What Is Diabetic Ketoacidosis
If you think you may have low blood sugar, check it even if you dont have symptoms.
When too many ketones are produced too fast, they can build up in your body and cause diabetic ketoacidosis, or DKA. DKA is very serious and can cause a coma or even death. Common symptoms of DKA include:
- Fast, deep breathing.
- Nausea and vomiting.
If you think you may have DKA, test your urine for ketones. Follow the test kit directions, checking the color of the test strip against the color chart in the kit to see your ketone level. If your ketones are high, . DKA requires treatment in a hospital.
DKA happens most in people with type 1 diabetes and is sometimes the first sign of type 1 in people who havent yet been diagnosed. People with type 2 diabetes can also develop DKA, but its less common.
Blood Sugar Monitoring For People With Diabetes Offers Undeniable Health Benefits
For people with diabetes, a major goal of therapy is to keep the blood sugar close to the normal range. This helps to prevent symptoms and complications, prolong life, and improve quality of life.
The development of CGM devices that can frequently and easily monitor blood sugar levels without finger sticks has revolutionized care for millions of people with diabetes. Besides providing results of blood sugar levels, some devices have alarm settings that alert the user, or other people, if blood sugar becomes dangerously low or high. And some systems can transmit results directly to the users doctor, if desired.
So How Do I Treat Low Blood Sugar At Night
What I do is treat it for what it is, a medical emergency. So I test my blood sugar and immediately eat or drink 8-15 grams of carbs in the form of 2 glucose tablets or 125 ml juice. I then assess whether I need a low glycemic carb as well . The assessment is pretty quick, and for me only involves checking that I didnt bolus within the last 4 hours. If I did, I might have to cover that with a few rice cakes.
The reason why I say 4 hours is because I bolus with Humalog, which stays active in the body for about 4 hours. If it has been more than 4 hours since I took my bolus, I know that just the sugar or juice will get me through the night.
My recommendation is to be honest with yourself, and if you cant go into the kitchen and just have those 15 grams of carbs without emptying the fridge every time, then keep your emergency carbs in the bedroom next to your bed .
I also recommend that you dont treat your hypoglycemia with candy or cake. As I said, its a medical emergency and you need a carb that will hit your bloodstream quickly. Pure sugar or juice is the best for that because the fat in candy or cake will slow down carb absorption. Also, you dont need a treat in the middle of a low blood sugar. Youre not enjoying it anyway, just stuffing your face.
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Caution: Birth Control Pills
Types that have estrogen can affect the way your body handles insulin. Still, oral contraceptives are safe for women with diabetes. The American Diabetes Association suggests a combination pill with norgestimate and synthetic estrogen. The group also says birth control shots and implants are safe for women with the condition, though they can affect your blood sugar levels.
What Is The A1c Test
The A1C test is a simple blood test that measures your average blood sugar levels over the past 2 or 3 months. The test is done at a lab or your doctors office in addition tonot instead ofregular blood sugar testing you do yourself.
A1C testing is part of the ABCs of diabetesimportant steps you can take to prevent or delay health complications down the road:
- A: Get a regular A1C test.
- B: Try to keep your blood pressure below 140/90 mm Hg .
- C: Manage your cholesterol levels.
- s: Stop smoking or dont start.
The A1C goal for most adults with diabetes is between 7% and 8%, but your goal may be different depending on your age, other health conditions, medicines youre taking, and other factors. Work with your doctor to establish a personal A1C goal for you.
Check Your Blood Sugar Before Bed
For everybody with type 1 or type 2 diabetes, its absolutely critical that they check their blood sugar before going to bed to make sure theyre not going to have an episode of low blood sugar during the night, says Helena W. Rodbard, MD, medical director of Endocrine and Metabolic Consultants, a private practice in Rockville, Maryland, and past president of the American College of Endocrinology.
If your blood sugar levels are low at bedtime, eat a healthy snack before going to sleep. The size of the snack should be in proportion to the dip in blood sugar. For instance, a small drop in blood sugar requires only a small snack. If you use an insulin pump, consider temporarily reducing the active dose of insulin.
If You Regularly Have High Blood Sugar Levels
Having high blood sugar levels regularly is not something you should live with. This is because in the long-term it can increase your risk of developing diabetes complications, such as neuropathy and retinopathy.
If you notice that your blood sugar levels are often high, you should contact your diabetes healthcare team. They will review your treatment and provide you with advice on how to get your blood sugar levels back within your target range. This advice may include increasing your medication.
In the video below, Lynsey talks to Khalida about feeling anxious after getting a high blood sugar level reading. If youre finding it hard to deal with similar feelings, weve got information on emotional health that you may find helpful.
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How To Prevent Hyperglycaemia And Lower Your Blood Sugar Levels
Testing your blood sugar levels regularly can help you spot the signs of hyperglycaemia. But there are some steps you can take to either prevent a hyper from happening or to bring down your blood sugar levels.
You can start by making sure you are aware of your carbohydrate portions and how they may be affecting your blood sugar levels after eating. Carb countingis one of the ways you can manage this. Avoid foods that have a high glycemic index and choose low GI foods that can help manage your blood sugar levels more effectively. Increase the fibre in your diet. This can help slow down carbohydrate digestion, which can help limit the rise in your blood sugars.
Try to maintain a healthy weight as this promotes regular blood sugar levels in the body. Be as active as possible, regular exercise can help your body process more of the sugar.
