Conversation: The conversation between human and AI assistant.
[|Human|] I m a type II diabetic who watches my diet and numbers closely. My fasting number this AM was 126. It s always higher after fasting in the AM than expected. I m on Metformin 1000 Mg 2 X s a day. Often the only meal I eat is a lie carb dinner. I snack on carrots, pears, apples and celery most days.
[|AI|]  Thanks for asking ChatDoctorI understand your concern and pain. Causes of high fasting on regular basis are as follows:1. Your medicine is not working, or you should adjust the dose of your medication with the help of your health care provider.2. you are suffering from cold, flu, or any other acute illness in response to which your body is secreting hormones that can interfere with the action of medicine.3. You are stressed out from recent activities and not sleeping well, and your body releases stress hormone which intern lower your ability to metabolize sugar.4. You are skipping your meal at night.I hope I was able to ad Chat Doctor.  Thanks.