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Can your blood sugar be high if you haven't eaten?

Skipping breakfast—going without that morning meal can increase blood sugar after both lunch and dinner. Time of day—blood sugar can be harder to control the later it gets. Dawn phenomenon—people have a surge in hormones early in the morning whether they have diabetes or not.

cdc.gov - 10 Surprising Things That Can Spike Your Blood Sugar | CDC

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When you first found out you had diabetes, you tested your blood sugar often. Doing so helped you understand how food, activity, stress, and illness could affect your blood sugar levels. By now, you’ve got it figured out for the most part. But then—bam! Something makes your blood sugar zoom up. You try to adjust it with food or activity or insulin, and it dips really low. You’re on a roller coaster no one with diabetes wants to ride.

Do you know all these blood sugar triggers?

Knowledge is power! Look out for these surprising triggers that can send your blood sugar soaring: Sunburn—the pain causes stress, and stress increases blood sugar levels. Artificial sweeteners—more research is needed, but some studies show they can raise blood sugar. Coffee—even without sweetener. Some people’s blood sugar is extra-sensitive to caffeine. Losing sleep—even just one night of too little sleep can make your body use insulin less well. Skipping breakfast—going without that morning meal can increase blood sugar after both lunch and dinner. Time of day—blood sugar can be harder to control the later it gets. Dawn phenomenon—people have a surge in hormones early in the morning whether they have diabetes or not. For people with diabetes, blood sugar can spike. Dehydration—less water in your body means your blood sugar is more concentrated. Nose spray—some have chemicals that trigger your liver to make more blood sugar. Gum disease—it’s both a complication of diabetes and a blood sugar spiker. Watch out for other triggers that can make your blood sugar fall. For example, extreme heat can cause blood vessels to dilate (widen). That makes insulin absorb more quickly and could lead to low blood sugar. If an activity or food is new, check your blood sugar before and after to see how you respond.

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What can you not do the night before a blood test?

If it's a 12-hour fast, avoid food and drink after 8 p.m. the night before. You also shouldn't smoke, chew gum (even sugarless), or exercise. These things can rev up your digestion, and that can affect your results. Take your prescription medications unless your doctor tells you to skip them.

webmd.com - The Facts on Fasting for Blood Tests - WebMD

It's the morning of your bloodwork and your doctor said to fast before the test. But your stomach is growling and you have serious caffeine withdrawal hours before you roll up your sleeve. A bite of toast and a few gulps of coffee won't really make a difference, right?

Not so fast. Your results could come back wrong if you give in to temptation. Fasting means you don't eat or drink anything but water usually for 8 to 12 hours beforehand. If your appointment is at 8 a.m. and you're told to fast for 8 hours, only water is OK after midnight. If it's a 12-hour fast, avoid food and drink after 8 p.m. the night before. You also shouldn't smoke, chew gum (even sugarless), or exercise. These things can rev up your digestion, and that can affect your results. Take your prescription medications unless your doctor tells you to skip them. But ask your doctor before you take any over-the-counter drugs.

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