Ep:204 THE DAWN EFFECT. EVERYTHING YOU NEED TO KNOW - By Robert Cywes [f37000]

Post Time: 2025-07-29

Maintaining healthy blood sugar levels is crucial for overall well-being and preventing chronic conditions. Whether you're managing diabetes or simply aiming for better health, understanding how to test your blood sugar, explore effective blood sugar supplements, and discover the role of diabetes gummies and medications is essential. Let's dive into a comprehensive guide to empower you with knowledge and practical steps.

Why Blood Sugar Testing Matters: Your Body's Real-Time Report

Blood sugar testing, also known as glucose monitoring, is the process of measuring the concentration of glucose in your blood. Glucose is your body's primary source of energy, and keeping its levels within a healthy range is vital for optimal function. Regular blood sugar testing is particularly important for:

• Diabetes Management: For individuals diagnosed with diabetes (both type 1 and type 2), regular testing is indispensable for managing the condition effectively. It helps in:
  • Monitoring Treatment Effectiveness: Testing reveals how well medications like diabetes drugs or insulin are working.
  • Guiding Meal Planning: Knowing your blood sugar levels before and after meals helps understand how different foods affect you, allowing for better dietary choices.
  • Preventing Hypoglycemia and Hyperglycemia: Testing helps avoid dangerous swings in blood sugar, both too low (hypoglycemia) and too high (hyperglycemia).
• Prediabetes Detection: If you're at risk of developing type 2 diabetes, regular blood sugar testing can help detect prediabetes early. Early detection allows for lifestyle changes and interventions to prevent or delay the onset of full-blown diabetes.
• General Health Awareness: Even without diabetes or prediabetes, understanding your blood sugar trends can provide valuable insights into your metabolic health. Fluctuations and consistently high levels, even within the "normal" range, could signal insulin resistance or other underlying issues.

Who Should Test Their Blood Sugar?

• Individuals with Diabetes: Routine testing is a cornerstone of diabetes management.
• Individuals with Prediabetes: Regular testing to monitor progression.
• Pregnant Women: Gestational diabetes is common during pregnancy, requiring testing.
• Individuals Experiencing Symptoms of Hypoglycemia or Hyperglycemia: Symptoms like increased thirst, frequent urination, unexplained fatigue, blurry vision, or dizziness warrant testing.
• Individuals with Risk Factors for Type 2 Diabetes: Obesity, family history of diabetes, sedentary lifestyle, high blood pressure, and unhealthy cholesterol levels are risk factors. Even without overt symptoms, periodic testing is advisable.

Step-by-Step Guide: How to Test Your Blood Sugar at Home

Testing your blood sugar at home is straightforward with the right equipment and technique. Here’s a step-by-step guide:

1. Gather Your Supplies:

   • Blood Glucose Meter: This device reads the blood glucose level.
   • Test Strips: Specific to your meter, these strips react with glucose in your blood.
   • Lancet Device and Lancets: Used to prick your finger and draw a small blood sample.
   • Alcohol Swabs or Soap and Water: To clean your fingertip.
   • Logbook or App: To record your results.

2. Prepare Your Meter and Test Strip:

   • Turn on your blood glucose meter.
   • Insert a fresh test strip into the meter. Ensure it's inserted correctly; the meter will usually indicate when it's ready.

3. Prepare Your Finger:

   • Wash your hands thoroughly with soap and warm water. Warm water helps improve blood flow. Dry your hands completely.
   • If using an alcohol swab, cleanse the fingertip you plan to use (usually the side of your fingertip is less painful). Allow the alcohol to dry completely before pricking; residual alcohol can affect the reading.

4. Use the Lancet Device:

   • Place the lancet device firmly against the side of your chosen fingertip.
   • Press the release button on the lancet device to prick your finger. You need only a tiny drop of blood.

5. Obtain a Blood Sample:

   • Gently massage or squeeze your finger near the puncture site to encourage a small drop of blood to form. Avoid excessive squeezing as this can dilute the blood sample with tissue fluid and affect the accuracy.
   • Bring the drop of blood to the edge of the test strip. The strip will draw the blood in via capillary action. Ensure you apply enough blood according to the test strip instructions; insufficient blood can lead to errors.

6. Wait for the Reading:

   • The meter will display your blood sugar level within seconds. Record this reading immediately in your logbook or app, noting the time, date, and any relevant factors like meals or medications.

7. Dispose of Supplies Safely:

   • Safely dispose of the used lancet in a sharps container if you have one, or according to local guidelines for safe disposal of medical sharps.

Understanding Your Blood Sugar Readings:

Category	Fasting Blood Sugar (mg/dL)	2 Hours After Meal (mg/dL)
Normal	Less than 100	Less than 140
Prediabetes	100 to 125	140 to 199
Diabetes	126 or higher	200 or higher

• Fasting Blood Sugar: Measured after at least 8 hours of fasting (typically first thing in the morning).
• 2-Hour Postprandial Blood Sugar: Measured 2 hours after the start of a meal.

Consult your healthcare provider to determine the target blood sugar range that is appropriate for you, as individual goals may vary based on overall health, age, and other conditions.

Blood Sugar Supplements: Natural Support for Balanced Glucose

For individuals looking to support healthy blood sugar levels, blood sugar supplements can be a valuable addition to a balanced diet and lifestyle. It's important to note that supplements are not intended to replace prescribed medications, especially diabetes drugs, but they can work synergistically or provide support for those in prediabetic ranges or seeking to maintain healthy glucose metabolism.

Key Ingredients in Effective Blood Sugar Supplements:

• Chromium: This essential trace mineral enhances the action of insulin, the hormone that regulates blood sugar. Studies have shown that chromium supplementation can improve insulin sensitivity and glucose control, particularly in individuals with type 2 diabetes and insulin resistance.
  • Example: A study published in Diabetes Care found that chromium picolinate supplementation improved glycemic control in patients with type 2 diabetes. [Source: Diabetes Care. 2004 Nov;27(11):2741-51.]
• Cinnamon: This common spice has been shown to possess insulin-mimicking properties and improve glucose uptake by cells. Cinnamon can help lower blood sugar levels, especially post-meal spikes.
  • Example: A meta-analysis in the Journal of the Academy of Nutrition and Dietetics concluded that cinnamon supplementation is associated with a statistically significant reduction in fasting plasma glucose. [Source: J Acad Nutr Diet. 2016 Dec;116(12):1794-1804.e1.]
• Berberine: A bioactive compound found in several plants, berberine is a potent blood sugar regulator. It works through multiple mechanisms, including improving insulin sensitivity, reducing glucose production in the liver, and increasing glucose uptake in muscles. Berberine's efficacy in managing blood sugar is well-documented.
  • Example: A study published in the Journal of Clinical Endocrinology & Metabolism compared berberine to metformin (a common diabetes drug) in patients with type 2 diabetes and found berberine to be equally effective in controlling blood sugar levels. [Source: J Clin Endocrinol Metab. 2008 May;93(5):2552-9.]
• Alpha-Lipoic Acid (ALA): This antioxidant has been shown to improve insulin sensitivity and reduce nerve damage (neuropathy) associated with diabetes. ALA may help improve glucose utilization and reduce blood sugar levels.
  • Example: A meta-analysis in The American Journal of Medicine indicated that ALA supplementation significantly reduced fasting blood glucose and HbA1c levels. [Source: Am J Med. 2018 Jun;131(6):722-729.e5.]
• Gymnema Sylvestre: This herb is traditionally used in Ayurvedic medicine to manage diabetes. It is believed to reduce sugar cravings and improve insulin function. Gymnema may also help regenerate pancreatic beta cells, which produce insulin.
  • Example: Research in the Journal of Ethnopharmacology suggests that Gymnema Sylvestre extract can improve glycemic control in individuals with type 2 diabetes. [Source: J Ethnopharmacol. 1990 Oct;30(3):281-94.]

Important Considerations When Choosing Blood Sugar Supplements:

• Ingredient Quality and Dosage: Look for supplements with standardized extracts and clinically studied dosages of active ingredients.
• Third-Party Testing: Choose brands that conduct third-party testing for purity and potency to ensure you are getting a high-quality product.
• Consult Your Healthcare Provider: Before starting any supplement, especially if you have diabetes or are taking medications including diabetes drugs, consult your doctor. They can advise you on potential interactions and the appropriateness of supplements for your individual needs.

Diabetes Gummies: A Palatable and Convenient Supplement Option

Diabetes gummies are emerging as a popular and palatable way to incorporate blood sugar supplements into your daily routine. These gummies are formulated to deliver the same beneficial ingredients found in traditional capsules or tablets, but in a more enjoyable and easy-to-consume format.

