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Question:

From Laguna Beach, California, USA:

My partner, age 47, has type 2 diabetes. He is on no medication and is trying to control by diet and exercise alone, without much luck. He is not overweight. His blood sugar readings in the morning before eating breakfast and then 3 hours after breakfast are always very high: range 175 to 220. He does a brisk walk right after breakfast. It seems as the day goes on the reading right before dinner is always in range for a well controlled person. It does not seem to matter what is eaten at the dinner the night before nor the quantity. The breakfasts are always balanced and the quantity does not seem to matter. Can you answer if this is okay behavior, to be considered a controlled diabetic. Also why so high readings the first half of the day and more acceptable readings the second half?

Answer:

It sounds like your partner needs to work with his own doctor and dietitian to improve his control. Normal blood sugar comes when there is a proper balance between insulin (and/or oral medication), food, and exercise. During sleep and early morning hours, the body makes hormones that raise the blood sugar, so it is not uncommon for the hardest time of the day to normalize the blood sugars to be after breakfast.

TGL

Original posting 7 Nov 1998
Posted to Daily Care

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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