Disc golfer

Q:

To lower morning sugars, one theory says no food for hours before bed. Another says a little carbs/protein helps. Yet another says exersice helps. Your opinion? Also, when should one take supplements for best absorption? I'm a type 2 since 2003. I take Metformin 850 twice daily. Morning sugars are high, last A1C was 7.1. I'm worried.

Amy Campbell

A:

There are no hard and fast rules around snacking. Some people eat snacks and are able to manage their blood glucose without them; other people find that they need snacks, either because of hunger or because snacks help them to better manage their diabetes. You may need to experiment a little to find out what works best for you. There is some evidence that eating a bedtime snack of, say, 15 grams of carbohydrate and a small amount of a healthy fat (for example, whole grain crackers with peanut butter) may prevent the liver from releasing too much glucose overnight, thus helping to keep fasting glucose levels closer to target. You may also find that doing some exercise after dinner helps to lower fasting glucose levels, too. So, my suggestion is to try different things – have a snack at bedtime for a few nights and see how that affects your fasting glucose. Then, try physical activiity after dinner (with no snack) and see what that does. As far as dietary supplements go, most should be taken with food to help with absorption,but it’s a good idea to check the directions on the container, first.