Advantages of Diabetes Gummies:

• Improved Palatability: For individuals who dislike swallowing pills, gummies offer a pleasant alternative. The flavors and chewy texture make taking supplements less of a chore.
• Convenience: Gummies are pre-dosed and easy to take on the go, making them a convenient option for busy lifestyles.
• Enhanced Compliance: The enjoyable nature of gummies can improve adherence to supplement regimens, ensuring you consistently receive the intended benefits.
• Variety of Formulations: Diabetes gummies are available in various formulations, often combining multiple beneficial ingredients like chromium, cinnamon, berberine, and vitamins, to offer comprehensive blood sugar support.

Things to Look for in Diabetes Gummies:

• Sugar Content: Opt for gummies that are sugar-free or low in sugar to avoid counteracting their intended blood sugar benefits. Look for gummies sweetened with sugar alcohols or natural sweeteners like stevia or erythritol.
• Ingredient Profile: Ensure the gummies contain clinically relevant doses of active ingredients like those listed above (chromium, cinnamon, berberine, etc.). Check the supplement facts label for ingredient quantities.
• Fiber Content: Some high-quality diabetes gummies include fiber, which can further support blood sugar management and promote gut health.
• Reputable Brands: Choose gummies from reputable manufacturers that prioritize quality, testing, and transparent labeling.

Integrating Diabetes Gummies into Your Routine:

• Follow Dosage Instructions: Adhere to the recommended serving size on the product label.
• Take Consistently: For best results, take diabetes gummies daily as part of your overall blood sugar management strategy.
• Combine with Healthy Habits: Gummies are most effective when combined with a balanced diet, regular physical activity, and, if needed, prescribed medications including diabetes drugs.

Understanding Diabetes Drugs: When Medication is Necessary

While lifestyle modifications and blood sugar supplements can be highly effective in managing prediabetes and supporting healthy glucose levels, diabetes drugs become necessary when these approaches are insufficient to achieve target blood sugar control, particularly in individuals with type 2 diabetes or type 1 diabetes.

Categories of Diabetes Drugs (Simplified Overview):

• Metformin: Often the first-line medication for type 2 diabetes. Metformin works by reducing glucose production in the liver and improving insulin sensitivity.
• Sulfonylureas: These medications stimulate the pancreas to release more insulin. Examples include glipizide, glyburide, and glimepiride.
• Meglitinides: Similar to sulfonylureas, but with a shorter duration of action. They are taken before meals to stimulate insulin release. Example: repaglinide.
• Thiazolidinediones (TZDs): Improve insulin sensitivity in peripheral tissues (muscle and fat). Example: pioglitazone.
• DPP-4 Inhibitors: Prolong the action of incretin hormones, which increase insulin release and decrease glucagon secretion (a hormone that raises blood sugar). Examples: sitagliptin, linagliptin.
• SGLT2 Inhibitors: Increase glucose excretion in the urine, lowering blood sugar levels. Examples: canagliflozin, empagliflozin.
• GLP-1 Receptor Agonists: Mimic the action of GLP-1, an incretin hormone. They stimulate insulin release, suppress glucagon, slow gastric emptying, and can promote weight loss. These are often injectable medications. Examples: liraglutide, semaglutide.
• Insulin: Essential for type 1 diabetes and often used in type 2 diabetes when other medications are insufficient. Insulin is administered by injection or pump and comes in various types (rapid-acting, short-acting, intermediate-acting, long-acting) to mimic the body's natural insulin release patterns.

When are Diabetes Drugs Necessary?

• Type 1 Diabetes: Insulin therapy is essential for survival in type 1 diabetes as the body does not produce insulin.
• Type 2 Diabetes - Inadequate Control with Lifestyle and Supplements: If lifestyle changes (diet, exercise) and supplements are not enough to maintain target blood sugar levels, medications are needed.
• Severe Hyperglycemia: Very high blood sugar levels requiring rapid control.
• Presence of Complications: If diabetes complications (e.g., kidney disease, neuropathy) develop, medication management becomes crucial.

Important Note: Diabetes drugs are powerful medications that require careful monitoring and management by a healthcare professional. They are not interchangeable with blood sugar supplements and should only be used under medical supervision. If you have diabetes or are concerned about your blood sugar levels, consult your doctor for diagnosis and appropriate treatment.

Crafting Your Blood Sugar Management Plan: A Holistic Approach

Managing blood sugar effectively requires a comprehensive and personalized approach. It's not about relying on a single solution but rather integrating various strategies for sustainable health.

