Diabetic patients take hypoglycemic drugs on an empty stomach in the morning, and their blood sugar

Why is diabetes usually high in the morning and low in the evening? 1.The reason for the high blood sugar in the morning in diabetic patients is that the body protects itself after oral hypoglycemic drugs, and produces a large amount of hypoglycemic hormones, but makes blood sugar **.

2.In addition, after 12 p.m., the production of growth hormone and cortisol in the normal human body increases, which have the effect of raising blood sugar. However, each person produces different growth hormone at different stages, so blood sugar will rise in the morning.

3.In addition to the above points, there is also a point that diabetics do not take enough hypoglycemic drugs in the morning, resulting in an increase in fasting blood sugar. Therefore, when you wake up in the morning, you should take blood sugar-lowering medications before eating so that your blood sugar levels can stay within the normal range.

4.The main cause of nocturnal hypoglycemia in diabetic patients is that the average patient takes hypoglycemic drugs after meals, which lowers blood sugar before bedtime, so hypoglycemia occurs when measured。Nocturnal hypoglycemia is not the cause of diabetes itself.

If the patient does not take the medicine normally, there will be no hypoglycemia before going to bed at night.

There are three possible causes of high fasting blood sugar: Su Mujie's phenomenon: fasting blood sugar is high in the morning.

Su Mujie's phenomenon is just a phenomenon of "low first and then high". Phenomenon: 12 p.m

After 00, the production of growth hormone and cortisol in the normal human body increases, which can raise blood sugar. Because each person produces different growth hormone at different stages, the dawn phenomenon does not happen to everyone. Blood sugar can be at 12 p.m

00 and 7:00 a.m. measurements are taken once. If 7:00 a.m

If the blood sugar of 00 is higher than that of 12:00 in the morning, you can diagnose the dawn of Mingcan, and diabetic patients should pay attention to taking hypoglycemic drugs strictly according to the doctor's instructions.

It will rise, the body's blood sugar is the lowest at about 3 o'clock at night, and if it rises in the morning, this phenomenon is called the "dawn phenomenon", so diabetics need to control their diet.

Blood sugar does rise significantly first and then come down, because this is how hypoglycemic drugs work.

I don't think so, but I don't think it's good to take medicine on an empty stomach, so I think it's better not to take it on an empty stomach in the morning.

Diabetic patients, blood sugar control after dinner is good, but after fasting blood sugar rises again, this is because insulin is normally hypoglycemic, but for diabetic patients, the effect of reducing insulin secretion and lowering blood sugar will also be greatly reduced, and hormones that raise blood sugar will appear again in the morning, so at this time, it will be found that blood sugar has a significant increase after fasting, which is also more common in medical phenomena.

Normally, for the time to measure fasting blood sugar in diabetic patients, it is best not to take hypoglycemic drugs before testing after 6 o'clock in the morning, and the blood sugar to judge at this time is the most accurate, if the blood sugar measured before dinner and lunch does not belong to fasting blood sugar, it is not the most real data. The fasting blood sugar test can reflect the most real situation in the body, so as to judge the effect of drug use and the secretion of insulin to help judge the condition, and then the doctor will arrange drugs based on this data. However, in order to get a better blood sugar result, some people will deliberately eat less staple foods the day before, which may also make the authenticity of fasting blood sugar problematic, so when measuring blood sugar, it is necessary to maintain a normal state.

The best way to help diabetic patients want to control blood sugar is to control their diet, like staple foods, eat as little as possible, you can combine thick and thin foods to ensure that the food is as diverse as possible, and you should also eat more protein and fresh vegetables and fruits, because vegetables and fruits are rich in vitamins and dietary fiber, which can effectively control blood sugar. Avoid braising when eating food, frying can reduce calorie intake, but also master the correct order of eating, reduce eating staple foods, and control the speed of eating.

Finally, the problem of high fasting blood sugar should still be paid attention to, because the impact on the human body is still relatively large, and it also reflects the different stages of diabetes.

It may be that you eat a lot of high-calorie food, you may have eaten a late-night snack, you may have smoked or drunk, or it may be because you have a large weight base.

It may be caused by not taking the medication on time, be sure to take the medication on time, and do not eat some high-sugar foods.

