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- เผยแพร่เมื่อ 22 ส.ค. 2020
- It can be frustrating to always find your sugar high in the morning! This video covers what is the proper way to do a fasting blood sugar, the reasons why sugar is high in the morning, like the Dawn Phenomenon and the Somogyi effect. Finally, it reviews ways to improve your morning blood sugars. Written by endocrinologist Dr. Christopher Palmeiro and produced by Doctablet®
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Very very good explanation, thank you
Your video was very helpful to me. Thank you. God bless you and your family 🙏❣️🤗
Glad it was helpful! God bless you as well!
I love this channel, one day you would be in national television, saving millions of kids lifes!
A very useful information. Thank you. Thanks
Glad it was helpful! Appreciate your watching!
Excellent presentation! 👍
thanks for watching and for taking time to comment. Glad it was helpful!
Wow, It’s been 1 year, no video! And now this!
Great Video...
Thanks Dr Nayeem! We were inspired by subscribers like you to get back into making great content. Thanks again for watching and stay tuned!
Nice and so informative thank you
thanks for watching, Marcella! we appreciate your comment
The music is so apt for this type of information too
Thanks for watching and taking time to leave a comment Marco!
Thank you for this helpful video!
Glad it was helpful! Thanks for watching and commenting
very interesting. Thanks
Well explained... 👌
Thanks so much for watching and for your kind comments!
Wow. Great animaton plus useful accurate information implies people will actually watch. Thank you :).
Glad you think so! we appreciate your kind words and your taking the time to leave a comment!
You did a great job explaining the issue and causes and provided a good variety of solutions. I have gotten this information from trustworthy detailed KETO & IF Doctors on TH-cam and you summed it up in a great presentation. Thanks and keep it coming.
thanks Scott, there was a lot to cover in a short video. glad you found it helpful!
Keep it up man
Thanks for youor support @Tripanzo!
Great video, thank you.
Glad you liked it! Thanks for watching and taking time to comment!
0⁰
Thanks for your advice about it, that is happening to me, my sure is high when I weaken in the morning above 126; 137 to 145 sometimes, but rarely over 200, blessings 🌌🌍👍🙌
Excellent
Thanks for watching and taking time to comment. Hope it helped!
Thanks so much for important information gadbles
You are welcome. God bless you too!
Thank you so much.
You're welcome! Thanks for watching and taking time to comment!
What happens to me is I usually wake up 2-3 hours after going to sleep and I'm thirsty, hungry, agitated and hot. If I look on my CGM, my blood sugar at this point has usually dipped down, maybe even as low as 70-80 range. Once I eat and drink something, I cool back down and get to sleep easily. If I resist that snack, I'll usually just lay there hot and frustrated until I finally do go get something to eat.
Try eating cheese it’s low carb and doesn’t spike numbers
I'm similar but opposite! Until recently I was getting glucose spikes which were waking me up giving me terrible sleep. An ultra low carb/sugar diet and cutting out fruit for breakfast seems to be helping. And absolutely no sugar (e.g. fruit) after 6pm.
My bloodsugar was 5.7 mmol/l this morning 😊🙏 but yes I do see a little bit of spike when I wake up. Stay safe and healthy everyone!
Thanks for watching and keep up the great work!
5.7??is normal, my is 7
@nenadcubric2663 that is pre-diabetic! See a doctor and fo on a strict low carb zero sugar diet!
Thanks!
welcome! thanks for watching!
yes I agree to this.It's really frustating
Thanks for watching Anna! Hopefully you find some relief!
Excellent presentation!.
Thanks 🙏
Thanks for watching, Harry! And for the kind words!
Why the video starts with the statement that morning blood sugar is high because of diabetes. Does it must be diabetes? Can it be insulin resistance or not even that?
Rather, our morning sugar will be high or higher than usual even if we are the healthiest persons on earth! Why? Ask growth hormone, ask adrenaline, or ... well, I am not a doctor.
So good is so important
Where to buy corporate head love
Thanks for your comment!
I used to think muesli with lots of fruit was a healthy breakfast. But i found that it created a huge glucose spikes. After switching to eggs and veg, it was hugely different - almost no spike! (though i'm also keeping carb/sugars down as well).
What about those of us for whom 2AM is NOT in the middle of the night? I generally go to bed around 2 AM (and get up around 10 AM). Do I just move the times by about 4 hours? I know that some biologic processes are affected by the actual time of day or sunrise or similar phenomena. How does this play into mix?
Yes, we would recommend adjusting the times by about 4 hours. This assumes you keep the same schedule every day. The hormones and your brain adjusts to this schedule if it is consistent
Thank you!
My morning readings are always in the upper prediabetic range.
