Why fasting blood glucose level remains elevated even when it is within normal limits through out the day?

For practical purposes there appears to be three causes:

(1) There is not enough insulin at night time to maintain control over blood glucose level in the early morning period.

(2) Dawn phenomenon:-the blood glucose level rise and insulin requirement increase between 3am and 7am.This increase in insulin requirement and hyperglycemia that follows is referred to as "Dawn" phenomenon.

It is known that many hormones undergo diurnal variations.These changes in hormonal level occurs both in diabetics and non diabetics.Soon after onset of sleep, there is surge of growth hormone,cortisol shows significant increase between 2am and 4am and reaches its peak value shortly after we wake up.Catcholamines gradually increase over night while glucagon remains relatively constant.These (growth hormone,Cortisol and Catcholamines ) all are potent insulin antagonists.The increased level of insulin antagonists seen during over night period could explain the reason for increased insulin requirement.Now,unless more insulin is produced in the body or is administered more glucose would be delivered into blood stream leading to early morning hyperglycemia.

(3) The Somogyi phenomenon:-I will not go into its detail.Suffice to say that more you increase the dose of insulin more you get morning hyperglycemia and ultimately diabetic coma.

1 Reply

  • Fasting and PP Blood sugar tests are conducted to observe the reaction so consumed, on the BS. Further to see whether our food contents are increasing/decreasing the BS. However u may follow the following course of action for controlling the BS-

    A.Kindly understand that all of us are having the sugar in our body. The question is only that in our body it goes beyond the reasonable limits and that is why it starts giving problem. Further sugar levels going below the prescribed levels are equally not good. Therefore, cure is to keep it in within the reasonable limits. Once it has come within reasonable limits, our job is to keep and maintain it in within reasonable limits and that we can do without the help of medicines and by following the following course of action.

    B.Kindly understand that our Blood Sugar level deviates from the reasonable acceptable limits, as we have restricted ourselves to our house/office and going away from nature. It happens due to lack/shortage of Oxygen in our body. In summer season, we prefer to apply Airconditions/Desert Coolers and in Winter Season, we prefer to apply Electric heaters etc, instead of taking fresh air from the nature/wearing warm clothes. So the solution is to minimize the use of these products and have oxygen/fresh air from the natural resources.

    C. Kindly understand that we are having the habit of eating those fruits/vegetables & other items which suit to our taste and do not prefer to eat those items which are not according to our taste. Here the advice is to involve all permissible foods/vegetable/ dairy products & other eatables as part of our daily eating habits. Kindly understand that Diabeties interfers in our life, because of our focus on some specific eatables and ignorance towards the other valuble eatables required by our body. Here the cure is to have all permissible eatables are part of our daily routine. (Balance of Carbohydrates/vitamins/proteins & Minerals.

    D.Kindly further understand that in present days, we need to involve light Physical Exercise/Yoga and Meditation as an integral part of our daily routine. Further we need to avoid unnecessary mental stress.

    1. Get up early in the morning, before the sun rises and go on terrace and do the exercise of INHALE & EXHALE of oxygen, just for 20 minutes.

    2. Go for a normal work, morning and evening, 30 minutes, each time.

    3. Take a glass of hot water (As hot as tea), 15 minutes after Lunch & Dinner and it will wash out the sugar so created by the food so consumed.

    4. After 30 minutes of lunch, take a teaspoon of powder of Dry Awla (Goosberry) and Saunf (Aniseed) (both in equal quantity) with normal water. Both Awla/Amla and Aniseed are available either at the shops of dryfruits or where the spices are available.

    5. If you want to take Rice, as part of food, take it after taking out the water from Rice or preferably take Brown Rice.

    6. If you want to take Potato, as part of Vegetable, always take boiled potatos and take it in liquid form and not in dry form.

    7. Take Chapati, prepared of wheat combining of -Wheat Flour, Black Gram and Barley-All in equal quantities. Black Gram will support the function of heart and Barley will clean up and strength the kidney functions. (Reduce the ratio if the chapatti becomes hard to eat).

    8. Use of Refined Flour (Maida) should be restricted as far as possible, as it is highly contributory factor in increase of Diabeties. Therefore, the items made of Refined Flour such as normal bread, PAAO, Pizzabase, Samosa, Bhature etc should be avoided as far as possible. However, Brown Bread can be taken.

    9. Take Fruit and Vegetable Salad, as integral part of food, without pouring Salt and Chat Masala or any other spice on it, at the time of Lunch & Dinner.

    10. Take Sprouts and Milk Products as integral part of daily food. Milk Products includes Double Toned Milk, Curd, Buttermilk and Paneer.

    11. Mix up 1/4th teaspoon of Haldi Powder(Termeric powder) in winters and reduce it to one pinch in summer season (Yellow in color) with a glass of hot milk, without sugar and have it 30 minutes before going to bed. It will purify the blood in the body and also eliminates every type of pains and weaknesses in the body and further strength the body.

    12. Avoid taking vegetables like Pototaos, Sweet Potatos, Carrot etc. having the sweet contents and fruits like, sugarcane, Mango, oranges, Bannanna, grapes etc.

    13. You can have vegetables like Cauliflower, Cabbage, Methi (Fenugreek Leaves), Palak, Raddish, Lady Finger, Tinda, etc.

    14. You can have fruits like, Gowua, Apple, Pomigrantte, Watermelon, Pappaya etc.

    15. Take the leafts of Raddish and have it in raw form as part of salad.

    16. During Summer Season, always take Buttermilk-salted one, as part of food. It will improve digestive system and reduce the overburdening of Liver function.

    17. Avoid taking normal tea & Coffee. Always take Green Tea.

    18. Avoid taking Oily and more salty food. Reduce the consumption of oil, butter, Ghee and always consume easily digestable food.

    19. Take one Karela (Bitter Melon/Bitter Gourd/Bitter Squash) and four Tomatos, make a juice of them and have it twice a day.

    20. Always go for medical tests of brain, heart, liver, kidney and eyes, once in a year. For Blood Sugar, always go for HB1C and Sugar PP-every three months, in order to observe the developments. Also go for checking the numbness of the feet and take soft brush for cleaning the teeth.

    21. Always take the restricted food, as mentioned above, in reasonable quantity, at least once in a week, so that inner system of the body will remain conversant with the restricted items also.

    22. Change in life style and eating habbits is equally important to medicine. If we depend only on medicines and will not change our life style and eating habbits, then after sometime, medicine may stop working.

    23. Change in Life Style also includes taking Breakfast, Lunch & Dinner at fixed time, Getting up early in the morning, going to bed maximum by 10 PM at night, Have a sound sleep of at least 6-8 hours a day, do not go for sleep during the day time.

    24. For improving the strength in the body, Five Almonds and Five Wallnuts should be consumed. However, Cashewnuts and Raisin (Kismish) should be avoided. Further all Five types of MAGAJ are equally beneficial.(Available on the shops, where Dry Fruits are sold).

    25. For Sexual & Urinary disorders, soak one teaspoon of Methi Dana in one glass of normal water, for overnight. In the morning, take out Methi Dana and consume the water, empty stomach.

You may also like...