How to manage morning hyperglycemia with normal A1C levels?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: November 26, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the best management plan for a patient with uncontrolled diabetes (HbA1c 10%) on hydrochlorothiazide (HCTZ), with potential diabetic retinopathy and normal CBC and lipid profiles?

How would you adjust the medication regimen for a 75-year-old patient with a history of type 2 diabetes mellitus, currently taking metformin (Metformin) 500 mg twice daily (BID) and Jardiance (Empagliflozin) 10 mg once daily (QD), with an elevated Hemoglobin A1c (HbA1c) level of 9.2% and Impaired renal function, as indicated by an estimated glomerular filtration rate (eGFR) of 58?

What is the best management plan for a patient with poorly controlled diabetes, HbA1c of 9.3%, and glucose of 177, who is currently on metformin, Tradjenta (linagliptin), and Lantus insulin, and awaiting approval for tirzepatide?

What is the best course of treatment for a 21-year-old female patient presenting with polydipsia (excessive thirst), fatigue, and dizziness, with a hemoglobin A1c (HbA1c) level indicating hyperglycemia?

What is the initial treatment for a patient with new onset diabetes and an Hemoglobin A1c (HbA1c) level of 8.4%?

Do infants born at 35 weeks gestation require age adjustments in medical treatments and developmental assessments?

How do I treat a patient with straightening of cervical lordosis consistent with pain and/or muscle spasm on cervical x-ray?

Can epididymitis lead to pyuria?

What is the treatment for a pediatric patient with urinary tract infection symptoms, including hematuria and leukocyturia?

What should I do if I experience hives while taking Zocor (simvastatin)?

What is the recommended dose of mebavarine?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.