Monday, March 02, 2009 Kaye Mount, Community Member, asks

Q: Fasting morning blood sugars high

I am a type 2 diabetic and have been since 1998.  I was recently diagnosed with breast cancer and have surgery and have started chemotherapy.  Since my surgery in January I have had trouble getting my morning fasting blood sugars below 200 they are usually in the 220 to 230 range.  My family doctor now has me on metformin, glipizide, actos and januvia.  The chemo temporarily raises my blood sugar levels.  I have been eating a snack before I go to bed.  What else can I do?

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Answers (1)
Kelsey Bonilla, Health Guide
3/ 2/09 12:30pm

Hi Kaye,


Sounds like you're dealing with a lot!  Those morning highs are very frustrating.  Are you on insulin currently?  If not, I would question whether you need a bedtime snack for blood sugar control.  However, I'm not very familiar with type 2 medications and their impact on overnight blood sugars. 


Since you're experiencing regular high fasting blood sugars, you'll want to reevaluate several factors with your doctor, including whether you need a bedtime snack, the dose and timing of your medications, and what types of food you're eating late in the day. 


Good luck,


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By Kaye Mount, Community Member— Last Modified: 09/24/10, First Published: 03/02/09