This helps me plan to learn what my situation is. My high reading isn't diet related because 14hr fasted I get 85 at bedtime then 24hrs fasted I get 113 but its in the morning.
Thanks for watching. Insulin resistance in the liver can be frustrating. Better to catch this early on.
113? I would be happy with that. Mine is 200 or more Wtf?
Did u figure out what happening?
I’m in the same situations
@@yooy706 unfortunately no. After all the videos and reading I just resigned to it being normal for me.
I kept waking up for months. Waking up at 3am not being able to get back to sleep. Zombie all day. GP couldn't figure it out. Then I stumbled onto dawn phenomenon via TH-cam. Got a blood glucose monitor. Checked during the day/after meals etc, was fine. But on waking up at 3am it was higher (around 6.7). I do keto and 16/8. So started having a handful of nuts right before bed. Still wake up (which is normal). But sleep is much better and I can get back to sleep so this worked for me. Thanks to youtube and content creators like this dude 👍
Wow what an amazing story! Thanks for sharing it and for taking time to leave a comment!
Try a couple of slices of goat cheese before bed. Helps with ketone production. I also try to take berberine at bed and acv drink. I find when I do this I can remain in ketosis overnight. Otherwise I can go to bed in ketosis and wake up with no ketones which I think must be related to the dawn effect.
My blood sugar in morning had gone back to normal.I do a glu close tablet in morning n snack one about 10.Drink half a bottle protein for lunch n other half for snack.Ivecome from 252 to 234 so far been losing weight n no high blood sugars.
congrats on the weight loss david! thanks for watching our video!
happy for u
Plz explain in details how u control morning sugar
Hi…My A1C is 6.9…i am not on medications yet…my fasting sugar is high,but my 2hrs after meal is ok…please suggest if you want me to go on medications or give myself 3 months time to make the life changes and start the meds?
We do not give medical advice here. Check with your doctor. An A1c of 6.9 is full Type 2 diabetes not pre diabetes and the newer guidelines support use of metformin at diagnosis.
Can morning light walk help to reverse diabetes type 2?
thanks for watching and taking time to comment!! It should be a brisk walk. This can help some of course!
what is the best time to have an FBS?
when you first wake up at least 8 hours after having eaten!
I like to do cardio in the morning. Maybe I should get two sessions in the regular one in the AM and again after my last meal...
Great work on the cardio! What about weight lifting (assuming your doc thinks this is OK)?
@@Doctablet I was weight lifting pre-C19 I'll get back into it. Or maybe make my commute to the gym be a cardio session. I don't want to make the space in my home for resistance training.
Love the content B T dubs.
@@richsamuel2922 Thanks for the kind words. I know weight training can take up a lot of space. Keep up the good work!
Should I exercise after dinner? that doesn't seem prudent.
Thanks for watching! Exercise, at any time, increases glucose uptake by the muscle. These physiologic effects can last for many hours after activity.
Sometimes mine is high in morning it's frustrating.
sorry to hear that jean. hopefully this video helped explain whey that might be
I have high fasting glucose (around 110-115), but my a1C is 4.8 😢
sorry to hear of your struggles. The A1c can actually miss certain cases of diabetes. Check in with your doc and come up with a good plan to tackle it early!
Today I wake up at 11am and check my sugar within 5 minutes. Get 6.1 mml. plz suggest me. I hadn't pre diabetic before today. Is it prediabetic?
Hi Milon, we do not provide medical advice on this channel. The videos are educational. In our experience a single isolated blood sugar of 110 mg/dL does not make a diagnosis of pre diabetes. Also 11AM could be fasting for some people and after a meal for others.
for the last year i have had issues with waking up unwillingly, often between 2AM and 5AM. Is this the dawn phenomenon? is it happening so hard that it wakes me up? edit; you know, my waking up seems to be more symptomatic of the somogyi effect
have you measured your sugar when you wake up?
@@Doctablet No, I actually just recently began to suspect I might have diabetic issues as I came across info that diabetes can interfere with sleep. I do intend to talk to my doctor about it, but, you know, system issues.
Same thing happened to me for months. Waking up at 3am not being able to get back to sleep. Zombie all day. GP couldn't figure it out. Then I stumbled onto dawn phenomenon via TH-cam. Got a blood glucose monitor. Checked during the day/after meals etc, was fine. But on waking up at 3am it was higher (around 6.7). I do keto and 16/8. So started having a handful of nuts right before bed. Still wake up (which is normal). But sleep is much better and I can get back to sleep so this worked for me. Thanks to youtube and content creators like this dude 👍
Doctor Eric Berg has a good video on cortisol. I'm pretty much a 100% sure that's what you need to look into. I'm going to guess that also in the afternoon you really really need a nap
My morning blood sugar is 250-300mg\dl daily . I take 3 times insulin but can't drop morning sugar
Thanks for watching. Check with your doc, but it that high of a sugar is often Because It it elevated the night before.
