{"id":58248,"date":"2021-02-16T17:31:23","date_gmt":"2021-02-16T17:31:23","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=58248"},"modified":"2023-06-28T15:02:42","modified_gmt":"2023-06-28T15:02:42","slug":"why-do-most-diabetics-worry-about-the-morning-fasting-blood-sugar-being-high-written-by-dr-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/why-do-most-diabetics-worry-about-the-morning-fasting-blood-sugar-being-high-written-by-dr-harold-gunatillake\/","title":{"rendered":"Why do most diabetics worry about the morning fasting blood sugar being high?-Written by Dr. Harold Gunatillake"},"content":{"rendered":"

Why do most diabetics worry about the morning fasting blood sugar being high?-Written by Dr. Harold Gunatillake<\/span><\/h1>\n

\"Harold-Gunethilake\"<\/p>\n

FRCS, MBBS, AM (Sing), FICS (US) FIACS (US)<\/span><\/p>\n

Fasting blood sugar is a test done on your early morning wake up time <\/span>check, or when you visit the collecting centres to give blood for <\/span>biochemical screening, fasting for 12 hours.<\/span><\/p>\n

Fasting blood sugar is <\/span>more diagnostic to check <\/span>whether you have <\/span>excess blood sugar. That <\/span>would be the routine<\/span>
\ntest your doctor will <\/span>request on your annual <\/span>blood check, sometimes <\/span>with the HbA1C test <\/span>If it is on the high side <\/span>your doctor refers you <\/span>for a random plasma <\/span>glucose test or oral <\/span>glucose tolerance test. <\/span>The oral glucose <\/span>tolerance test is the gold <\/span>standard for diagnosing type 2 diabetes.<\/span><\/p>\n

If your fasting level is higher than 126 mg\/L (7 mmol\/L) you have <\/span>diabetes.<\/span>
\nSo, lets go back to the fasting blood sugar test (fasting for 12 hours) <\/span>and its significance in diagnosis and control of diabetes. <\/span>After diagnosing diabetes, a fasting blood sugar level is not required as <\/span>it takes you no where in your management of diabetes.<\/span><\/p>\n

<\/p>\n

But you will do a fasting blood sugar level test at home spontaneously whether your doctor requests you to do or not, for your own curiosity.<\/span><\/p>\n

And then, you worry about it when its above the normal range, on most <\/span>days.<\/span>
\nThis early morning jump of sugar level do occur between 2 and 8 a.m. <\/span>Normally, whether you are a diabetic or not, due to hormonal changes in <\/span>your body, there is a boost on your blood sugar in the early hours of the <\/span>morning.<\/span>
\nThe hormones that are involved are growth hormone, cortisol, glucagon <\/span>and epinephrine. They all raise your blood sugar level.<\/span>
\nNormally in a non-diabetic more insulin is manufactured to control this <\/span>increase level of blood sugar. <\/span>In a diabetic, since your body does not respond to insulin, your morning <\/span>blood sugar will be raised, even if you are controlled with medication <\/span>and a strict diet.<\/span>
\nPlease read again and again and understand the situation, and not <\/span>worry about this high morning reading.<\/span>
\nIn the first place do not do a fasting blood sugar level test, with your <\/span>own monitor at home, when you are a proved diabetic.<\/span>
\nThis natural boost is necessary to give enough energy to get up and <\/span>start the day.<\/span>
\nIn addition to the above natural boost of blood sugar in the morning, <\/span>there may be other factors that cause this rise.<\/span>
\nYou didn\u2019t have enough insulin the night before. <\/span>Or you may have forgotten to take your tablets the night before<\/span>
\nOr you may have gone to dinner to a friend\u2019s or a restaurant and broken <\/span>all the rules, including an extra drink of wine. <\/span>If you are concerned about your raised fasting blood sugar, do an early <\/span>morning brisk walk for one hour daily (aprox.8,000 steps), your blood <\/span>sugar will come down below the normal range, you would be thirsty and <\/span>hungry and your breakfast would be most rewarding and pleasurable.<\/span><\/p>\n

For daily management of your blood sugar, it is more feasible to do a <\/span>random blood sugar at about 4pm, and that should read between 7- <\/span>8mmol\/L.<\/span>
\nIf you walk about 3-4 hours with short breaks daily, your insulin <\/span>resistance will drop, and you may need minimal medication or no <\/span>medication.<\/span>
\nHope this article is useful.<\/span><\/p>\n

Disclaimer:<\/em><\/span><\/p>\n

The information contained in this article is for general information purposes only, and whilst the author will endeavour to keep the information up to date and correct, eLanka makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the eLanka website or the information, products, services, or related graphics contained in this article for any purpose. Any reliance you place on such information is therefore strictly at your own risk. In otherwords, eLanka In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website \/ article. Also please note that through this website \/ web page articles you are able to link to other websites which are not under the control of eLanka and therefore we have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Why do most diabetics worry about the morning fasting blood sugar being high?-Written by Dr. Harold Gunatillake FRCS, MBBS, AM (Sing), FICS (US) FIACS (US) Fasting blood sugar is a test done on your early morning wake up time check, or when you visit the collecting centres to give blood for biochemical screening, fasting for […]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[872,20690],"class_list":{"0":"post-58248","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-dr-harold-gunatillake","10":"tag-fasting-blood-sugar","11":"post_format-post-format-aside"},"yoast_head":"\nWhy do most diabetics worry about the morning fasting blood sugar being high?-Written by Dr. Harold Gunatillake<\/title>\n<meta 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