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  • Morning Blood Sugar

    been tracking my blood sugar again, mostly to try and understand glucose clearance rates and Peter @ Hyperlipid's physiological insulin response & the dawn phenomenon, coupled with Stephan @ Whole Health Source's idea that high fat diet induces insulin resistance in lean people and they should maintain a higher carb & protein diet...

    i think thats my case. my fasting glucose is usually in the 80's...then i eat...wait an hour, take it again, usually upper 90's or low 100's...then i usually lay around/watch tv then go to bed took it last night before bed and it was 110...woke up this morning and my blood sugar was 130!!

    WTF!? WHY is my blood sugar so high in the morning???

    to my understanding, it is something to do with cortisol and insulin resistance...but i would like some advice. 130 in the morning is not a good reading. anyways, this is what i ate yesterday, between 1-9pm.

    i drink coffee in the morning and am thinking of giving it up, maybe it will help? i can switch to yerba mate so i dont just come crashing down as i do have to hold a job lol

    its not everything i put in my mouth i had tomatoes, green/yellow squash and dip(avocado/cilantro/sour cream) while i was cooking but i didnt know what to enter for it

    2264 calories
    58% fat (145g)
    32% protein (192)
    10% carb (65g)

    Mollusks, clam, mixed species, canned, 1 3 oz 125.8
    Egg, whole, raw, fresh 100 g 143.0
    Broccoli, raw 2 cup chopped 61.9
    Mushrooms, portabella, raw 1 piece whole 21.8
    Seaweed, kelp, raw 6 2 tbsp 25.8
    Beef, , roasted 0.7 3 oz 100.6
    Chicken, meat only, roasted 0.75 173.2
    Cream, sour, cultured 0.25 cup 111.0
    Spinach, raw 3 cup 20.7
    Brussels sprouts, raw 12 sprout 81.7
    Butter, salted 2 tbsp 203.6
    shrimp, mixed species, raw 20 medium 127.2
    Fish, mackerel, jack, 0.8 cup 237.1
    Fat, beef tallow 1 tbsp 115.5
    Cheese, cheddar 4 oz 457.0
    oil, coconut 2 tbsp 234.5
    Cocoa, dry powder, unsweetened 2 tbsp 24.6

    97% vitamins, 99% minerals

    i take http://www.carolbond.com/Super-Vita-...ets-P1053.aspx that multi vitamin, NOW krill oil & Vita D
    Get on my Level
    http://malpaz.wordpress.com/

  • #2
    How is that for detail!

    My thinking is that since you are eating less than 100g of carbs there is no local storage in the tissues that use glucose as fuel. As you sleep your liver makes and stores glucose. In the morning the liver is stimulated to release the glucose into the blood to prime the tissues for the rest of the day.

    If after a meal BG is not even 100 then there is obviously no IR issues.

    Problems with IR arise after chronic elevated levels day in day out for several years. Not for 30 min in the morning.

    Actually I am not even sure what your worry is?
    Don't be a paleotard...

    http://www.bodyrecomposition.com/nut...oxidation.html

    http://www.bodyrecomposition.com/nut...torage-qa.html

    http://www.bodyrecomposition.com/fat...rn-fat-qa.html

    http://www.bodyrecomposition.com/nut...-you-need.html

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    • #3
      hahaha thank you....me either thats why i asked


      what i am wondering is why my blood sugar is higher in the morning

      so coffee is okay in the morning still even if i have a high blood sugar?
      Get on my Level
      http://malpaz.wordpress.com/

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      • #4
        I tracked my glucose for a while (I ran out of strips a few weeks ago) and it seemed to run higher than I would have thought. High 80s-90s in the morning, would usually stay at morning level all day, and then 90s- low 100s post prandial. Morning glucose was slightly better when I stopped eating a few hours before bed. I usually skip breakfast and lunch though, so I ended up doing warrior diet style (one meal a day) pretty much... which I am still pretty much doing.

        I never tested my meter against a blood draw, so that would probably be a good thing to do, just to make sure you aren't worrying unnecessarily.

        I read the post on Peter's blog about IR induced by eating high fat (specifically palmitic acid) and how this is pretty much necessary for low carbers. I didn't read any similar posts by Stephan. Care to share the link?

        Maybe you could try eating higher-carb/lower fat for a few days or a week and see how your glucose responds. Best of luck in your journey to improved health (great results so far, by the way!) and keep us posted.

