How to manage high morning blood sugar

A hand reaching out from under a white duvet to turn off an alarm clock on a bedside table next to a white lamp. The time on the clock is 7:00.

Many people living with diabetes experience high blood sugar levels in the morning. There are a few reasons you may notice high numbers when you wake up.

  1. Food choices: Your evening meal or late-night snack could be contributing to higher a.m. numbers. Meals containing carbs and fat tend to send your blood sugar up and keep it up longer.
  2. Hormones: Your body releases natural hormones overnight and in the early hours of the day. This causes your liver to produce sugar. This can lead to high morning blood sugar.
  3. Medication: The timing or type of diabetes meds you take may need to be adjusted.

What’s the target range for my fasting blood sugar?

The American Diabetes Association recommends a fasting blood sugar level of 80-130 mg/dL.

What can I do to get my blood sugar in target range?

Improving a high fasting blood sugar can depend on what’s causing it in the first place.

If you eat a late dinner:

Try having a lighter dinner. A lean source of protein, non-starchy veggies, a serving of healthy fat may do the trick. For example a bed of spinach with 3 ounces of grilled chicken breast, 1-2 tablespoons of light dressing, and string cheese.

You eat a healthy dinner but your a.m. blood sugar is high anyway:

Talk to your doctor. You may need to have your meds adjusted.

Your blood sugar drops low in the middle of the night and is high when you wake up:

Talk to your doctor about changing your meds. You may also need to add in a bedtime snack that includes 15 grams of carbs paired with a serving of protein. If you are exercising in the evening, try working out earlier in the day.

Regardless of the cause, you can also try:

  • Eating dinner earlier
  • Going for an after-dinner walk
  • Having a balanced evening snack that includes protein and healthy carbs. Examples:
    • Small apple with 1 tablespoon of peanut butter
    • ½ turkey sandwich on whole-wheat bread
    • 1 6-ounce Greek yogurt
    • ½ cup low-fat cottage cheese with 1 cup of blueberries

What if nothing I try helps?

Talk to a coach. They’ll make sure you’re on the right track. They can also let you know if you need to contact your doctor.

 

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This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.