Scorching Blood Sugar: How Arizona’s Summer Heat Messes With Diabetes

Kelly Robers, RDN, CDCES

7/16/20253 min read

Ah, Arizona — the land of cacti, stunning sunsets, and summers that feel like standing inside a blow dryer. But did you know that those triple-digit temps don’t just fry your car seats — they can also mess with your blood sugar?

The summer heat brings unique challenges to people with type 1 and type 2 diabetes. Let’s explore what the science tells us about why your glucose levels might go haywire when the thermostat skyrockets.

Why Heat Affects Blood Sugar

First, some basic body science: when you’re hot, your body works overtime to cool off, shifting blood flow to the skin and sweating like crazy. Dehydration can sneak up fast, and dehydration equals higher blood sugar since less water in your system makes the glucose more concentrated.

According to the American Diabetes Association (ADA), heat can change how your body uses insulin. Insulin absorption speeds up in heat, especially if injected near the skin surface. That means your usual dose might hit harder or faster, risking hypoglycemia (low blood sugar). On the flip side, dehydration or stress from the heat can push sugars up. It’s a double-edged cactus spine.

💧 Stay Hydrated, Stay Safe

The CDC recommends drinking plenty of fluids, even if you’re not feeling thirsty. Our sweat can evaporate in the dry air before we know we are hot. Water is your BFF here — skip the sugary sports drinks unless you’re actively correcting a low. And remember: alcohol + heat + diabetes = a sweaty, dizzy recipe for disaster.

Also, test your blood sugar more often in extreme heat. You may need to adjust your routine. A walk at dawn may spike you one way, while a sweaty afternoon gardening session might drop you low. Stay flexible.

Arizona heat is no joke and can have a big impact on your blood sugar!

🧊 Insulin + Heat = Trouble

Insulin is a diva — it hates heat. Leaving your pens, vials, or pump reservoirs in a hot car or direct sun can degrade the medication, making it less effective. The ADA advises keeping your supplies cool (but not frozen!). Think insulated bags or small coolers, not tossing your insulin next to an ice pack that freezes it into oblivion. You can search for a cooling bag for diabetic supplies or get a biogel medication ice pack for an insulated mug. The bags can run anywhere from $20-$100, and the gel packs run from $10-30, depending on size.

🕶 Watch for Heat-Related Illness

With diabetes, you’re at higher risk for heat exhaustion and heat stroke. Warning signs? Dizziness, nausea, rapid heartbeat, confusion, or hot but dry skin (because you’ve stopped sweating). If you experience these, seek shade, hydrate, and get medical help ASAP.

📱 Heat Can Mess With Your Glucometer Too

It’s not just you and your meds that suffer in the heat — your glucose meter and test strips also have a temperature comfort zone! According to manufacturers, most meters work best between about 50°F and 104°F (10°C–40°C). Leave them baking in your car or sitting in the sun, and you might get inaccurate readings or error messages. Always store your meter and strips in a cool, dry place, and avoid testing with overheated or sweaty hands (moisture can dilute the blood sample). Because let’s face it — the only thing worse than high blood sugar is not knowing if it’s real!

🌵 Practical Tips for Arizona Summers

Plan outdoor activities early or late. The midday sun is brutal.

Drink plenty of water. Get a trusty water bottle and carry it with you everywhere to remind yourself to drink water.

Wear loose, light clothing and sunscreen. Sunburn can stress your body and raise glucose levels.

Carry snacks and glucose tabs. Heat + exercise + insulin can = sudden lows.

Tell someone your plans. Whether hiking or just running errands, make sure someone knows where you are.

🔑 Takeaway

Arizona’s summer heat isn’t just uncomfortable — it’s a serious player in your diabetes management game. You can stay safe and keep your numbers in check with extra hydration and a bit of careful planning.

Because let’s be honest: the only thing you want sizzling this summer is the BBQ, not your blood sugar.