4 Hidden Causes of High Blood Sugar (It’s NOT Your Fault) | 12 Core Defects of Diabetes Revisited

4 Hidden Causes of High Blood Sugar (It’s NOT Your Fault) | 12 Core Defects of Diabetes Revisited

Are you doing everything right but your blood sugar is still high? You are not crazy, and you are not being gaslit by your body. In this episode of The Diabetes Podcast, Amber (RD, CDCES) and Richie break down 4 of the 12 core defects of diabetes to help you understand exactly what is happening behind the scenes.

We explain why your blood sugar spikes overnight (The Dawn Phenomenon), how stress and cortisol create stubborn visceral fat, and why your brain might be ignoring the "I'm full" signal. We also dive deep into how prescription steroids like prednisone cause massive blood sugar spikes and share our "Steroid Sandwich" strategy to keep your numbers safe. Remember, it’s not your fault, but it can be your fight!

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Chapters:
00:00 - The 42 Factors That Affect Blood Sugar
02:00 - Why You Feel Gaslit By Your Blood Sugar
06:40 - The Dawn Phenomenon Explained
10:50 - How Cortisol & Stress Spike Blood Sugar
16:20 - Your Liver: The Sugar Bank (Hepatic Glucose Production)
19:10 - Glucagon & Alpha Cell Dysfunction (The Broken Thermostat)
24:20 - Brain Insulin Resistance (Why You Never Feel Full)
30:30 - Stress Belly & Visceral Fat
37:25 - How Steroids (Prednisone) Affect Blood Sugar
48:10 - The "Steroid Sandwich" Strategy
53:30 - Free Cortisol Bingo Card
55:20 - 7 Habits to Lower Cortisol and A1C

Disclaimer:

The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.

Results vary from person to person. Examples, statistics, or studies are shared to educate, not to promise outcomes. Any discussion of medications, dosing, or side effects is general in nature and may not be appropriate for your specific situation. Do not ignore professional medical advice or delay seeking it because of something you read or heard here. If you think you are experiencing an emergency or severe side effects (such as persistent vomiting, severe diarrhea, signs of dehydration, allergic reaction, or symptoms of lactic acidosis), call your local emergency number or seek urgent care right away.

We strive for accuracy, but health information changes over time. We make no guarantees regarding completeness, timeliness, or suitability of the content and assume no liability for actions taken or not taken based on this material. Use of this content is at your own risk.

Links or references to third-party resources are provided for convenience and do not constitute endorsement. By reading, listening, or using this information, you agree to these terms and understand that you are responsible for your own health decisions in partnership with your licensed healthcare provider.

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