I was told I have the beginnings of nerve damage in my feet. What can I do to reduce my blood sugar levels in the morning?

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I have been experiencing tingles and numbness in my feet and was told that I have the start of nerve damage since it started in my toes. I am currently trying to have a reduced carb diet and lower my blood sugars. I have got my readings down to under 10 after dinner before bed, but my morning reading is around 9.3/9.6 and I cannot get this to go down. I am on medication as well and I am also on the waiting list for bariatric surgery. What can I do to reduce my sugars in the morning? And will my numbness and tingling improve?

Q: I have been experiencing tingles and numbness in my feet and was told that I have the start of nerve damage since it started in my toes. I am currently trying to have a reduced carb diet and lower my blood sugars. I have got my readings down to under 10 after dinner before bed, but my morning reading is around 9.3/9.6 mmol/l (168/173 mg/dl) and I cannot get this to go down. I am on medication as well and I am also on the waiting list for bariatric surgery. What can I do to reduce my sugars in the morning? And will my numbness and tingling improve?

Numbness and tingling in the feet is a sign of peripheral neuropathy, or nerve damage, that results from elevated blood sugar levels, especially when sustained over several years.  Following a reduced-carb diet is a good first step, but you may need to further lower your carb intake to get your blood sugar under control and lose weight. Here’s an article to help you get started: http://dlife.com/guide-healthy-low-carb-eating-diabetes-2/.  Additionally, try to walk for a minimum of thirty minutes daily, or as much as you can tolerate. Finally, you may need a change in the type or dosage of medication you take if lifestyle measures alone can't control your blood sugar, so make sure to discuss this with your doctor if your readings remain high.

Answered By dLife Expert: Franziska Spritzler, RD, CDE

Certified diabetes educator and registered dietitian living in Southern California.

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