instruction: hello doctor I am diabetic and hypertensive I also have arthritis I am taking gamer folvite febituz methotrex weekly once ecosporin and replace 25 my fasting blood sugar level is 140 my do and on taking gamer my postprandial blood sugar is 72 my do why this happens
output: hello yes it happens in a diabetic fasting blood sugar usually results from a combination of factors the two most important being what you ate the day or night before and how high your blood sugar spiked if you have very high blood sugar the night before you should expect your fasting blood sugar to be elevated sometimes an eight hour fast is just not long enough to bring down the blood sugar dawn phenomenon is common in diabetics and it is when hormones that you produce in the morning cause your liver to release more glucose for energy either way higher fasting levels result often dawn phenomenon and high blood sugar from the day or night before work with each other when you eat the liver stops pumping out so much glucose and postprandial blood sugar can drop which is what happened to you my suggestion is to do a pre dinner sugar and see what is your blood glucose level before dinner if it is high 130 we have to alter the drugs and dosage I hope this helps