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Understanding Postprandial Hypoglycemia: Why is my Postprandial Sugar Level Lower than Fasting and What to Do About It

If you have diabetes, you may be familiar with the terms fasting blood sugar and postprandial blood sugar. Fasting blood sugar is the level of glucose in your blood after an overnight fast or at least 8 hours without eating, while postprandial blood sugar is the level of glucose in your blood after eating a meal. It is not uncommon for some people with diabetes to experience a lower postprandial sugar level than their fasting level. In this article, we will explore the reasons behind this phenomenon, whether it is normal, and what can be done to correct it.

Understanding Postprandial Hypoglycemia: Why is my Postprandial Sugar Level Lower than Fasting

There can be several reasons why your postprandial sugar level is lower than your fasting level. One possibility is that your body is producing more insulin after meals, which helps to move glucose from your bloodstream into your cells. This is known as the incretin effect and is a natural response to food intake.

Additionally, certain foods, such as high-fiber and low-carbohydrate foods, can slow down the absorption of glucose into the bloodstream, which can lead to lower postprandial sugar levels.

Another possibility is that your fasting sugar level may be artificially high due to the dawn phenomenon. This occurs when your body produces hormones, such as cortisol and growth hormone, in the early morning hours, which can cause your liver to release glucose into your bloodstream. This can lead to higher fasting sugar levels, but these levels may normalize or even decrease after eating.

Is It Normal to Have a Lower Postprandial Sugar Level?

Having a lower postprandial sugar level than your fasting level is not necessarily a cause for concern, especially if your overall blood sugar control is good. However, it is important to monitor your blood sugar levels regularly to ensure that they remain within a healthy range.

If you are experiencing symptoms such as dizziness, confusion, or sweating, it is possible that your blood sugar levels are dropping too low after eating. This is known as reactive hypoglycemia and can occur in people with diabetes. If you experience these symptoms, it is important to talk to your healthcare provider about adjusting your treatment plan.

What Can Be Done to Correct a Lower Postprandial Sugar Level?

If your postprandial sugar level is consistently lower than your fasting level and you are experiencing symptoms of hypoglycemia, there are several things you can do to help correct it. One option is to adjust your medication regimen, such as reducing the dose of insulin or other glucose-lowering medications. Additionally, you may want to consider adjusting your diet to include more complex carbohydrates and protein, which can help to slow down the absorption of glucose into your bloodstream.

Regular exercise can also help to regulate your blood sugar levels and improve your overall health. Aim for at least 30 minutes of moderate-intensity exercise most days of the week, such as brisk walking, cycling, or swimming.

In conclusion, having a lower postprandial sugar level than your fasting level is not necessarily a cause for concern. It may be a natural response to food intake or a result of the dawn phenomenon. However, if you are experiencing symptoms of hypoglycemia, it is important to talk to your healthcare provider about adjusting your treatment plan. Making dietary changes, adjusting medication dosages, and regular exercise can all help to improve your blood sugar control and overall health.

References:

  1. American Diabetes Association. (2018). 5. Glycemic Targets: Standards of Medical Care in Diabetes-2018. Diabetes Care, 41(Supplement 1), S55-S64. doi: 10.2337/dc18-S005
  2. Cryer, P. E. (2013). Mechanisms of hypoglycemia-associated autonomic failure and its component syndromes in diabetes. Diabetes, 62(7), 2472-2479. doi: 10.2337/db12-1210
  3. Inzucchi, S. E., Bergenstal, R. M., Buse, J. B., Diamant, M., Ferrannini, E., Nauck, M., … & Matthews, D. R. (2015). Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care, 38(1), 140-149. doi: 10.2337/dc14-2441
Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:March 9, 2023

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