Your diabetic patient normally drinks a shake each morning. This morning her blood sugar is a bit low and she needs a little more. You suggest she increase her intake this morning. Normally for one serving, she puts 2 ½ scoops of powder per 8 oz of water. Today, however, you suggest she increase it to 12 oz. of water, how much powder does she need to use? If she has 15 scoops of powder left in her jar, how many 12 oz. shakes could she make?

High blood sugar in the morning may be caused by the Somogyi effect, a condition also called "rebound hyperglycemia." It also may be caused by dawn phenomenon, which is the end result of a combination of natural body changes.Normal fasting blood sugar levels for a person with diabetes are between 70 and 130 milligrams per deciliter (mg/dL). A person with diabetes can measure their fasting blood sugar levels in the morning before breakfast. When blood sugar levels fall below 70 mg/dL, people may experience symptoms of low blood sugar.

So it's most commonly done before breakfast in the morning; and the normal range there is 70 to 100 milligrams per deciliter. Now when you eat a meal, blood sugar generally rises and in a normal individual it usually does not get above a 135 to 140 milligrams per deciliter.