Ask the Diabetes Educator Archive

3/7/05

Q:
have type 2 diabetes. I have a problem with normal blood sugars at night and elevated sometimes in the morning. Can you explain why this may be happening? I am eating well and exercising 1 hour per day. My weight is stable and has been for 6 years.

A:
I can't give you a clear answer here without analyzing your dietary intake. Morning high blood sugars are results of elevated hormonal levels during the nighttime. Daytime elevations are usually results of more sedentary lifestyle and food intake. This is assuming you are a "classic" Type 2 where there is sufficient insulin production but with insulin resistance. There are vitamin/mineral/herbal supplements that can be of help. It will require having someone knowledgeable in all these areas to help you with fine tuning. Many can stay off of medication, but it does require diligence. When you are doing all that you think you can for management, you may require medication, even if it is only for a short time.