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        • #5
          well if theres nothing wrong with my readings then i shouldnt change right? but you say yours is in the 80's-90's in the morning and thats what mine is before eating, but not the morning
          Get on my Level
          http://malpaz.wordpress.com/

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          • #6
            I don't know. 130 in the morning is still pretty high. If it doesn't happen again then I wouldn't worry about it at all given your other numbers. You said it's normally in the 80's fasting right?
            I know for me I used to get pre-diabetic numbers fasting and post prandial but my fasting was never over 125. Things that make it higher in the morning for me are eating late at night, especially protein, (Your diet was pretty high in protein yesterday), and not drinking enough water.
            When I get numbers above 100 after dinner (like 2 hrs after) then I will go for a 10-15 min walk which drops my blood sugar considerably and it also makes my fasting # better the next morning. Don't know if that would help you but give it a try!

            Comment


            • #7
              To me it makes perfect sense that people on a low(er) carb diet may have higher BG.

              People who eat lots of carbs have tissue that is jam packed with glucose. Muscle, liver, organs, all have the glucose stored that they need and there is more on the way. There is no need for Glucose to be in the blood in fact it will cause damage because it has no place to go. For somebody in the 100-50 g carb range there is not enough to store and the brain is still using glucose as it's primary fuel. Therefore, there will be a need for the liver to release glucose into the blood to fuel these tissues especially in the morning. There is no danger because the glucose is not sitting around causing damage. It is actually being used as intended.

              Now if your morning BG was 130 and after a meal it was 180 and you never dropped below 100 then I would worry. However, that is simply not going to happen on 60g carb a day.
              Don't be a paleotard...

              http://www.bodyrecomposition.com/nut...oxidation.html

              http://www.bodyrecomposition.com/nut...torage-qa.html

              http://www.bodyrecomposition.com/fat...rn-fat-qa.html

              http://www.bodyrecomposition.com/nut...-you-need.html

              Comment


              • #8
                One simple suggestion: take multiple readings, possibly with more than one meter, to be sure that your glucose reading is accurate. I own 2 different meters (ReliOn Confirm and ReliOn Ultima) and for the past few weeks I've done occasional double-readings with both meters, and I've personally noticed that for some reason the readings can vary widely for my early-morning readings, but are generally within a few points of each other later in the day, when my glucose levels are lower. (I, also, have a very similar situation to yourself -- normal postprandial readings (~105 or lower), but typically very high early-morning readings.) One morning, I was horrified to see my reading at 135! So I did several more redundant readings from the same drop of blood, and got values of 112, 94, and 125. Not sure why there is such inaccuracy for the morning readings; maybe the higher glucose levels make the readings less accurate.


                Here is a related MDA thread that might be of interest to you, in case you haven't seen it yet:

                Fewer grains/sugar = higher fasting blood glucose?
                http://www.marksdailyapple.com/forum...her-fasting-BG
                Last edited by healthseekerKate; 11-23-2010, 10:15 AM.

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                • #9
                  i checked a couple times and it was in the 130's... its been like that every morning i have tested. poop


                  but chima_p what you say makes sense if thats how it works!
                  Get on my Level
                  http://malpaz.wordpress.com/

                  Comment


                  • #10
                    Yeah, it does make sense that people eating low carb would have higher BG readings fasting. But not that high. From every source I've read "higher" means 90's- low 100's as opposed to 70's or 80's fasting which is what I've read might be truly normal. Chris Kresser just did a post on this. But, being in the 130's on a consistent basis I don't think is normal even for low carb. The only way to tell for sure is to eat more carbs for 4-5 days straight. Try not eating too late at night and limit protein a bit as well. If the numbers don't improve or get worse then you may want to go to a doctor, endocrinologist if you can. I'm sure you probably just have to tinker with your diet a bit and it will resolve though

                    Kate- I got horrible readings too when I was using a ReliOn meter, they were all over the place. I don't really trust that they are accurate. I'm using a Freestyle now and I get consistent readings when done back to back. The ReliOn meter also gave me higher readings than other meters.

                    Comment


                    • #11
                      Because I'm hypothyroid, I have my blood tested every 4 months, and my endo includes BG. For a long time, I was disturbed by what I considered a 'high' fasting number of 96 or 97--it was consistent. His lab uses a range that only goes to 110 as 'normal,' but since I eat low carb and never any sugar, I thought my number should be at least in the low 80s.

                      My endo wasn't concerned because he also did a A1C (which gives the average reading over 3 mos), and he said that was just fine (about 5.3).

