:29am

At what time you have your dinner you have not mentioned it an early light dinner with restricted carbohydrates may do the trick you have not mentioned whether you are taking any medication to control the blood sugar anyway try to shift your last meal time early and restrict your carbs

REPLY
ksdm | @ksdm | Mar 27 8:05am

First of all, every day (situation) is different. You can eat the same thing two nights in a row and have different readings. Also, know that in the morning, when you wake up, your liver is sending out glucose to deal with the day and so often your blood sugar will be rising when you rise! I take my basal insulin no matter what my readings are and if my blood sugar is high, I might do a slight correction or add a bit to my fast acting if I am having breakfast. The bottom line is that you will never get it completely right all of the time, which is very frustrating for perfectionists!

REPLY
sammycat | @sammycat | Mar 31 9:29pm
In reply to @cehunt57 "@pritj Welcome to Mayo Clinic Connect! I am 50 years diabetic and can relate to the..." + (show)
@cehunt57

@pritj Welcome to Mayo Clinic Connect! I am 50 years diabetic and can relate to the concerns you expressed. As I read your post three things came to mind:

1) you mentioned rice. For whatever reason not all carbohydrates are equal. Mathematically this makes no sense. Dieticians have done a deep dive and attempted to explain this with something called the glycemic index. I find it super confusing and don’t want to go there. A simpler way of looking at it is that the same amount of carbohydrates from say rice, pasta, potatoes may have a different result on your body. For example I find that rice will raise my blood sugar faster and more than an equal amount of carbohydrates from potatoes. This could also be an individual thing and it might be helpful to scope it out personally. It is really tedious but you can keep a food diary plus pre and post prandial (before & after eating) blood sugar records for a few weeks. You eat the same things throughout the day for several days (boring!) then switch it up for the next few days. It can help you learn how to identify what foods present more problems for you. My nemesis turned out to be rice and pasta. I still eat them but REALLY limit the frequency and also the portion sizes when I do so.

2) & 3) Morning blood sugars can be affected by two things that can occur during the early morning hours of the night. One is called the Dawn Phenomena the other is called the Symoji Effect. I can’t remember the difference between the two at the moment but it has something to do with your metabolism waking up in the morning and your body raiding glucagon supplies from your liver to prevent the sensation of starving. You can look up these two things for a more complete explanation. Both of these can cause morning blood sugar elevation.
I may have spelled Symoji incorrectly. Siri and Miriam Webster aren’t being helpful at all. They kept giving me “emoji”. It is a medical term outside of their expertise. The same thing happened with “prandial” when I tried to check that spelling. They were insistent on telling me “perennial”!

Jump to this post

I type 2 diabetic not on insulin but am having the symoji at night go to bed blood sugars are 125 to 135 get up and scan and 197 to 205 wake up and in the 120 range.

1

REPLY
Please sign in or register to post a reply.