Diabetes (high blood sugar) has reached epidemic proportions in America, we must be very alert to the signs and symptoms, and if you have them, please see your health care professional.
People with prediabetes have glucose levels that are higher than normal but not high enough yet to indicate diabetes. Normally your body produces a hormone called insulin to help your cells use the energy (glucose) found in food. If you have prediabetes, you’re at high risk of developing type 2 diabetes as well as the serious medical problems associated with diabetes, including heart disease and stroke.
To determine if you have prediabetes, your doctor can perform one of three different blood tests: the fasting plasma glucose (FPG) test, the oral glucose tolerance test (OGTT) or the Hemoglobin A1C (or average blood sugar) test. The good news is there are simple measures you can take to reduce the risk of developing diabetes, these measures can play a significant role in early diagnosis. The following points highlight important actions you can take to help reduce diabetes risk. Disclaimer: All content on this website is for informational purposes only and should not be considered to be a specific diagnosis or treatment plan for any individual situation. Generally, fasting blood sugar (the value you get when you’re tested upon waking without any food intake) is also the baseline blood sugar level.
Irrespective of what you eat, tiny amounts of insulin are squirted into the blood stream in small pulses every few minutes. The counter-regulatory (anti-insulin) hormones that are secreted in our bodies shortly before dawn, raise the blood sugar slightly.
Change the timing of your basal insulin – insulin taken later in the day often controls fasting sugar better.


With diabetes, either your body doesn’t make enough insulin or doesn’t efficiently use the insulin it does produce. The pancreas may not be able to produce enough insulin after a meal to “clear” the incoming glucose from the blood, or cells may be insulin resistant.
With pre-diabetes, you are at a 50% higher risk of heart disease and stroke than someone who does not have pre-diabetes. While the general rule is to have an annual visit, if you are overweight, have high blood pressure, high blood glucose or even high cholesterol, you may want to consider visiting your doctor every 6 months to have your numbers checked and discuss any health concerns. For instance, blood glucose (A1C) should be less than 7% and can be checked by your doctor at least twice a year. Use of this website and the information contained herein does not create a doctor-patient relationship. But people with type 2 diabetes may have much higher morning blood sugars than the level they achieve after meals, for the rest of the day.
But, if the factors that control this basal secretion go haywire, your body may only secrete insulin in response to meal-time rises in glucose and result in a high fasting blood glucose level.
But in diabetics, this rise can be exaggerated, leading to high blood glucose levels in the morning. You might wake up in the middle of the night with a jolt, thudding heart, soaked in sweat – a low blood sugar or hypoglycemic reaction, which drives you to eat sweets resulting in a sugar spike in the morning.
A Metformin Sustained Release pill taken at bedtime will have a stronger impact on fasting blood sugar than the same pill taken in the morning. Most people with prediabetes don’t have any symptoms, but they are considered to be at high risk for developing heart disease.


When glucose builds up in the blood, it can damage the tiny blood vessels in the kidneys, heart, eyes, and nervous system. When cells are insulin resistant, they won’t allow the insulin to escort glucose from the bloodstream into them.
This may be a wake-up call as many who are diagnosed with type 2 experience little or no symptoms. Other factors such as lifestyle habits and family health history should be reviewed to learn how you can adopt necessary changes to reduce diabetes risk.
Always consult with your own doctor in connection with any questions or issues you may have regarding your own health or the health of others. However, it is ideal that you get tested for both FPG and PP to understand how well you are managing your blood sugar. More dangerous is the unrecognized drop in blood sugar at night during sleep which triggers a burst of counter-regulatory hormones. It signals the likely onset of a more serious condition and can begin the process of doing damage to your heart as well as other organs such as the kidneys, eyes, and nervous system. Risk factors for both conditions are the same while they are both preventable with weight management, regular exercise, and healthy eating habits. These hormones push the blood sugar back up – to higher than normal levels by the morning (Somogyi phenomenon).



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