Some Type 2 diabetics may think skipping breakfast is a good way to lose weight, but actually studies show the exact opposite. Now research suggests the daily act of eating breakfast may decrease your risk of obesity. Breakfast is actually the most important meal of the day, even for Type 2 diabetics. But should you eat a hearty breakfast when your blood sugar levels are high in the morning?
The answer to that question really requires that you take more than just your fasting blood sugar level (BSL). You also need to know at least your post-prandial (after-meal) blood sugar level after dinner the previous night.
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Early Morning Low Blood Sugar Level: If your morning BSL is lower than your evening level the night before, then the problem is you ate too much yesterday and your pancreas has had trouble keeping up. Be sure not to overeat at breakfast and throughout the day, but its best to not shy away from healthy carbohydrates in your usual portions. Your pancreas will eventually catch up if you don't keep gobbling down extra food. On the other hand, anytime your blood sugar levels are up is an especially bad time to indulge in pastries and breakfast sweets.
The Dawn Phenomenon: If your morning BSL is higher than your blood sugar level the evening before, and you did not sleep walk to the dough nut shop, then the issue is something called the 'dawn phenomenon'. To get you up and out of bed in the morning, the adrenal glands start secreting extra cortisol (a stress hormone), about two hours before your regular time for rising. The cortisol sends a signal to your liver to release sugar from its stores of glycogen so you won't feel faint when you get up. In some Type 2 diabetics, this extra blood sugar bolus is just too much for the pancreas to handle.
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If you take oral anti-diabetic medication, and you consistently have morning BSLs higher than your evening levels, then speak with your doctor about taking your oral anti-diabetic medications in the evening rather than in the morning. If you don't take medication, and you are experiencing the 'dawn phenomenon', then you do not need to eat more food throughout the entire day, but you may need to start eating more at breakfast and less at dinner, in order to accommodate your body's rhythms.
And if you do not know what your evening BSL was? Just for today, assume you ate too much, and be careful not to repeat the problem, especially later in the day. Tonight, take your evening BSL, and tomorrow, compare blood sugar levels to see how you need to change the timing of what you eat.
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Beverleigh Piepers RN... the Diabetes Detective.
http://drugfreetype2diabetes.com/blog
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