Because you are hungry again after dinner, the body is hungry, and the blood sugar will rise.

There are two main conditions in which the blood sugar rises in the early morning: first, the blood sugar is well controlled at night, and there is no hypoglycemia, and the blood sugar is only high for a period of time in the early morning, which is called the "dawn phenomenon". The dawn phenomenon is mainly caused by increased secretion of hormones that antagonize the action of insulin, such as cortisol and growth hormone.

Second, after hypoglycemia occurs at night, it rebounds and causes an increase in blood sugar in the morning, which is called "Su Mujie reaction".

To identify the cause of the elevated fasting blood glucose in the early morning, patients may use multiple blood glucose measurements in the middle of the night. The general practice is to test the blood glucose at 3 a.m. to determine whether hypoglycemia is present; Blood sugar is then measured in the early morning.

If blood sugar is normal at 3 a.m. and fasting blood sugar rises in the morning, it is called dawn phenomenon; If blood sugar drops at 3 a.m. and fasting blood sugar rises in the morning, it is considered a Sumujie reaction.

Once the cause of the increase in fasting blood sugar in the morning is found, the dose of hypoglycemic drugs or insulin can be adjusted in a targeted manner under the guidance of a doctor. Diabetic patients with "dawn phenomenon" can add subcutaneous injection of intermediate-acting insulin before bedtime on the basis of oral hypoglycemic drugs during the day to receive good results and control fasting hyperglycemia in the morning. Note that you need to add a bedtime snack such as half a glass of milk and two biscuits before the injection to avoid hypoglycemia after insulin injection.

Once fasting blood sugar is satisfactorily controlled in the morning, it is easy to control blood sugar after meals during the day.

Diabetic patients with "Sumujie reaction" should reduce the dose of oral hypoglycemic drugs or insulin acting before dinner and increase bedtime snacks. A bedtime snack is a split meal from dinner that can prevent hypoglycemia in the first half of the night. We advised Mr. Wang to reduce the pre-dinner dose of Damecan to 40 mg, and at the same time instructed him to increase his bedtime snacks, and then monitored his blood sugar at 3 a.m.

It was found that his blood sugar level quickly returned to normal at 3 a.m. after taking the drug, and his fasting blood sugar dropped to 7 milliliters in the early morning. Hope it helps.

Do I need to take hypoglycemic drugs on the day of blood sugar checking?

We know that there are many friends who let themselves suffer from diabetes for various reasons, and the appearance of this disease is very harmful to patients, and we must pay enough attention to it, especially some complications caused by diabetes. The occurrence and development of diabetic complications is not only closely related to the increase in blood sugar levels in the body, but also causes fluctuations in blood sugar.

Step Method:

1 First of all, the patient needs to take hypoglycemic drugs, which is also to reflect the real situation of the patient's blood sugar control, and also to avoid blood sugar fluctuations caused by drug withdrawal.

2 In addition, for patients who have their own blood glucose meter or are hospitalized, the time of fasting blood draw in the morning can be controlled by themselves, so that the blood sugar test will not affect the medication and meals of the day, and if you go to the hospital for examination, you should pay attention to taking the medicine.

3 In addition, for patients with low endogenous insulin secretion level and high blood sugar in the morning, it is not appropriate to go to the hospital to test fasting blood glucose, because the blood collection time in the outpatient clinic of the hospital is too late, which will delay the injection of insulin before breakfast and adversely affect the patient's blood sugar throughout the day.

Precautions. Finally, we would like to mention that patients who are taking oral hypoglycemic drugs** can reduce the amount of hypoglycemic drugs at noon if the time of taking the drug in the morning and noon is too close to each other due to the detection of fasting blood glucose.

Fasting blood glucose, how to achieve the accuracy of the test results, need to pay attention to the following points:

1. Don't over-diet or even skip dinner the day before measuring fasting blood sugar, although fasting for more than 12 hours may make the measured blood sugar value lower, but it does not reflect the real fasting blood sugar level.

2. Try not to drink a lot of water during fasting time, if you are thirsty, you can drink a small amount of boiled water, but not too much. Drinking too much water can dilute your blood and interfere with your blood sugar test results.

3. Diabetic patients should take hypoglycemic drugs as usual the night before checking fasting blood glucose, and take the medicine after blood drawing on the day of examination.

