what hormone is involved when you eat too much sugar and your blood glucose levels go to high

Why exercise your blood sugar levels increase at night, and what you tin can do to prevent this? Learn strategies for managing high blood sugar levels overnight and in the morning, including healthy bedtime snacks.

For National Slumber Awareness calendar week, we are focusing on how to regulate overnight claret glucose (sugar) levels. With the many factors that can affect your glucose levels, nighttime can exist a claiming. Some people with diabetes experience high overnight levels while others fear or experience a glucose drop during sleep. Trying to keep glucose levels stable overnight volition help you get more sleep and experience improve – and a good night's sleep will aid your diabetes management the next solar day. While this article focuses on overnight highs, you tin learn more well-nigh preparing for and preventing hypoglycemia (low blood sugar) here.

Here are some tips and strategies for how people living with diabetes tin can get improve slumber at nighttime and avoid high blood sugar levels.

Click to jump down:
Symptoms of Loftier Claret Carbohydrate at Night
Is It Condom to Slumber with High Claret Carbohydrate?
Why Does Claret Saccharide Become Up at Night?
What is the Dawn Miracle?
How to Stabilize Your Blood Sugar Overnight
Cracking Bedtime Snacks for People Living with Diabetes
What Should Your Blood Sugar be When Y'all Wake Up?
How to Lower Morn Blood Saccharide

Symptoms of High Blood Sugar at Night

If your blood sugar is high at night you may experience symptoms of hyperglycemia. Hyperglycemia, or "high glucose," is not divers past one specific glucose level. While many people with diabetes aim to keep blood carbohydrate levels below 180 mg/dl during the day, some people aim for the lower range of 120 or 140 mg/dl at night, when they are not eating.

At nighttime, symptoms of hyperglycemia include:

• Poor sleep

• Waking upward often to urinate or to drink water

• Headache

• Dry mouth

• Nausea

Other symptoms of hyperglycemia that you may experience during the day or night include:

• Frequent and excessive urination

• Extreme thirst

• Blurry vision

• Confusion

• Weakness

• Shortness of breath

Is It Rubber to Slumber with High Blood Sugar?

Glucose levels that are occasionally a footling high at night by and large don't pose serious, immediate wellness concerns. Virtually people with diabetes cannot avoid some loftier glucose levels. However, frequent or long-term highs – especially extremely high levels (higher up 250 mg/dl) – tin be unsafe. Information technology is important for people with diabetes to reduce high blood saccharide as much as possible for two key reasons:

1. Frequent hyperglycemia tin pb to major health complications caused by damage to claret vessels and nerves, which can affect your optics, middle, kidneys, and other organs. This occurs when glucose levels are too high over a long period of time.

2. Very high glucose levels tin can be a sign of diabetic ketoacidosis (DKA, or high levels of ketones in your blood indicating that there is not plenty insulin in your trunk). This occurs mainly in people with type i diabetes and tin be life-threatening. For more information on DKA, read "Ketosis vs. Ketoacidosis: What'south the Difference."

Why Does Blood Sugar Become Upwardly at Night?

At that place are many factors that can cause your blood sugar to increase at night. For instance: what food you ate during the day, how much and when you exercised, whether you ate snacks earlier bed, the timing of your insulin doses, and your stress level. You can feel different patterns of high blood sugar at night. Yous may start with loftier glucose when y'all go to bed, start the night in range just go high several hours afterward, or spend most of the night in range until the hours just before you wake up. Past identifying your body's patterns, you tin effigy out what is causing your high blood sugar and how to address information technology.

Common causes of a glucose increase at night include:

• Eating too shut to bedtime: whether you're snacking or eating a late dinner, a post-repast glucose spike can pb to high glucose levels overnight. In item, high-fat, loftier-carb meals (like pizza or pasta with creamy sauces) might delay glucose absorption causing an extended period of high blood sugar levels.

