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Hi There T2D Here No Meds Yet. Almost Normal Range Upon Waking Up And Then Spikes Without Food. Anybody Experience This? Why Is This? TIA

A DiabetesTeam Member asked a question 💭
Thornhill, ON
November 23
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A DiabetesTeam Member

It's not only common it's "natural" whether you have diabetes or not

To get us from (unconscious) sleep to fully awake takes a lot of sugar (fuel) to speed heart rate/respiration, wake the brain up, get the muscles moving etc so a couple of hormones (adrenaline and cortisol) are released to "get us moving" and they need sugar to fuel that process

The liver stores/releases sugar in reaction to the presence of the hormones but until you eating something (Breakfast - which literally means to break the fasting state your body is in) no Insulin is released by the pancreas to deal with that "extra/left over sugar" released by the liver

So ALL DIABETICS regardless of blood sugar level NEED to eat within 1 hour of waking up. Food In = Insulin Release = ability to deal with those early morning (Dawn Effect) sugars

November 23
A DiabetesTeam Member

It sounds like you might be experiencing the dawn phenomenon. This is common in people with type 2 diabetes and involves a rise in blood sugar levels in the early morning hours, even without eating. Here are some key points:

- Dawn Phenomenon: A natural rise in blood sugar levels in the early morning
- Possible Causes: Show Full Answer

It sounds like you might be experiencing the dawn phenomenon. This is common in people with type 2 diabetes and involves a rise in blood sugar levels in the early morning hours, even without eating. Here are some key points:

- Dawn Phenomenon: A natural rise in blood sugar levels in the early morning.
- Possible Causes: Hormonal changes that increase blood sugar to prepare your body for waking up.
- Management Tips: Monitor your blood sugar levels closely and discuss with your doctor for personalized advice.

For more information, you can refer to the article on dawn phenomenon here: [Emergency Services Crews Often Unprepared for Diabetic Crises](https://www.DiabetesTeam.com/resources/emergenc...).

November 23
A DiabetesTeam Member

There is a difference between simply skipping or delaying a meal and intermittent fasting (IF)

The IF actually alters your metabolism (after a few days) as it adapts to only getting food in a specific period of time - but as long as it's consistent

And what I mean is if you are following the 16/8 IF schedule where you eat in an 8 hour period then nothing but water for the next 16 hours, after a couple of days if you always start you "eating period" at say 8AM your metabolism will get used to that and adapt

But if you eat breakfast one day at 6:30, the next day at 9 or 10 and then skip a couple and then whatever there is no "consistency" and your metabolism doesn't know what to do (simply put) so it tries to build body fat (leftover sugar that doesn't get fed to the cells has to go "somewhere" and body fat is the only other option)

Same thing with a KETO diet - once you achieve (ketosis) the point where you are burning Fat instead of Sugar for energy - it only works if you "stay" in Ketosis for weeks at a time - you can't follow it for a couple days then take a day off - consistency again

We have a metabolic disorder - it's not working exactly correctly so we need to help it by throwing the "fewest wrenches" into the works

Eat at the same time every day
Eat breakfast within the first hour of waking up
Don't skip meals
Get a solid 6 hours of sleep at night and unless you are a shift worker, go to bed at the same time every day
Go for a walk after supper

Just small things but if you do them consistently your metabolism will thank you. Your insulin resistance will improve, your ability to use insulin to convert blood sugar to energy will improve, your cells will be more willing to use the sugar which will lead to lower blood sugar AND more energy

Our bodies did not evolve to work shift work and eat super-sized meals full of saturated fats and carbs

November 23
A DiabetesTeam Member

Thank you. Appreciate it. That’s very helpful information. So wonder how intermittent fasting where people skip breaky and say is very helpful for T2D fit into this

November 23 (edited)

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