Can patients with diabetes eat snacks at night?

Apr 14, 2025 Source: Cainiu Health
Disease description:

I have diabetes. Sometimes I feel hungry at night and really want to eat something. However, I'm worried that having a midnight snack might raise my blood sugar levels. In my situation, is it okay to have a late-night snack or not?

Doctor's answer (1)
Dr. Liu Feng

Whether diabetic patients can have a bedtime snack mainly depends on their individual condition and blood sugar control. If blood sugar levels are well controlled, a moderate snack is usually acceptable. However, if blood sugar control is poor, having a bedtime snack is not recommended.

If a diabetic patient's daily blood sugar control is relatively stable, with fasting and postprandial blood glucose levels maintained within the target range, and if there is a long interval between dinner and bedtime or feelings of hunger at night, a small bedtime snack may be appropriate. However, the snack should be light, low in sugar, and easily digestible, with portion control to prevent significant fluctuations in blood sugar levels.

Conversely, if a patient's blood sugar control is poor with significant fluctuations, particularly if blood glucose levels are already elevated after dinner, or if there is a risk of nocturnal hypoglycemia, then having a bedtime snack is not advisable. Additional food intake can burden the body and further elevate blood glucose levels, which is detrimental to disease management. Eating too late can also increase gastrointestinal burden, affect sleep quality, and negatively impact overall health.

In daily life, patients are advised to maintain a regular lifestyle and avoid frequent late nights, which can help stabilize blood sugar levels.