• If y'all have type two diabetes, a treatment program that doesn't adequately address your night insulin resistance or missed doses of your glucose lowering medication tin cause high glucose levels at dark (and ofttimes also during the twenty-four hour period).

• Over-correcting a low glucose level before bed. If y'all need to bring your glucose level back into range before you slumber, take just enough glucose to stabilize your blood carbohydrate. Quantity-limited treatments (similar glucose tablets or small-scale candies) that volition raise your glucose levels past a specific amount tin can be very helpful – learn more than here.

• If y'all take insulin, your insulin levels may be inadequate during the night. Depending on your dose and timing of basal insulin, the insulin may not final in your body until the morning time. Larn nigh unlike types of insulin, insulin pumps, and automatic insulin delivery (Assist) systems, all of which can exist helpful for staying in your target glucose range overnight.

• Taking less insulin before bedtime due to fear of low claret sugar overnight.

What is the Dawn Phenomenon?

Another reason for high nighttime blood sugar levels is the "dawn phenomenon." The dawn phenomenon occurs early in the morning when the torso naturally signals your liver to produce glucose, giving your trunk the energy it needs to wake up.

The hormonal changes associated with the dawn phenomenon happen to people with or without diabetes, though those without diabetes do not experience hyperglycemia. If you take insulin, you may need to try a new basal insulin or adjust the timing and amount of your basal dose (with injected insulin) or your nighttime basal rates (with an insulin pump) to cover an early on morning rise.

How to Stabilize Your Claret Carbohydrate Overnight

The most important thing you can practice to stabilize your blood carbohydrate is monitor your glucose levels at bedtime, during the night, and when you wake upward to expect for patterns. This volition help yous determine what'due south going on in your body and how you can fix it. While in that location are many strategies people utilise to stabilize claret carbohydrate at nighttime, every person is dissimilar – you'll have to look for trends in your body, experiment with ways to lower glucose levels over a menses of fourth dimension, and learn what works best for your body.

• Check your claret carbohydrate (or CGM) before bed. If it's already high, your blood sugar levels may remain high throughout the night. To address this, you'll want to outset past adjusting when you eat your evening meal and what it consists of, and how much mealtime insulin you take to cover information technology.

  • Avert eating lots of nutrient close to bedtime. For diaTribe author Adam Dark-brown, the fundamental to staying in range overnight is low-carb, early dinners, with no snacking after dinner.

  • Consider eating less nutrient at night and taking more than basal insulin to encompass your evening meal.

• Cheque your blood sugar (or CGM) during the dark, between midnight and 3am. If you were in range earlier bed but have high glucose levels between midnight and 3am, you may need to adjust your basal insulin dosage and timing. If you are depression during that time, you may feel a rebound high claret sugar afterward on – this is usually associated with overcorrecting the low.

  • Talk with your healthcare team near the optimal nighttime insulin regimen for you. You may need to suit your insulin to avoid both early low blood sugar and later high blood carbohydrate.

  • If you take basal insulin, see if you're able to get an insulin pump or an automatic insulin delivery (Assist) system. AID systems will automatically adjust your basal insulin doses throughout the night to help go along your glucose levels stable.

  • For some people, a small snack before bed (with a small dose of insulin, if appropriate) can help stabilize glucose levels throughout the dark and avoid an early morning high. Keep reading for a list of healthy bedtime snacks.

• Cheque your claret saccharide (or CGM) when you wake upwards. If you were in range before bed and betwixt midnight and 3am, but have high blood sugar in the morning, yous may be experiencing the dawn miracle or running out of insulin (or other medication).

  • If you take insulin, you lot may need to filibuster the timing of your basal dose to every bit close to bedtime as possible. Or, you may increase your basal rates with an insulin pump from around 3am on.

  • If y'all have type 2 diabetes, talk with your healthcare professional about your glucose-lowering medications to make certain that your treatment programme addresses overnight hyperglycemia.

