Lesson 6 - Early Morning Hyperglycemia

Insufficient (or Waning) Insulin Levels

Waning insulin doses are the most common cause of early morning hyperglycemia. It can be treated by increasing the evening dose of intermediate acting insulin.

Insulin, which comes from the pancreas of cows, salmon, or pigs, or is man-made, is the hormone that plays a role in getting glucose inside cells. While it is naturally occurring in the pancreas, diabetics either cannot produce insulin (type 1) or cannot fully utilize it (type 2).

There are several types of insulin available, organized by their onset (how long they take to start working), peak time (at what point are they at maximum strength), and duration (how long they are effective for).

The various types of insulin include:

It is also important to note that, although insulin types will vary, they all have the following things in common:

You and your physician will work together to find therapeutic types and doses of insulin that will work for you. If, for example, a dose of insulin is thought to be effective for up to eight hours, and this eight-hour period ends sometime during the night, without replenishment, your blood sugar might fluctuate back to pre-insulin absorption levels.

Or, if not enough insulin has been taken before bedtime or dinner, gradual blood sugar elevation might result as the night progresses.

To remedy this, check you blood glucose levels at about 3 a.m. for a few nights in a row to detect patterns, and discuss a medication plan with your physician (to insure adequate coverage throughout the night). You and your physician may decide to adjust your insulin dosage before dinner and/or bedtime to compensate for the insulin deficiency that may occur during the night; this may be in the form of a higher dose, or a supplemental dose before bedtime.

Page 1 2 3 4

Copyright © 2000-2023 savvyHEALTH.com. All rights reserved.

About savvyHEALTH | Privacy | Feedback | Home


All contents copyright © 1999-2023 savvyHEALTH, Inc. All rights reserved.

This internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health, you should always consult with a physician or other healthcare professional. Please review the Terms of Use before using this site. Your use of the site indicates your agreement to be bound by the Terms of Use.