4. Ensure adequate sleep before measuring fasting blood sugar, avoid emotional excitement, too strenuous activities, etc., which may cause blood sugar to rise.

5. When the fasting blood sugar of diabetic patients rises, the following conditions need to be identified and different treatment measures should be taken: the blood sugar is not well controlled, and the blood sugar is in a state of hyperglycemia throughout the night; Hypoglycemia in the middle of the night causes blood sugar rebound to cause an increase in fasting blood sugar (called the Sumujie effect): On the basis of good blood sugar control, blood sugar rises at 4-5 o'clock in the morning due to increased secretion of growth hormone (called dawn phenomenon).

6. If it is difficult to measure fasting blood glucose, glycosylated hemoglobin test can be selected, because glycosylated hemoglobin is not affected by factors such as time, eating, activity and mood, which can avoid hunger affecting diabetes screening and test results, and can reflect the average blood sugar level in the past 3 months.

Fasting blood glucose is an important indicator of pancreatic islet function and one of the criteria for diagnosing diabetes. Fasting blood glucose can also reflect how well a diabetic person's blood sugar has been controlled throughout the night and even early in the morning with medications taken the night before. In short, whether it is a physical examination or a daily follow-up visit for diabetic patients, blood glucose measurement should be done before 8 a.m. after fasting for 8 hours, so as to obtain accurate fasting blood glucose data.

Of course not!!

After measuring your fasting blood sugar, take hypoglycemic drugs and eat!

Hello: Normal value: fasting, 1 hour blood sugar rise peak, 2 hours drop, 3 hours drop in fasting value. The closer the blood sugar is to normal, the better.

The ideal blood glucose level is 7 mmol L or less, and the blood sugar is 11 mmol L or less two hours after a meal.

It is recommended that you control your diet (the staple food is mainly whole grains), moderate physical exercise, and maintain a happy mood. Eat more vegetables and eat less or no foods high in sugar. Exercise should be done at least 3 times a week, with a duration of 30-60 minutes each time, including pre-exercise preparation activities and post-exercise recovery and tidying exercises.

During exercise, you should feel warm and sweaty, but do not sweat profusely.

It is better to have an empty stomach of less than 6 and less than 2 hours 7.

There are two main causes of early morning fasting blood sugar increases:First, blood sugar is well controlled at night, and no hyperglycemia occurs. Only in the early morning, blood sugar is very high, called"Dawn phenomenon"。

The dawn phenomenon is mainly caused by an increase in the secretion of hormones such as hormones and growth hormone, which antagonize the action of insulin. Secondly, after hypoglycemia at night, ** causes blood sugar to rise in the early morning, known as the Sumujie reaction. In order to find out what kind of situation you fall into, you need to test your blood sugar around two or three in the morning.

Diabetic patients with the "dawn phenomenon" can be treated with intermediate insulin or long-acting insulin analogues (such as dietary insulin) at bedtime in addition to oral hypoglycemic drugs during the day to control high fasting blood sugar in the morning. However, it is important to note that meals such as half a cup of milk and two biscuits should be added before the injection to avoid hypoglycemia after insulin injections.

For diabetic patients with hematoxypathy reaction, the dose of oral glucose or insulin should be reduced at night, and bedtime meals should be increased. An extra meal before bedtime should be a separate dinner, which will prevent hypoglycemia in the middle of the night.

In light of this, there is a difference in the treatment of the "dawn phenomenon". First, if the blood sugar fluctuates greatly in the morning, it is necessary to further check the relevant hormone levels, and if necessary, hormone drugs can be used; second, choose the appropriate hypoglycemic agent or insulin, and adjust the time of medication; If blood glucose is not too high in the morning, dimethyldioxide can be taken by mouth or given a hypoglycemic or insulin at breakfast time or before. If fasting blood sugar fluctuates greatly, it is advisable to monitor and record blood glucose at night, consult a doctor, and use the medication prescribed by the doctor.

When the glucose in the blood is not enough to meet the body's needs, when the liver does not eat or has an empty stomach, in order to continuously supply blood sugar energy to the body, the liver glycogen will turn into glucose and enter the blood, forming blood sugar, constituting fasting blood glucose.