You are insulin resistant. No matter how much insulin you inject, your cells have too much glucose in them so they shut down reception of glucose. You will have to fast and do high intensity exercise to reverse this. It is that simple. Don't eat for six hours before you exercise. You will drop the sugar quickly.
I checked my blood sugar at bed time it was 93 but in the morning (fasting) it was 131 while i had nothing after cheking bl sgr at bed time : i am very perturbed pl advice
if you are motivated we often have patients set an alarm and check it at 2 or 3AM to see what it is then. You can compare the 2AM to the fasting number to try and figure out the reasoning. A medication list is also important when figuring this out
I’m pregnant and my morning sugar is always high . 🥺 what should I do to make it low ? I don’t even eat snack in midnight . And my morning sugar level is always 100 to 110 is it okay?
Thanks for watching Memae! Check in with your doc because the target blood sugars during pregnancy are very strict!
Yes no worry...in case talk it over to your gaenacologist..1.10 is the normal range..
That music does not help.
thanks for watching, sorry the background music distracted from the video quality for you. hope it was still helpful
@@Doctablet it is very distracting. No one is here to be entertained but info only. Thankyou for the info though
I thought the music was cute. It made me smile.
The music is just mixed in a little too loud
@@Doctabletmom😊ukoii I iuyy
2am? I wake up at 12am
Why is my blood sugar high in the evening
Ha! Great idea for a video!
I think that you've "Dusk Phenomenon".
Please help I was diagnosed in 2018 for prediabetic My Dr. put me on metformin 500gm and I was doing well with my sugar levels morning fast 5.3 or high will be 5.8 and I would eat everything even carbs in moderate after my Vax AstraZeneca last month sugar level morning fast went 6-up 6.8 every morning I cut down carbs and everyday walks for 1hr everyday in two weeks I lost 3kgs before I had normal weight I seen my Dr.put me in diet with more protein but still sugar levels are up in the morning what could be wrong
thanks for watching. we do not offer medical advice. Discuss with your doctor the potential of increasing insulin resistance in the liver. Muscle weight training can help along with lower but healthier carbs. Higher metformin dosing might be needed.
I dont have diabetes but stil have higher glucose in the morning is this normal ?
No that is not normal. It might be an early sign of diabetes, please check in with your doc!
Any updates?
Bro am a long standing Type 1 Diabetic n experience night time hypoglycemia and seizures , have kept fruit juice bottle in bed.Can a video be made on Dead in Bed Syndrome. Thanks.
so sorry to hear of your struggles. Have you spoken to your doctor about transitioning to a real time system -- pump and sensor? these have been shown to significantly cut back hypoglycemia.
in the Morning My Blood Sugar is 170 then when I get out of bed it shoots up to 240 and it stays that way until I eat something then it drops to 197 and shoots back up hours later and stays over 300 until night
It does sound like your sugar is running high. What does your doc think? In our experience these types of glucose levels usually mean that insulin is necessary.
I have blood sugars at 110-137 in the mornings. Am cutting out most carbs, eatin protein and veggies. Drink more water. And walk..hope this helps.
Up
Thanks for sharing your personal experience and taking time to comment!
No one ever talks about bitter kola. Y'all have no idea
The background music is distracting
Thanks for watching. We definitely appreciate our viewers feedback! Will take this into consideration...
Its called dawn phenomena
thanks for watching !
Can a non diabetic woman's blood sugar level be higher when they are on their period?
Stress of any kind can raise blood sugars. If you are finding elevated blood sugars during menses you should be tested for diabetes
@@Doctablet 👍, thank you very much!
@@cindimahtaj6455 no problem
The insulin resistant liver makes too much glucose especially in the morning. Best thing you can do is quit eating carbs and maybe skip breakfast. Worse thing is increase insulin.
Thanks for watching Peter. Appreciate the comment as well!
Great advice Peter 👍
@MrRed X Vince Thanks for sharing your opinion! It is true there are healthy carbs for sure!
Skipping breakfast can up sugars!
My sugar is low in the morning it's about 80 Is it ok???
Sounds perfect! Thanks for watching!
Your sugar is too high in the morning because you're too worried about your sugar been high all the time, stop worrying about it and it might go down some lol.
Stress certainly can contribute! Thanks for watching!
This is my issue right now. I was getting decent numbers until I started stressing. I had a high reading a few days ago and completely freaked out and then my fasting numbers kept being high for the next few days after that. I'm eating super healthy (low carb/keto) and getting exercise. I decided to stop testing my fasting numbers for a few days until I can calm down.
