What Causes Elevated Pre-diabetes Glucose Levels And Anxiety Post Intake Of A Burger?

Posted on Wed, 16 Mar 2016

Question: After going to the doctor and finding out that I'm in the pre-diabetic range with a a1c of 5.8.Ive noticed upon waking in the morning I'm in a anxious mood and it levels out during the day .This morning I check my blood sugar and it was 118 .Question 1 .Why is it high if I just had a turkey burger at 7:00pm the night before?Question 2.Will it effect the way I feel in the morning as far as mood? Question 3. What can I do to keep it from being that high in the morning.

Answered by Dr. Praveen Jeyapathy (1 hour later)

Brief Answer:
As mentioned below

Detailed Answer:
Hello,
Thanks for writing to HCM. Noted your query.

1. The glucose levels in the fasting state is determined by the amount of release of glucose from the liver at night. The release of glucose is controlled by insulin. When one has resistance to the action of insulin (which is one of the reason one becomes diabetic/pre diabetic) the fasting glucose levels exceeds 100. So even if you had a turkey burger it can go high. You should try to move towards brown bread rather than white which contributes to a glucose spike and also has a role in the formation of fatty liver which is a marker that the liver is insulin resistant.

2. The relationship with mood is not documented. How would you say your quality of sleep is?

3. Three things. Loose weight - it improves insulin sensitivity. Exercise for 30 mts atleast daily - helps again with insulin sensitivity. Once your body becomes sensitive to insulin your glucose levels will surely drop.

I would suggest you do a 2 hr 75 gram glucose tolerance test.
Take care.
Regards
Dr Praveen

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Praveen Jeyapathy (24 minutes later)

I wake up multiple times during the night .Usually once to go pee ,and other times I just wake up.

Answered by Dr. Praveen Jeyapathy (2 minutes later)

Brief Answer:
Stressed?

Detailed Answer:
I see. Do you feel anxious or stressed abt something?
Excess coffee? What do you think? Are you obese? Snore a lot?

I feel if we can find the reason it will be easy to address it.

Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Praveen Jeyapathy (42 minutes later)

I'm not sure how to tell if I'm stressed ,however I am on 20 mg of Paxil.I used to feel really good on it no so much lately.

One other thing is I was prescribed nature throid for underactive thyroid 16mg and I stopped taking it cause my head started hurting.

My weight is 174 and Im 5'6.

Answered by Dr. Praveen Jeyapathy (6 minutes later)

Brief Answer:
Please focus on loosing a bit of Weight

Detailed Answer:

So a bit of weight loss will be very good. You will need to review with the psychiatrist who prescribed you the medication.

Please repeat your thyroid function test if its been more than 3 months old.

Please follow the lifestyle changes as advised earlier.

Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Praveen Jeyapathy (52 minutes later)

Ok I will do that .One other thing is can smoking increase your blood sugar?I smoke a cigarette from time to time?

Answered by Dr. Praveen Jeyapathy (11 minutes later)

Brief Answer:
Yes. in the long term.

Detailed Answer:
Well the short term effects of smoking on diabetes is unclear. However chronic smoking can affect both insulin secretion and its action.

Moreover it amplifies ones risk of complications.

Please avoid it. That's better.

Take care.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee