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Winning The War Against Diabetes

By: Dr. Vladimir Diaz

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Why is my blood glucose high in the morning?

People with diabetes may have a morning high glucose once in a while, but if it is consistently high then they need to consult their doctor regarding their medications. Some cases of a morning high glucose may be due to hormones that are released in the early morning. The recommendation is to check your blood sugar in the middle of the night, around 3am. If the blood sugar is high, it may be the dawn phenomenon. If it is low, it may be a rebound high blood sugar causing a high blood sugar in the morning. This happens if you have a low blood glucose level at night and you body is releasing hormones as a defense mechanism against low blood glucose. The general blood glucose level guidelines according to the American Diabetes Association are between 70-130 mg/dl before meals.

How should I manage my diabetes when I’m sick?

Keeping physically active drives your insulin levels down, which is one of the most powerful ways to reduce your cancer risks. Try to exercise at least 3 times a week for 30 minutes and maintain a healthy body weight.

  • Drink Fluids-even if you are able to eat food. You need to replace the fluids that your body is losing due to high blood glucose levels, fever, vomiting and diarrhea and to prevent dehydration. It is recommended that you drink fluids every hour that you are awake. Drinks that have caffeine will only make the dehydration worse.
  • Check your blood glucose every 2-4 hours when you are sick-especially if you are vomiting. Report any glucose levels to your physician or diabetes educator. If your blood glucose is high everytime you check it, you may need to consult your physician and change your diabetes medication or dose.
  • Never skip insulin injection or medications.
  • Check your blood or urine for ketones whenever you are sick or if your blood sugar stays higher than 240mg/dl. If you have diabetes, ketones in your system indicates that your body is in trouble.
  • Take your temperature. Fevers can cause dehydration.
  • Call your healthcare provider immediately if you have trouble breathing, vomit more than once during a 6 hour timespan, have diarrhea more than 5 times or longer than 6 hours, have a fruity odor to your breath, have moderate to large ketones in the urine, lose 5 pounds or more during the time you are sick, have a temperature over 101° F and have 2+ blood glucose readings in a row that are greater than 240mg/dl or lower than 70mg/dl.

Diabetes and Diet

What do I eat if I have food allergies and diabetes?

You still need to eat healthy. Focus on fresh vegetables, fruits, low-fat dairy products, chicken, and lean meats. Avoid prepared foods that may contain allergenic ingredients. Try to cook your own meals so that you know exactly what you are eating. You can also work with a registered dietitian to develop a specialized plan.

Does insulin causes weight gain?

Individuals with diabetes may experience weight gain when they first start taking insulin. When blood glucose levels are high, your body wastes the calories you eat because there’s no insulin to help the body convert the food into glucose. When your blood glucose is controlled with insulin, your body makes better use of the food you eat. Insulin can make blood glucose too low if not adjusted correctly. If you’re repeatedly treating hypoglycemia with food, this can result in excess calories and weight gain. It is best to work with your healthcare provider to adjust your insulin doses to minimize hypoglycemia.

The content on this website is for informative purposes only. It is not meant to treat or diagnose any symptoms or illnesses. Should you have any health related questions, you should contact your health care provider.

About the Author

Dr. Vladimir Diaz photo Dr. Vladimir Diaz