• 8 months ago

    Rising blood sugar

    How come, and this happens often, if I check my blood sugar 2 hours after eating and I check it a few hours later before the next meal, it is considerably higher. And I have not taken in any carbs. Generally just water and perhaps black coffee but mostly just water. This has happened a multitude of times the last few months.

Responses

  • 8 months ago

    RE: Rising blood sugar

    Another name for your liver is the "Glucose Warehouse". Did you know your liver can make glucose from scratch and dump it directly into your blood stream?

    So, why would it (your liver) do such a cockamamie thing? Why would it try to sabotage your conscientious efforts to keep you blood sugar at safe levels?


    1. You might have a cold or the flu. When you’re sick, your body releases hormones and these hormones can interfere with insulin’s ability to lower your blood sugar.

    2. If you’re under stress and not sleeping well, your body releases stress hormones, which again lower your ability to make insulin and process blood sugar.

    3. You ate more carbohydrates the day before than you normally do.

    4. You exercised less during the day than you normally do. When you exercise, your muscles take up glucose (sugar) much faster, resulting in lower blood sugar.

    5. You could have what’s known as the “dawn phenomenon.” Experienced by everyone, even those who don’t have diabetes, the dawn phenomenon is part of your body’s natural biological rhythms. Pre-dawn, usually between 4 a.m. and 8 a.m., your pancreas releases a surge of hormones, including glucagon and cortisol, and temporarily slows down insulin secretion. In response, your liver releases more glucose into your bloodstream. When you have diabetes, your body doesn’t release enough insulin to adjust properly to this early morning surge of glucose, so you wake up with high blood sugar.

    6. You could be experiencing "the Somogyi effect" and rebound hyperglycemia. This usually happens early in the morning. If you’ve skipped your dinner or bedtime snack, or had a lighter dinner without adjusting your insulin doses, your blood glucose levels can drop after you’ve been sleeping awhile. If this happens, your liver tries to return them to normal and releases glucose into the blood. Your liver can overcompensate for low blood sugar and cause it to become too high.

    ---------------------------------------------------------------------------------

    That's just the tip of the iceberg, too. Do you see just how complex the regulation of blood sugar is in the human body?

    Eventually, I did. I realized, trying to "control" blood sugar levels is like trying to solve a rubik's cube, blindfolded. In other words, its way beyond anybody's pay grade, especially, my Harvard graduated physician. So, what I did, instead, was lose all my belly fat (which cured my high blood pressure and sleep apnea, too). And, I eventually sold my business, too, and started playing golf twice a week.

    And, lo and behold, my A1C dropped like a sonaofa...gun. Type 2 Diabetes happens in people in degrading health and is exacerbated by changes in hormone levels bought on by "men & mano pause". ie "change in life" associated with aging.

    Are these processes "reversible"?

    Of course, they are. Type 2 Diabetes is all about poor health and those who have little interest in doing much about it. You have to admit, it's a helluva lot easier to pop a pill and prick a finger.
      • 8 months ago
        : Thank you for your detailed reply. This has more answers than my endocrinologist gave me. I have a stressful job but that is not the reason for my poor sleeping at night. I am on water pills because of CKD and i wake up every 1-1/2 to 2 hours every night to go to the bathroom. Taking the second pill at lunch instead of dinner did not help much. I have been able to drop my A1C fro 7.5 to 6.2 since August so I guess my diabetes isn't under control but it would be more comforting if these random blood sugar spikes would settle out.
      • 8 months ago
        I will be posting a new thread on sleep apnea, soon.

        So many, here, think that obesity is the main forerunner to Type 2 Diabetes. But, from my own personal experience, sleep apnea was the chicken before the egg. So many major health problems, I believe, share a similar root cause. The biggest one may well be sleep apnea.

        Bottomline, the body repairs itself during sleep and you can't receive the therapeutic benefits of deep (rem) sleep if you're waking up every 2 hrs to pee (nocturia). When the body suffers from bad sleep, night after night, the immune system becomes seriously impaired. That opens the doors to all kinds of co-morbidities...IBS, diarrhea, tooth decay, allergies, colds and flu, gout, skin problems, urinary tract infections...you name it. This is why, an uncontrolled diabetic is commonly fighting multiple issues, all, at the same time...

        and, they all think they're "unrelated". That is just bad luck. Trust me, ask any diabetes specialist, nobody can maintain good control of their blood sugars without a good nights rest. NOBODY!

        The diabetes drugs give us the illusion (lower A1C) that we're doing "better". That's not always true. My dad seldom had an A1C over 7.0 but his T2D continued to progress, year after year. How did he know this was true? His dosing kept getting higher and higher.

        I don't place stock in A1C, much, anymore. The bottomline for me: My "Symptoms". What's my body saying.

        If you're dealing with kidney disease and Type 2 Diabetes, you're batting after the seventh inning no matter what your A1C is. You have to exercise. You have to eat as clean as you possibly can. And, you have to manage your stress (without caffeine & alcohol!!!). Because, if you don't do these things, you can't sleep, well.

        and, if you can't sleep, well,...well, you better start praying. Body can't improve without solid, deep sleep. The road to better health (and, improved blood sugar "control" :)) begins and ends when you turn the lights off at night.

        PS: Thank you for saying "thank you". I've received 3 in the the last 13 years, or so. I'm being dead serious!
      • 8 months ago
        : Thank you again. No pun intended based on your last comment. What I failed to mention is that while lowering my A1C drastically I did it while reducing my quick acting insulin (Novolog) by almost 50%. I got a meter that syncs with my phone and computer and with the number of times that I have gone hypo even with the reduced Novolog that the doctors may eliminate my morning Glipizide. But they want a couple months of data first. We'll see what happens. I walk about 6 hours a day at work so when I get home at night I am tired. Still working on weight loss. I've dropped about 25 so far. As for the lack of sleep I'm not sure if there is much that is going to change. The water pills have helped tremendously with that and maintaining whatever kidney function I have left is critical too. Every day is a new start.
      • 8 months ago
        2 "thanks" in a single month!?...

        I think I'm going to cry! waaaaaaaaaaahhhhhhhhhhhhh
        https://tenor.com/view/clapping-happy-gif-5860321
  • 7 months ago

    RE: Rising blood sugar

    I can think of a few reasons. A) the amount of insulin you are taking for your initial meal is not enough to support the meal, B) the type of meal you are eating is a high glycymic meal (i.e., Pizza), C) your carb to insulin ratio is incorrect (need more insulin per carb than you are currently taking) D) bad insulin.
      • 7 months ago
        : None of those are the case by any stretch. I limit myself to 40 carbs per meal, my Endo say I can have 60. I can't tell you the last time that I had pizza. Been a couple of years at least. With an A1C of 6.2 +/- for the last year I think my insulin ratio is fine. And if it was bad insulin it would have been bad in several boxes over the last year or so that this had been going on.