instruction: hello I have been a diabetic for about 20 years my recent arc is 4 from last few days I have been noticing that my fasting sugar readings are really high like 140 180 there have been no changes in the diet interestingly enough within 2 hours it goes up by another 20 points without doing anything another strange thing is before I go to bed it is in the range of 10 130 but in the morning it is always 140 please help me understand this strange phenomen I am taking 100mcg metformin twice a day
output: hi thanks for your query its good to see ur sugars are good with hba1c 4 blood sugars go up and down not only with meals but there are many other factors associated as well like other harmon levels in the body for example if ur stressed mentally or excited ur cortisol and catecholamines also increase and thus may lead to increase sugar levels as well same way if you will do exercise it will decrease ur sugar as well as use of alcohol may be ur eating habits did not change much but other factors have something to do with these levels sleep is also important along with medications I always advise for intermittent fasting and low carbohydrates with least grains exercise even if it is just walking 45 minutes daily is beneficial thanks