AskNadia: High Fasting Blood Sugar

Hi, Nadia:

I have had type 2 diabetes for 10 years and I control it with diet and exercise. My fasting sugar levels are always high. My sugar level will not go down. What do I need to do to bring my fasting blood sugar level down?

thank you, Jack

Dear Jack,

the human body releases extra glucose in the early morning just before waking up. Called the “dawn phenomenon,” the increased glucose production provides energy for getting up and facing the day. In people who don’t have diabetes, the rise in blood glucose levels is easily controlled by the release of insulin. In type 2s, however, the rise in glucose levels is not controlled by a release of insulin because of insulin resistance or the body’s inability to produce insulin.  This is what produces the high fasting levels you are referring to.

Definitely check in with your healthcare professional. She or he will look at your blood sugar readings and review your diet to better assist you in waking up with normal blood sugars.

You also might like to read an article on dawn phenomenon that was published on


Nadia’s feedback on your question is in no way intended to initiate or replace your healthcare professionals therapy or advice. Please check in with your medical team to discuss your diabetes management concerns.

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About Nadia:

Nadia was not only born into a family with diabetes but also married into one. She was propelled at a young age into “caretaker mode,” and with her knowledge of the scarcity of resources, support, and understanding for people with diabetes, co-founded Diabetes Interview, now Diabetes Health magazine.

Nadia has received 14 nominations for her work as a diabetes advocate.
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