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Can eating late at night cause high blood sugar in the morning?

Late-night snacks add extra calories, which can lead to weight gain. And, if you snack after your evening meal — especially on foods with carbohydrates — you may wake up the next morning with a high blood sugar level.

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Are late-night snacks OK for people who have diabetes? Answer From M. Regina Castro, M.D. If you have diabetes, late-night snacks aren't necessarily off-limits — but it's important to make healthy choices. Late-night snacks add extra calories, which can lead to weight gain. And, if you snack after your evening meal — especially on foods with carbohydrates — you may wake up the next morning with a high blood sugar level. If you're feeling hungry after dinner, try drinking a glass of water first. Sometimes thirst mimics hunger. If you're still feeling hungry, your best bet is a low-carbohydrate, low-calorie snack, preferably one that's high in protein or fiber, such as Greek yogurt or a small handful of nuts.

Other options include:

A sugar-free frozen pop

One light cheese stick

One tablespoon of peanut butter (15 grams) and celery

A hard-boiled egg

Five baby carrots

Light popcorn, 3/4 cup (approximately 6 grams)

Salad greens with cucumber and a drizzle of oil and vinegar

If you take insulin or other diabetes medications, you may sometimes need to snack before bedtime to treat or prevent low blood sugar (hypoglycemia) during the night. If this happens frequently, talk to your doctor. He or she may recommend adjusting the dose of your medications to prevent the need for a late-night snack.

With M. Regina Castro, M.D.

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What does it mean when they can't get blood from your veins?

Veins can be difficult for a variety of reasons. Some people are genetically predisposed to having problematic veins, or their age causes the veins to be smaller or hidden. In most instances, however, it is a matter of the patient being dehydrated.

There are four common sites phlebotomists use for blood draws: median antecubital, cephalic, basilic and dorsal hand. While each vein is viable for a blood draw, it is important to understand each draw site’s potential risks.

MEDIAN ANTECUBITAL VEIN

The median antecubital vein is the most common for blood draws. It is in the inner arm, anterior of the elbow joint. This vein is associated with minimal pain and is the most prominent when anchored.

CEPHALIC VEIN

Located on the lateral portion of the arm, the cephalic vein is the second most common draw site choice. The cephalic vein is a safe alternative to the median antecubital vein when necessary.

BASILIC VEIN

Similar to the top two choices, the basilic vein is on the medial side of the arm. Drawing blood from this area does pose a greater likelihood of the vein rolling or collapsing because it is difficult to anchor. This vein is also closer to the artery and nerve which makes it more challenging to draw from.

DORSAL HAND VEINS

Dorsal hand veins are often the last resort for phlebotomists, but they can be successful. These veins are found above the hand, near the wrist, and by the thumb.

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