Information technology's possible to experience a combination of these events – you lot may have loftier blood sugar levels at various points throughout the night. If you have a continuous glucose monitor (CGM, you'll be able to better track your glucose levels throughout the night. You can use your CGM data to relate your behaviors to patterns in your nighttime glucose levels. Does the timing of concrete activity affect your glucose levels overnight? What near food choices throughout the day, in terms of blazon, quantity, or timing of food? If you don't accept a CGM, the more frequently you tin can have a blood sugar readings the meliorate. Acquire how to get the near of your fingerstick blood sugar data here. It'southward important to share your nighttime glucose observations with your healthcare team so that you can find the best ways to stabilize your claret saccharide over the entire night.

For more advice on stabilizing nighttime glucose levels, read Adam Brown's "The Overnight Blood Sugar Puzzler."

Nifty Bedtime Snacks for People Living with Diabetes

For some people, a healthy bedtime snack helps to prevent glucose swings during the dark. By eating a pocket-sized snack that is total of poly peptide and salubrious fats (and low in carbohydrates), your body may be better able to avoid an overnight loftier – but if you accept insulin, exist certain to cover the carbohydrates in your snack even if information technology only requires a pocket-sized dose of insulin.

Hither are some snack ideas:

• Plain basics or seeds – try eating a pocket-sized scattering

• Raw vegetables, such as carrots, celery, cucumbers, or tomatoes, with a pocket-sized amount of hummus or peanut butter

• Manifestly yogurt, and you lot can add berries or cinnamon (read about choosing a good for you yogurt hither)

• Chia seed pudding

Remember, a bedtime snack is only helpful for some people. To see if information technology works for you, yous'll have to carefully monitor your glucose before bed, during the night, and when you lot wake up.

What Should Your Claret Sugar Exist When You lot Wake Up?

The goal of diabetes management is to proceed your blood carbohydrate levels as stable as possible. This means that when you lot wake up, you want your glucose to exist in range and to stay in range throughout the mean solar day.

For many people with diabetes, the overall target glucose range is betwixt seventy mg/dL to 180 mg/dL (3.ix to 10.0 mmol/L). To first the day strong, the American Diabetes Association recommends that you aim to wake upwardly with glucose levels betwixt 80 to 130 mg/dL. Talk with your healthcare team about your glucose targets.

How to Lower Morning Blood Sugar

Whether a morning high is acquired by the dawn phenomenon or something else, hither are a few things you can endeavor to lower your blood sugar levels:

• Physical action when you wake up can help bring your glucose level downwards. Even going for a walk can be helpful.

  • To learn almost exercise guidelines and glucose management strategies, click hither.

  • Read Adam Brown'due south take on walking – the most underrated diabetes exercise strategy.

• Eating a light breakfast tin can help keep a morning high from increasing even more. Taking your mealtime insulin will assistance lower your blood sugar.

  • Adam Chocolate-brown suggests eating a breakfast that is low in carbs, and notes that sometimes mealtime insulin has to exist adapted in the morning time. One of his favorite breakfasts is chia pudding, since it has little touch on glucose levels; meet what else he eats for breakfast here.

  • Catherine Newman has six popular, low-carb, succulent recipes in "The Morning Meal."

• Intermittent fasting and fourth dimension-restricted feeding approaches to repast timing can besides help people keep morning blood sugar levels in range. Read Justine Szafran's "Intermittent Fasting: Stabilizing My Morning Blood Sugars" to acquire more.

• For additional ways to navigate mornings, read seven strategies from Adam Dark-brown in "A Home Run Breakfast with Diabetes."

This article is part of a series on time in range.

The diaTribe Foundation, in concert with the Time in Range Coalition, is committed to helping people with diabetes and their caregivers empathize time in range to maximize patients' health. Learn more about the Time in Range Coalition here.

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Source: https://diatribe.org/high-blood-sugar-night-what-do

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