what affects blood sugars

3 Things That Affect Blood Sugar More Than Food

January 20, 20263 min read

3 Things That Affect Blood Sugar More Than Food

When blood sugar feels unpredictable, most people assume the problem is food.

And while food matters, it’s not the only driver of blood sugar levels.

In fact, many people are already eating “the right things” — yet still see highs, crashes, or stubborn numbers. That’s because blood sugar is influenced by more than what’s on your plate.

Let’s talk about three factors that often impact blood sugar as much as — or more than — food.


1. Stress and Cortisol

Stress is one of the most powerful blood sugar drivers.

When your body is under stress, it releases cortisol. Cortisol’s job is to make sure you have quick energy to respond to a threat. It does this by signaling the liver to release glucose into the bloodstream.

This means:

  • blood sugar can rise even if you haven’t eaten

  • emotional stress can cause glucose spikes

  • worrying about numbers can actually raise numbers

This is why you may see higher readings during:

  • busy workdays

  • family stress

  • poor sleep

  • rushing or feeling overwhelmed

Managing stress doesn’t mean eliminating it. It means giving your body signals of safety so cortisol doesn’t stay elevated all day.


2. Sleep and Your Circadian Rhythm

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Sleep plays a major role in blood sugar regulation.

When sleep is short or inconsistent:

  • insulin sensitivity decreases

  • fasting blood sugar often rises

  • cravings increase

  • stress hormones stay elevated

Even one or two nights of poor sleep can lead to higher glucose readings the next day.

Your body follows a circadian rhythm— an internal clock that helps regulate hormones, digestion, and metabolism. When sleep timing is off, blood sugar control becomes harder.

This is why improving sleep often leads to:

  • better fasting numbers

  • fewer spikes

  • more stable energy

Sleep is not a luxury when it comes to blood sugar. It’s part of the foundation.


3. Meal Timing and Consistency

What you eat matters — but when and how consistently you eat also matters.

Skipping meals, eating very late, or having long gaps between meals can:

  • trigger cortisol release

  • lead to larger glucose spikes later

  • increase cravings and overeating

Your body likes rhythm.

Regular meal timing helps:

  • reduce stress hormones

  • support insulin function

  • prevent large swings in blood sugar

This doesn’t mean rigid schedules. It means aiming for consistent patterns most days, not perfection.


Why This Matters in January

January often brings a lot of pressure:

  • new routines

  • high expectations

  • tracking everything

But trying to control blood sugar through food alone often leads to frustration.

A gentle reset means widening the lens:

  • supporting stress

  • improving sleep

  • creating consistent routines

When these pieces are in place, food choices become easier — and blood sugar becomes more stable.


The Takeaway

If you’re doing your best with food but still feel stuck, it may not be about trying harder.

It may be about supporting:

  • your nervous system

  • your sleep

  • your daily rhythm

Blood sugar balance is a whole-body process, not a food-only problem.


Did You Know?

💡 Even mild sleep deprivation can reduce insulin sensitivity by up to 25%, making blood sugar harder to control the next day.


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Dr. Alexandra Santamaria is a health coach, clinical pharmacist, and functional medicine advocate who helps busy adults with Type 2 diabetes lower blood sugar, lose weight, and reduce medications naturally. She combines science, personal experience, and compassionate coaching to empower lasting health transformation.

Alexandra Santamaria, PharmD, CDCES

Dr. Alexandra Santamaria is a health coach, clinical pharmacist, and functional medicine advocate who helps busy adults with Type 2 diabetes lower blood sugar, lose weight, and reduce medications naturally. She combines science, personal experience, and compassionate coaching to empower lasting health transformation.

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