What causes my blood glucose swings?

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  1. Dr. Jack Merendino
     
    Dr. Jack Merendino of The Best Life answered:
    Here are some common causes of blood sugar level swings:
    • High upon waking -- Your liver is releasing too much sugar at
             night, or you had a middle-of-the-night low and your body is
             overcompensating (the Somogyi phenomenon). Or a rise in
             the hormone cortisol occurs in the early morning hours is
             causing the sugar to rise (the dawn phenomenon).
    • Much higher after breakfast -- You've consumed too many carbs
             at breakfast, a common occurrence with typical American
             breakfasts (such as cereal with milk), or you've had a
             carryover from the high cortisol levels that cause the dawn
             phenomenon.
    • High all the time -- Your blood sugar is out of control; you need to
             see your doctor right away and adjust your medication and
             diet.
    • Low in the middle of the night or upon waking -- You are taking
             too much long-acting medication, or your liver may not be
             making enough sugar during periods of fasting, such as
             overnight.
    • Higher after exercise -- The adrenaline that your body makes
             during exercise is causing your sugar to rise. Usually this is
             temporary, and overall, exercise lowers blood sugars.
    • Lower during or after exercise -- You are taking too much
             medication or not consuming enough carbohydrates prior to
             exercising. Remember: if you are getting a lot of low readings,
             ask your doctor about reducing your medication rather than
             just taking in more food to avoid packing on extra pounds.
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    Here are some common causes of blood sugar level swings: High upon waking -- Your liver is releasing too much sugar at        night, or you had a middle-of-the-night low and your body is... More