That's how i am right now. Super obsessed with my numbers and it just makes things worse
Well MF, if the numbers would start to show normal, especially after eating healthy and excersise, then I wouldn't be worried. 😂Duh. How do you stop worrying about it???? I'll say it again just in case you didn't understand...Hmmmm...maybe if numbers weren't high, then we wouldn't worry.
My fasting sugar is often 20+ ,even though i take metformin,don't snack before bed,eat an almost carb free supper. And walk close to a mile after supper. I take 2000 mg metformin. I used to be able to eat whatever i wanted last year,so long as i walked afterwards. Now it seems nothing i do will drop these numbers. My fasting sugar was 26.4 the other day. Don't feel sick or anything when its that high,but i obviously don't want it this way.
Please check in with your doc! Sugars that high will need insulin to bring the down.
th-cam.com/video/QN2arSLKqS8/w-d-xo.html
Ask your doctor about SGLT-2 inhibitors, if you are T2. My morning blood sugars are now less than 100 since I started using it. If not, then insulin might be needed.
After recovering from covid I got diabetes will it be cured or reversed
sorry to hear that! we couldn't offer advise here. There are cases of type 1 diabetes that are being documented after COVID, which are non-reversible. Have a conversation with your doc. thanks for watching
Sadly that’s how I got mine
@@Paloma902gv dont worry ma .god will take care of us okey
Then why eat breakfast??? It’s only going to keep climbing throughout the day
Whether to skips meals is debatable. There are studies which show people who eat breakfast actually live longer! Its more about what you choose to eat with breakfast!
Lose the sound track. It's irritating serves no purpose. It ruins what would be a good product.
thanks for watching and for taking the time to leave a thoughtful comment.
My A1C last week was 6.5 They put me on 500 milligram Metformin once day for three months. I went in initially for thyroid lab..of course, they said thyroid was normal. So lose weight and keep taking these drugs, come back in September,
Keep up the great work! Thanks for watching...
.just got my a1c at 6.5 .my doctor didn't put me in medication yet ! I'm so scared!
Weird. My fasting levels in the morning are 6.0mmol. But in the afternoon (like 2-3pm) even right after i eat something it's only 6.4mmol. If i was a diabetic it should be way higher than 6.4 after eating. So.. i don't get it. In the mornings i'm almost diabetic. But during the day my glucose drops to low levels. So.. what the hell. I'm thinking it has to do something with cortisol (i suffer from severe anxiety).. or it has to do something with my diet (i fast for 24 hours). So.. am i diabetic or not? Very contradicting measurements.
That is called impaired fasting glucose and likely correlates with prediabetes. It is due to insulin resistance in the liver. Cortisol can certainly be contributing as well
@@Doctablet Well maybe it was a one-off error. Or maybe that i ate alot of sweets the day before? Plus my cortisol was skyrocketing cuz i did the test in the hospital (was anxious). But now i bought glucometer and everything seems perfect. Through the day (even after a meal) it was 5.4-6.4mmol-. And now in the morning i measured my fasting glucose it was 4.8mmol. You think it might've been due to sweets and/or my anxiety spiking in the hospital?
Shut the silly music. This is important. Not a cartoon film.
Never eat three meals a day, never snack. Done ✔️
Thanks for watching and sharing your dietary ideas. Never eating is not a reasonable solution though.
@@Doctablet Never eating is death… I agree.
@@label1877 never eating because you already over eating is reasonable enough
Metformin at bed time is not helping at all. Need to take it with last meal at 5-6 pm, that meal should have some resistant starch (4-5 hours before bedtime) Morning levels must be under 8 mmol/L (164 mg/dl) to avoid nerve damage. You may have to skip dinners all together and lose weight to get healthy BMI 👍
thanks for watching! You may wish to speak to your doc about higher doses of metformin!
Un in in
Thanks for watching!
Ooooo
thanks for watching!
253 this morning
Thanks for sharing. have you checked in with your doc because that level suggests a medication change is in order
So my brother was at 1372 blood sugar is that bad? [NO JOKE]
I imagine you probably know this is bad because a value this high can only be obtained in a hospital. he is in out prayers for a speedy recovery. thanks for watching
@@Doctablet he was acting weird just like he would when he was sick but he was sick for a while it was getting worse we wanted to take him to the hospital then one night he was unresponsive so my parents rushed him to the hospital and his blood sugar levels were at 1372 he is still alive with no brain problems.
He is lucky to be alive!
@@SirSinisterME is he's okay now?
Thank God he's still alive. I pray he's doing better.