Key Components of a Holistic Blood Sugar Management Plan:

1. Regular Blood Sugar Testing: Understand your blood sugar trends and monitor the effectiveness of your management strategies.
2. Balanced Diet: Focus on whole foods, limit processed foods, sugary drinks, and refined carbohydrates. Emphasize fiber-rich foods, lean proteins, and healthy fats.
3. Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity aerobic exercise per week.
4. Stress Management: Chronic stress can negatively impact blood sugar levels. Practice relaxation techniques like yoga, meditation, or deep breathing.
5. Adequate Sleep: Aim for 7-9 hours of quality sleep per night. Sleep deprivation can disrupt hormone balance and worsen insulin resistance.
6. Consider Blood Sugar Supplements: Diabetes gummies and other supplements containing ingredients like chromium, cinnamon, berberine, and ALA can provide natural support for healthy glucose metabolism.
7. Medication (If Necessary): If lifestyle changes and supplements are not sufficient, work with your healthcare provider to determine the appropriate diabetes drugs for your condition.

Making Gummies Part of Your Strategy:

Diabetes gummies offer a convenient and enjoyable way to incorporate beneficial blood sugar supporting ingredients into your daily regimen. Choose high-quality gummies with low sugar content and clinically relevant ingredients to enhance your overall blood sugar management plan. Remember, gummies are a supplement to a healthy lifestyle, not a replacement for it or for prescribed diabetes drugs when needed.

By understanding how to test your blood sugar, exploring the potential of blood sugar supplements like delicious diabetes gummies, and knowing when diabetes drugs play a crucial role, you can take proactive steps towards achieving and maintaining stable, healthy blood sugar levels for a healthier and happier life. Always consult with your healthcare provider for personalized advice and management strategies tailored to your specific needs.

THE DAWN PHENOMENON or the DAWN EFFECT or the SOMOGYI EFFECT – that rise in blood sugar in the early morning after you wake up….everything you need to know. What is it and what triggers it? Why does it occur? Is it dangerous or is it necessary? When can it be dangerous? Should it be treated? What if I have diabetes? Does it affect my ketone level? Be empowered. Know your risk! Research Discussed... The dawn phenomenon across the glycemic continuum: Implications for defining dysglycemia. Li C, Ma X, Yin J, Mo Y, Zhang L, Lu J, Lu W, Bao Y, Vigersky RA, Zhou J, Jia W.Diabetes Res Clin Pract. 2020 Aug;166:108308. Dawn Phenomenon. O'Neal TB, Luther EE.2021 May 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan– Effect of growth hormone on dawn phenomenon in patients with type 2 diabetes. Shih KC, Hsieh SH, Kwok CF, Hwu CM, Hsieh PS, Ho LT.Growth Factors. 2013 Apr;31(2):66-73 Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below. Websites: We try to keep this content free. If our content resonates and you can afford a buck or more: Become a PATRON ▶ WHERE TO FIND DR. ROBERT CYWES: INSTAGRAM: @carbaddictiondoc FACEBOOK: ROBERT CYWES M.D., PhD is a clinically practicing doctor and surgeon in Florida and Idaho. The mission of our media content is educating the public about a CARBOHYDRATE ADDICTION approach to treating obesity, diabetes and metabolic syndrome. Understanding the importance of replacing carbs in your diet with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a more effective diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using obesity surgery and devices as tools along the way, and helping people who have had bariatric surgery stay healthy and not relapse Set up a consultation if you are looking for more sustainable ways to treat obesity, diabetes, metabolic syndrome, cholesterol issues and thyroid disease. Even if you are doing great but need physician confirmation or if you are considering or struggling after Bariatric Surgery we can assist you getting back on track.TEXT, WHATSAPP or CALL to leave a message on our “batphone” +1 561 517-0642 from anywhere in the world. We do secure telehealth, Zoom and Whatsapp phone and video consults all over the world. **DISCLAIMER: Any information does aspirin affect blood sugar on diseases can cinnamon raise blood sugar and treatments available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a doctor or other qualified healthcare professional. Always seek the advice of your physician or other qualified health care professional with questions you may have regarding your medical condition. This site and these videos exist to provide information and support about nutritional health and do not provide medical advice and should not be thought to provide medical advice. We can only give medical advice if you establish yourself as a registered patient and consult with us in our medical practice - JSAPA. We always recommend working with a team of knowledgeable and experienced practitioners, including a physician such as stevia and blood sugar Dr Cywes and a certified nutrition specialist such as Jane Brown in our practice. Do not self-diagnose. Always seek medical guidance when you have a medical condition. -------- #diabetes #carbohydrate #sugar #insulin #prediabetes #type1diabetes #type2diabetes #ketoEp:204 THE DAWN EFFECT. EVERYTHING YOU NEED TO KNOW - By Robert Cywes [f37000]