Reasons for High Blood Sugars in the Morning | DrEricBergDC

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so let’s talk about the four reasons why

your blood sugars might go up in the

morning when you wake up alright so this

is called the dawn phenomenon and this

could happen if you’re a type 1 diabetic

type 2 diabetic or you have insulin

resistance really bad and you’re like a

pre-diabetic ok so the first reason

would be your you have a spike in

cortisol normally what happens between

12:00 and 3:00 a.m. okay you have a

higher insulin sensitivity in your liver

so your blood sugars usually are going

to be a lot better but in the early

morning this can change especially if

there’s higher cortisol cortisol

mobilizes glucose for action for stress

okay and cortisol Peaks out at 8 o’clock

in the morning now it could be like 6

o’clock so between 6 & 8 maybe even 9

o’clock in the morning so you have this

higher spike of cortisol if you look at

the circadian wave of cortisol so

cortisol by itself if it’s overly active

can just mobilize more glucose from your

liver and or from your muscles or

actually from protein okay or even from

fat as well so it can just kind of raise

the blood sugar from a spike in cortisol

so that’s one reason why you might have

high blood sugar

okay second reason let’s say you’re

diabetic type 1 okay what happens you’re

on insulin your insulin dependent and so

if you don’t take enough insulin your

blood sugar can go up that way but

usually there’s something going on the

liver where there’s a hormone called

growth hormone that is spiking and that

can mobilise some of the sugar and

that’s the reason type 1 might have high

sugar so there’s a more of a liver issue

and I highly recommend those people do

intermittent fasting and healthy keto to

improve the situation and also decrease

the need for insulin they’re still going

to need to take insulin but maybe not as

much okay number three diabetes type 2

in this situation the liver is making

glucose okay it’s called gluconeogenesis

and it can even produce the glucose from

the fat or protein but actually it’s

making too much sugar

and it’s gonna start raising the sugar

right here now one reason that this

could happen it is a spike in cortisol

now cortisol should normally inhibit

insulin okay short term long term high

levels of cortisol it can actually raise

insulin so short term effect it can

spike your blood sugars because we need

this glucose for energy yet it’s going

to inhibit insulin to some degree you’re

not going to have this spike with

insulin as much if it’s a cortisol

related effect if you have a spike in

insulin it’s going to end up with low

blood sugar okay so we have this

mobilization of sugar whether it’s

happening in the liver from certain

reason or cortisol and then we have this

high level of sugar but we don’t have

the pushing down and that sugar because

the insulin is not working but if you’re

a type 2 diabetic over a period of time

you’re going to lose the ability to

produce insulin eventually and that’s

going to come down and then the sugars

are going to come up and that’s probably

what’s happening in this situation we

just don’t have enough insulin for it to

work

compounded you have insulin resistance

and then you your body’s is not able to

regulate this properly now glucagon is

another hormone and the pancreas that

can also spike the blood sugar because

it mobilizes

the sugar from like the muscle or the

fat because it’s the fat burning hormone

and then also epinephrine which is the

fat burning hormone that can also

mobilize glucose just to raise the

glucose so it really has to do with how

well insulin is working how much insulin

resistance you have because obviously at

this point you just have too much sugar

and there’s just nothing pushing it down

there is danger in this high sugar

situation but if you’re doing keto and I

F and you’re getting this phenomena

realize you just need to give it more

time for it to work and I’m gonna cover

that in the next slide but don’t be

alarmed it’s not a big problem but if

you’re actually eating a lot of carbs

and you’re having this this is a big

problem because that means that you’re

gonna require more medication to drive

this down and it’s it’s a problem

because this sugar has to go somewhere I

mean think about it when you take

medication what do you think that

medication is doing with that sugar

just miraculously making it disappear no

it’s cramming it into other parts of the

Behati it’s trying to hide it it’s

hoarding it it’s getting out of the

blood but it’s putting in other places

that it shouldn’t be another reason for

this is that you ate too many carbs the

night before okay and that’s very common

so what do you do about this right here

real simple number one give it time

get on keto healthy keto if’ give it

time eventually you’re gonna you’re

gonna heal insulin resistance it may

take a number of months and you’re gonna

find that problem is going to be better

and better and better to handle this

excess sugar in the blood just exercise

it off that’ll burn it up and then it’ll

get it out of the blood that’s one way

to get rid of it number three avoid

carbs tonight before it’s a no-brainer

and number four outside of vinegar the

night before ok not too much dilute it

with water but that will also stabilize

the blood sugars alright thanks for

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