Suggest Treatment For Elevated Fasting Blood Glucose Levels

Posted on Wed, 23 Aug 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 23 Aug 2017 Answered on

Tue, 12 Sep 2017 Last reviewed on

Question : I was diagnosed as type 2 diabetic with A1C of 8.7. I am trying tight control rather than metformin for two weeks since diagnosis. My glucose numbers were anywhere from 130 to 210 the first week. This second week the numbers have been between 140-180 3 hours after eating and 110-130 before eating. My readings yesterday were 127, 117 and 119. However, my morning numbers are still 140- 180 when I wake up in the morning. That is fasting. Why is the morning / fasting numbers so high?

Answered by Dr. Mirjeta Guni (1 hour later)

Brief Answer:
About increased fasting glucose:

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
Increased fasting blood glucose is caused by compromised hormonal control of blood glucose levels. XXXXXXX phenomenon is the most common cause of increased fasting blood glucose. Hormones, such as growth hormone and cortisol, are released and raise glucose. Without diabetes, the body simply responds to this early morning effect by putting out more of the hormones that keep blood glucose in control. That doesn't happen when you have type 2 diabetes. These hormones are secreted more then needed causing high glucose levels in the morning.
Weight loss and physical activity may correct this compromised hormonal secretion, but if high glucose persists, metformine after dinner helps a lot.
Hope i have been helpful.
Kind regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Prasad