We have very little ability to influence our hormone levels. If the blood sugar is on its way up, adding fuel to the fire, consuming additional carbohydrates would simply magnify it. If you have medicines that aren't necessarily peaking or working during those times, if your timing isn't appropriate, then the sugar may elevate more than if the medicine were overlapping at that appropriate time. You can have a positive influence on it. Perhaps timing exercise, or timing the types of meals, or the timing of your medications to peak or work in synergy at that time, then the blood sugar may not escalate to the same extent.