Why Your Fasting Blood Sugar Is High and 5 Ways to Fix It

24 Aug 2025

Why Your Fasting Blood Sugar Is High and 5 Ways to Fix It Waking up to a high fasting blood sugar level can be frustrating, especially if you're tryin...

Why Your Fasting Blood Sugar Is High and 5 Ways to Fix It

Waking up to a high fasting blood sugar level can be frustrating, especially if you're trying to manage your diabetes or prediabetes. You might be diligently watching what you eat and exercising regularly, only to be met with an unwelcome surprise on your glucose meter. Let's explore why this happens and, more importantly, what you can do about it. We'll break down the common causes of elevated fasting blood sugar and provide you with five actionable strategies to bring those numbers down.

Understanding Fasting Blood Sugar

Before diving into the reasons behind a high reading, let's define what fasting blood sugar actually is. It's your blood glucose level measured after at least eight hours of not eating or drinking anything besides water. A normal fasting blood sugar level is generally considered to be between 70 and 99 mg/dL. A level of 100-125 mg/dL indicates prediabetes, while 126 mg/dL or higher on two separate tests can indicate diabetes.

Common Reasons for Elevated Fasting Blood Sugar

Several factors can contribute to a high fasting blood sugar reading. These include:

  • The Dawn Phenomenon: This is a natural rise in blood sugar that occurs in the early morning hours, typically between 2 AM and 8 AM. Your body releases hormones like cortisol and growth hormone to prepare you for waking up. These hormones can increase insulin resistance, leading to higher blood sugar levels in the morning. This affects many people with and without diabetes.

  • The Somogyi Effect (Rebound Hyperglycemia): This theory suggests that low blood sugar overnight (hypoglycemia) can trigger a surge in hormones that raise blood sugar levels, leading to high fasting blood sugar. While the Somogyi Effect was once widely accepted, recent research suggests that it is less common than previously thought, and the dawn phenomenon is a more likely culprit.

    Related reading: Can You Really Control Your Blood Sugar With Diet Alone

  • Insufficient Insulin or Medication: If you take insulin or oral medications for diabetes, the dosage or timing might not be adequate to control your blood sugar overnight. Consult with your doctor to review and adjust your medication plan if necessary.

  • Evening Snacks: Eating a large or carbohydrate-rich snack before bed can cause your blood sugar to remain elevated throughout the night and into the morning.

  • Stress and Illness: Physical or emotional stress, as well as illness, can increase hormone levels that raise blood sugar. This is because stress hormones, like cortisol and adrenaline, can make your body more resistant to insulin.

  • Dehydration: Not drinking enough water can concentrate the glucose in your blood, leading to higher readings.

  • Medications: Certain medications, such as corticosteroids, diuretics, and some antidepressants, can raise blood sugar levels. Always inform your doctor about all medications you're taking.

5 Ways to Lower Your Fasting Blood Sugar

Now that we've covered the common causes, let's move on to the solutions. Here are five practical strategies you can implement to help lower your fasting blood sugar:

  1. Evaluate Your Bedtime Routine and Evening Meals: What you eat and do before bed significantly impacts your morning blood sugar.

    • Monitor your pre-bedtime snack: If you typically have a snack before bed, track your blood sugar before and after to see how it affects your levels. Consider swapping high-carb snacks for lower-carb options, like a handful of nuts or a small serving of cheese.

    • Consider an early, lighter dinner: Try having dinner earlier in the evening to give your body more time to process the food before you go to bed. A smaller meal with balanced macronutrients can help stabilize your blood sugar levels overnight.

  2. Adjust Your Medication (with Doctor's Guidance): Never adjust your diabetes medication without consulting your doctor. They can assess your blood sugar patterns and make necessary adjustments to your insulin dosage or oral medication regimen. They might recommend changes to the timing of your medication or switching to a different type of medication altogether.

  3. Incorporate Regular Exercise (especially in the Evening): Physical activity improves insulin sensitivity, meaning your body can use insulin more effectively to lower blood sugar.

    • Aim for 30 minutes of moderate-intensity exercise most days of the week: This could include brisk walking, jogging, cycling, or swimming.

    • Consider evening exercise: A short walk or workout in the evening can help lower blood sugar levels before bed. Just avoid intense exercise right before sleep, as this can sometimes elevate blood sugar in some individuals.

  4. Stay Hydrated: Dehydration can make it harder for your body to regulate blood sugar. Drink plenty of water throughout the day, especially before bed. Aim for at least eight glasses of water per day.

  5. Related reading: What Do Your Blood Sugar Levels Mean Prediabetes Amp Diabetes Range

    Manage Stress: Chronic stress can wreak havoc on your blood sugar levels. Find healthy ways to manage stress, such as:

    • Practicing relaxation techniques: Deep breathing exercises, meditation, yoga, and mindfulness can help calm your nervous system and reduce stress hormones.

    • Related reading: Feeling Off 10 Hidden Symptoms Of High Blood Sugar You Can T Ignore

      Getting enough sleep: Aim for 7-9 hours of quality sleep each night. Poor sleep can increase stress hormones and impair insulin sensitivity.

    • Spending time in nature: Studies show that spending time outdoors can reduce stress and improve overall well-being.

Monitoring and Adjusting Your Strategy

Consistency is key when it comes to managing fasting blood sugar. Regularly monitor your blood sugar levels, ideally both before bed and upon waking up, to track your progress and identify patterns. Keep a log of your meals, snacks, exercise, and stress levels to help you pinpoint the factors that are affecting your blood sugar. Share this information with your doctor to fine-tune your management plan.

When to Seek Professional Help

While the strategies mentioned above can be helpful, it's crucial to consult with your doctor if you're consistently experiencing high fasting blood sugar levels. They can perform a comprehensive evaluation to rule out underlying medical conditions and provide personalized recommendations based on your individual needs.

Strategy Description Key Action Items
Bedtime Routine Evaluation Assess the impact of evening meals and snacks on blood sugar levels. Track food intake, experiment with low-carb snacks, eat an early, lighter dinner.
Medication Adjustment Work with your doctor to optimize your medication regimen. Share blood sugar logs with your doctor, explore timing or dosage changes.
Regular Exercise Incorporate physical activity to improve insulin sensitivity. Aim for 30 minutes of moderate exercise most days, consider evening workouts.
Stay Hydrated Ensure adequate fluid intake to support blood sugar regulation. Drink at least eight glasses of water daily, especially before bed.
Stress Management Employ techniques to reduce stress hormones that impact blood sugar. Practice relaxation exercises, prioritize sleep, spend time in nature.

Conclusion

Dealing with high fasting blood sugar can be challenging, but by understanding the underlying causes and implementing these practical strategies, you can take control of your health. Remember to monitor your blood sugar regularly, work closely with your healthcare team, and be patient with yourself as you navigate this journey. Small, consistent changes can make a big difference in the long run.