Question: Diabetes Type 2 I test before going to bed and the reading is 94 but when I test again in the morning, the reading is 165.  How can I lower it?  I eat dinner around 8PM and nothing until the next morning.

Reference:
Type 2 diabetes - what to ask your doctor: Type 2 diabetes is a lifelong disease that causes a high level of sugar (glucose) in your blood. It can damage your organs. It can also lead to a heart attack or stroke and cause many other health problems. You can do many things to control your symptoms, prevent damage due to diabetes, and make your life better.   Below are questions you may want to ask your health care provider to help you take care of your diabetes. Ask your provider to check the nerves, skin, and pulses in your feet. Also ask these questions:     - How often should I check my feet? What should I do when I check them? What problems should I call my provider about?   - Who should trim my toenails? Is it OK if I trim them?   - How should I take care of my feet every day? What type of shoes and socks should I wear?   - Should I see a foot doctor (podiatrist)?      Ask your provider about getting exercise:     - Before I start, do I need to have my heart checked? My eyes? My feet?   - What type of exercise program should I do? What type of activities should I avoid?   - When should I check my blood sugar when I exercise? What should I bring with me when I exercise? Should I eat before or during exercise? Do I need to adjust my medicines when I exercise?      When should I next have an eye doctor check my eyes? What eye problems should I call my doctor about?   Ask your provider about meeting with a dietitian. Questions for the dietitian may include:     - What foods increase my blood sugar the most?   - What foods can help me with my weight loss goals?      Ask your provider about your diabetes medicines:     - When should I take them?   - What should I do if I miss a dose?   - Are there any side effects?      How often should I check my blood sugar level at home? Should I do it at different times of the day? What is too low? What is too high? What should I do if my blood sugar is too low or too high?   Should I get a medical alert bracelet or necklace? Should I have glucagon at home?   Ask your provider about symptoms that you are having if they have not been discussed. Tell your provider about blurred vision, skin changes, depression, reactions at injection sites, sexual dysfunction, tooth pain, muscle pain, or nausea.   Ask your provider about other tests you may need, such as cholesterol, A1C, and a urine test to check for kidney problems.   Ask your provider about vaccinations you should have like the flu shot, hepatitis B, or pneumonia vaccines.    How should I take care of my diabetes when I travel?   Ask your provider how you should take care of your diabetes when you are sick:     - What should I eat or drink?   - How should I take my diabetes medicines?   - How often should I check my blood sugar?   - When should I call the provider? Updated by: Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology  and  Nutrition, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

Answer: Ask your provider how to control symptoms that you are having and make your life better. Your provider will set the target range for your blood sugar, clarify what type of exercise you need and if you need to see a dietitian for discussing healthy eating and weight loss or maintenance goals. Your provider will tell you how often and when you need to check your blood sugar levels, and what to do if they are out of range.