Elevated morning blood glucose levels correlate with high glucocorticoid levels.

“I'm not alone by the way so I've seen this a lot clinically with patients once you start putting these 24-hour glucose sensors on people which a lot of my patients are now doing you get this insight into this horrible thing that's happening when we think we're sleeping and nothing else is going on but we're ruminating or God knows what else and fits perfectly with morning wakening is when you get your highest glucocorticoid levels which is probably one of the main driving forces on the increased blood glucose flow”