                      Then I read Peter on Hyperlipid about the phenomenon of people eating low carb who have high morning fasting readings--but keep in mind that Peter was referring to numbers in the high 90s. I've never seen a lab range that goes as high as 130.

                      My point is that it's possible you should be concerned, and, if you are, I'd ask the doctor to do an A1C. That would determine whether or not your fasting BG is just a quirky thing or that you actually need to be concerned about your BG.

                      Comment


                      • #12
                        I think it'd important to remember eating low carb will increase insulin sensitivity and decrease fasting insulin levels. Without a great deal of insulin circulating in your body to drive and keep BGL levels down, fasting BGLs can be higher. If after eating, your BGL drop to acceptable levels, then IMO, your body is working appropriately.

                        As an example, one family member has very good fasting blood sugar levels, around 80. However, her fasting insulin level is over the range high-19 with a range limit of 17. My fasting BGLs run a little higher, between 85-95, yet my fasting insulin since changing my lifestyle has dropped from 8 to less than 2.

                        That family member also has had a HbA1c of over 6, indicating an average BGL of at least 136. My last A1c was 4.7,indicating and average BGL of 89.

                        The other thing to consider is cortisol. Cortisol raises blood glucose levels and is typically at its highest in the morning.

                        Mal, If you are really concerned you can do an at-home HbA1c test to see what your blood sugar average is over 3 months.Those tests can be found in most drugstores. Wal-Mart probably has them. I know Walgreens does.

                        Comment


                        • #13
                          Here are a couple of home A1C tests that marcadav was referring to:

                          ReliOn A1C test ($9) -- mail in blood sample to lab. Note: you have to cover all sample panels *completely* with blood! I made the mistake of leaving a little white space, and my results were returned to me "not analyzable -- insufficient sample." Fortunately, they mailed me a free replacement kit...
                          http://www.walmart.com/ip/ReliOn-A1c-Test/10575934

                          Bayer A1C Now self-check kit (2 tests, $28) -- at-home test with 5-minute results
                          http://www.walmart.com/ip/Bayer-A1CN...t-Kit/11332213

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                          • #14
                            am blood sugar is so high b/c of your poor stressed out adrenals. try for a snack before bed. increase b5, c and consider taking some phosphatidylserine. scubasam's naturopath recommended it and her high am fasting bg came down significantly right away.

                            Fwiw, imo there is no reason to do an A1C. It's clear that your blood glucose is normal/optimal/ideal as long as you're eating. When you're in a fasted state, your adrenals are kicking out the cortisol in hopes of accessing fat for fuel (ie ketones).

                            The phosphatidylserine might be the top-tier, best-bet option (and not fasting for too long).

                            It'd be interesting to see what your am blood glucose is when you've experiemted with a starchy snack at night or a fatty snack at night. It also seems prudent to keep carbs significantly above 100g. 150....200...250 etc...

                            There are specific reasons in your case that it's worth keeping coritisol in an optimally low range. Certainly truly low cortisol isn't good and cortisol has important functions but keeping it optimally low will be beneficial.
                            Last edited by cillakat; 11-23-2010, 12:47 PM.



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                            • #15
                              Originally posted by cillakat View Post
                              am blood sugar is so high b/c of your poor stressed out adrenals. try for a snack before bed. increase b5, c and consider taking some phosphatidylserine. scubasam's naturopath recommended it and her high am fasting bg came down significantly right away.

                              Fwiw, imo there is no reason to do an A1C. It's clear that your blood glucose is normal/optimal/ideal as long as you're eating. When you're in a fasted state, your adrenals are kicking out the cortisol in hopes of accessing fat for fuel (ie ketones).

                              The phosphatidylserine might be the top-tier, best-bet option (and not fasting for too long).

                              It'd be interesting to see what your am blood glucose is when you've experiemted with a starchy snack at night or a fatty snack at night. It also seems prudent to keep carbs significantly above 100g. 150....200...250 etc...

                              There are specific reasons in your case that it's worth keeping coritisol in an optimally low range. Certainly truly low cortisol isn't good and cortisol has important functions but keeping it optimally low will be beneficial.
                              oh confused... i have tried sweet potatoes before bed and i wake up in the middle of the night and get dizzy and spacey. so youre saying my cortisol and adrenals are working crappY??? sheesh lol.

                              i will price that phosphatidylserine stuff...i have cranberries too so thatll add vita C. i agree about the blood tests...as much as i would love one i dont even have money to get to work (considering yard sale hunting a bike !!)


                              then marcadav says thats normal functiong...??
                              Get on my Level
                              http://malpaz.wordpress.com/

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