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When you go to bed at night, the amount of glucose used is equivalent to the amount of glucose released by the liver. Therefore, the blood sugar level should be at the same level. However, two processes occur during the night, which could alter these levels – and potentially cause problems for people with diabetes. Understanding how the body treats blood sugar is the first step in the fight against increasing glucose levels during sleep.
The phenomenon of dawn or dawn effect occurs between 2am and 8am describes the abnormal increase of early morning.
Some researchers believe that insufficient insulin the night before, an insufficient diabetic dose or a high-carb snack the night before are all factors responsible for the rise in blood sugar levels.
The somogyi effect or rebound effect occurs between 2am and 3am and describes a high blood sugar rebound in response to low blood sugar levels.
It is an instant increase in glucose levels that leads to insulin resistance for several hours, which in turn leads to high blood glucose.
According to Diabetes.co.uk: "The somogyi phenomenon occurs when prolonged levels of untreated hypolgyemia can lead to stress and a rebound in blood sugar. It is a defensive response of the body when it releases the gulcagon, an endocrine hormone, supported by stress hormones, cortisol and epinephrine. "
However, there are snacks that diabetics can eat before going to bed to counteract this. These included:
- Nuts
- Eggs
- Cheese
- Celery, tomatoes, carrots
- Pop corn
- Peanut butter
- Yogurt
- Similarly, there are certain foods to avoid late at night. These are:
Similarly, there are certain foods to avoid late at night. These are
- Bread and grains
- Vegetables Starchy
- Pasta
- Cereal
- Fruit juice
- Beans and Legumes
- chips
- biscuits
A 2003 study examined the impact of bedtime snack composition on the prevention of nocturnal hypolgycemia in adult diabetics. The goal was to determine the impact of four compositions of snacks at bedtime on nighttime blood glucose control.
The result was that the need for snacks at night was beneficial to reduce the incidence of nocturnal hypoglycemia.
It is strongly recommended to avoid carbohydrates at night and instead opt for low calorie and high protein snacks.
You can use an insulin pump to administer insulin exuline early in the morning or add fiber to your diet.
Your doctor may recommend a number of options to help you prevent or correct your high blood sugar in the morning, and you should talk to your doctor about adjusting your dose of medication or insulin.
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