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Why Is My Blood Sugar Still High? 7 Factors Affecting Your Levels
18 Sep 2025 By Sydney A. Westphal, M.D.

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Why Is My Blood Sugar Still High? 7 Factors Affecting Your Levels

Managing blood sugar levels can be challenging, especially when you're working hard to keep them within a healthy range. It's frustrating to see those numbers still elevated even when you feel like you're doing everything right. So, why is your blood sugar still high? Let's explore seven common factors that could be impacting your levels and how to address them.

1. Dietary Choices: Beyond Just Sugar

While it’s obvious that sugary foods and drinks can spike your blood sugar, it’s important to look at your overall dietary pattern. Hidden sugars and carbohydrates in unexpected foods can contribute to consistently high levels.

  • Portion Control: Even healthy carbs can raise blood sugar if you eat too much at once. Practice mindful eating and measure portions.
  • Carb Type: Focus on complex carbohydrates like whole grains, fruits, and vegetables, which are digested slower than refined carbs. White bread, pasta, and sugary cereals can cause rapid spikes.
  • Hidden Sugars: Be wary of processed foods. Check food labels carefully for hidden sugars like high fructose corn syrup, sucrose, and dextrose. Sauces, dressings, and even some "healthy" snacks can contain unexpected amounts of sugar.
  • Fiber Intake: Adequate fiber intake helps regulate blood sugar. Aim for at least 25-30 grams of fiber per day from sources like beans, lentils, fruits, and vegetables.

2. Stress: The Silent Blood Sugar Saboteur

Stress can have a significant impact on blood sugar levels. When you're stressed, your body releases hormones like cortisol and adrenaline. These hormones can increase blood sugar as they prepare your body for "fight or flight". Type 1 Vs Type 2 Diabetes Understanding The Key Differences In Management

  • Stress Hormones: Cortisol promotes insulin resistance, meaning your body needs more insulin to manage blood sugar.
  • Coping Mechanisms: People under stress might turn to unhealthy coping mechanisms like overeating or skipping exercise, which further worsen blood sugar control.
  • Stress Management Techniques: Incorporate stress-reducing activities into your routine, such as yoga, meditation, deep breathing exercises, or spending time in nature.

3. Insufficient Physical Activity: Move Your Body

Regular physical activity is crucial for managing blood sugar. Exercise helps your body use insulin more effectively and lowers blood sugar levels. Dietitian Approved Snacks For Better Blood Sugar Control

  • Insulin Sensitivity: Exercise increases insulin sensitivity, allowing cells to take up glucose more readily.
  • Glucose Utilization: During exercise, your muscles use glucose for energy, lowering blood sugar.
  • Type and Intensity: Aim for a mix of aerobic exercise (e.g., walking, running, swimming) and strength training. Even short bursts of activity throughout the day can be beneficial.
  • Consistency: Consistency is key. Try to get at least 150 minutes of moderate-intensity exercise per week.

4. Dehydration: Are You Drinking Enough Water?

Dehydration can affect blood sugar by making your blood more concentrated. This can lead to higher blood sugar readings. Why Is My Morning Blood Sugar High 5 Factors To Consider

  • Blood Concentration: When you're dehydrated, the concentration of glucose in your blood increases.
  • Kidney Function: The kidneys play a vital role in regulating blood sugar. Dehydration can impair kidney function, making it harder for them to filter excess glucose.
  • Hydration Needs: Aim to drink at least eight glasses of water per day. Your individual needs may vary depending on your activity level and climate.

5. Medications: Potential Side Effects

Certain medications can raise blood sugar as a side effect. It’s important to discuss potential side effects with your doctor, especially when starting a new medication.

  • Steroids: Corticosteroids, such as prednisone, are known to increase blood sugar.
  • Diuretics: Some diuretics can also elevate blood sugar.
  • Antidepressants: Certain antidepressants may affect blood sugar in some individuals.
  • Birth Control Pills: Hormonal birth control can sometimes impact blood sugar levels.
  • Open Communication: Always inform your doctor about all medications you're taking, including over-the-counter drugs and supplements.

6. Dawn Phenomenon: An Early Morning Spike

The dawn phenomenon is a natural rise in blood sugar that occurs in the early morning hours. This is due to hormonal changes in the body as it prepares to wake up.

  • Hormonal Surge: During the early morning hours, the body releases hormones like cortisol and growth hormone, which can increase blood sugar.
  • Liver Glucose Production: The liver also releases glucose during this time to provide energy for the day.
  • Management Strategies: To manage the dawn phenomenon, try adjusting your evening medication, eating a lighter bedtime snack, or increasing your physical activity in the evening.

7. Underlying Medical Conditions: Beyond Diabetes

Sometimes, high blood sugar can be a sign of an underlying medical condition beyond diabetes.

  • Cushing's Syndrome: This condition causes the body to produce too much cortisol, which can raise blood sugar.
  • Polycystic Ovary Syndrome (PCOS): PCOS can lead to insulin resistance, which can elevate blood sugar.
  • Pancreatitis: Inflammation of the pancreas can impair its ability to produce insulin, leading to high blood sugar.
  • Consult Your Doctor: If you suspect an underlying medical condition, consult with your doctor for proper diagnosis and treatment.

Understanding Key Metrics and Recommended Ranges (HTML Table)

Understanding the metrics used to monitor your blood sugar levels and their associated healthy ranges can empower you to make informed decisions regarding your care.

Metric Ideal Range Notes
Fasting Blood Sugar 70-100 mg/dL Measured after at least 8 hours of fasting.
Postprandial Blood Sugar (2 hours after meal) Less than 140 mg/dL Indicates how well your body processes carbohydrates.
HbA1c Less than 5.7% (non-diabetic) Provides an average of your blood sugar control over the past 2-3 months.

Take Action for Better Blood Sugar Control

If you're experiencing consistently high blood sugar, it’s essential to work with your healthcare team to identify the underlying causes and develop a personalized management plan. Don’t hesitate to ask questions and actively participate in your care. Small changes can make a big difference in achieving better blood sugar control and improving your overall health. By addressing these factors, you can gain better control over your blood sugar and improve your overall well-being. Remember, it's a journey, and persistence is key. ```

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