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How can I manage morning blood sugar spikes if I have diabetes?

If you have diabetes, the morning creates a perfect storm for blood sugar spikes: high-carb and sugary food options, insulin resistance and inactivity, time demands, stress -- and let’s not forget, caffeine.

Here are some ways people with type 1 diabetes can control their blood sugar levels in the morning:
  • Take insulin 20 or more minutes before eating carbs.
  • Wait a little while longer to take your pre-carb insulin if your blood sugar (glucose) is above target or when eating something really sugary.
  • Cut carbs; try scrambled eggs or have nuts for breakfast.
  • Eat nontraditional foods for breakfast such as almond flour, nuts and seeds or lentils.
  • Be active. Talk a walk after breakfast.
  • Use a continuous glucose monitor (CGM) to track your blood sugar in real-time and make adjustments after breakfast. You will learn what works and be able to better optimize your overnight insulin.
  • Eat a smaller, earlier dinner and don’t snack around bedtime.
Another tip is to consider more insulin at breakfast. I use a more aggressive morning correction factor and more early morning basal to cope with the higher insulin resistance during those hours.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.