Remember to take your insulin and other diabetes medication, and always take them correctly. Continue to take your diabetes medication even if you are ill and not eating.
Concentrate on your emotional wellbeing, get a quality nights sleep and find ways to manage your stress. Stress can cause hormones to be released, which keep your blood sugar levels high.
If your blood sugar levels continue to be high, or youre unsure of what to do, contact your doctor for further guidance.
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Blood Sugar And Diabetes
To better understand what’s considered normal for blood sugar levels, it helps to know what happens when blood sugar is out of range and why it happens.
Diabetes occurs when your pancreas can’t make enough insulin to move sugar out of your blood, or your cells become less responsive to insulin.
Insulin is a hormone that tells your body to move glucose out of the blood and into your cells. Once inside your cells, glucose can be used for energy or stored as fat. People with diabetes aren’t able to lower blood sugar effectively, so it remains higher than what’s considered normal.
Abnormal blood sugar occurs when too much or too little sugar is in the blood.
- Hypoglycemia is 70 mg/dL or less.
- Hyperglycemia is 180 mg/dL or more.
There are four tests used to test blood sugar levels. Blood glucose, aka blood sugar, is measured in milligrams per deciliter :
- Hemoglobin A1c: A1c measures long-term blood sugar averages over two to three months. Anything about 6.5% is considered a diagnosis of diabetes. This plus fasting are most commonly used.
- Fasting blood sugar: Fasting blood sugar looks at glucose levels before you’ve eaten anything. Fasting glucose above 126 mg/dL is also considered diabetes.
- Casual or random plasma glucose test. As the name suggests, this test randomly tests your blood sugar at any time and doesn’t require fasting. Anything higher than 200 mg/dL is considered diabetes.
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Can Your Blood Sugar Be High If You Havent Eaten
If you have diabetes, you should limit your risk of dangerous blood sugar. The amount of money you lose if you skip a meal is typically not that big. You might be able to avoid potentially dangerous blood sugar levels in people with diabetes if you stay home from work and do not have the proper meal structure.
Swollen Or Bleeding Gums Which Increase Your Infection Risk
Gum disease is a complication of diabetes, notes the National Institute of Diabetes and Digestive and Kidney Disease. It can also make diabetes harder to control, because the bodys response to infection is to release more glucose into the bloodstream, according to the ADA.
Your saliva contains glucose and the more it contains, the more there is to feed the bacteria that combine with food in your mouth to form plaque and cause gum disease. Symptoms can include red or inflamed gums at first. If they are unaddressed, they can progress to periodontitis, which can cause your gums to pull away from your teeth, the appearance of pus or ulcers, or even tooth loss, notes the Mayo Clinic. Get your blood sugar under control and see a dental professional to prevent damage to your gums and teeth.
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Upswing: Steroids And Water Pills
People take corticosteroids, such as prednisone, to treat rashes, arthritis, asthma, and many other conditions. But they can boost your blood sugar, and may even trigger diabetes in some people. Diuretics that help high blood pressure, also called water pills, can do the same. Some antidepressants also raise or lower blood sugar.
Why Is It Important To Manage Hyperglycemia
Hyperglycemia can increase your risk for infections, prevent healing, and it make it hard to manage your condition. It is important to treat hyperglycemia to prevent these problems. Hyperglycemia that is not treated can damage your nerves, blood vessels, tissues, and organs. Damage to arteries may increase your risk for heart attack and stroke. Nerve damage may also lead to other heart, stomach, and nerve problems.
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How Do I Treat Hyperglycemia
You can often lower your blood sugar level by exercising. However, if your blood sugar is above 240 mg/dl, check your urine for ketones. If you have ketones, do not exercise.
Exercising when ketones are present may make your blood sugar level go even higher. Youll need to work with your doctor to find the safest way for you to lower your blood sugar level.
Cutting down on the amount of food you eat might also help. Work with your dietitian to make changes in your meal plan. If exercise and changes in your diet dont work, your doctor may change the amount of your medication or insulin or possibly the timing of when you take it.
Youre Developing Blisters Dryness Or Other Skin Changes
Small pieces of extra skin, called skin tags, may form in the creases of skin, especially if you have diabetes and youre trying to find ways to manage your weight, notes the ADA. Dark, thick areas of soft skin may form on the back of the neck or hands, armpits, face, or other areas. These can be a sign of insulin resistance, Zanini says. Blisters, infections, dryness, itchiness, discolorations, and abnormalities of the skin can all be warning signs of high blood sugar. Check with your doctor if these skin changes develop.
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How Can I Check My Blood Sugar
Use a blood sugar meter or a continuous glucose monitor to check your blood sugar. A blood sugar meter measures the amount of sugar in a small sample of blood, usually from your fingertip. A CGM uses a sensor inserted under the skin to measure your blood sugar every few minutes. If you use a CGM, youll still need to test daily with a blood sugar meter to make sure your CGM readings are accurate.
How Does Marijuana Lower Blood Sugar
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Target Blood Sugar Levels For Children And Adolescents With Diabetes
Age 6-12 Bedtime 100-180
Kids aged 6 to 12 should have blood sugar levels that range between 80 to 180 mg/dL over the course of a day. Blood sugar levels go up after eating a meal because the body breaks down carbohydrates into glucose, which is then distributed throughout the bloodstream. Other macronutrientsprotein and fatturn into glucose as well, but at a slower rate. Many people learn how to use these factors to their advantage. For example, if a childs sugar is trending low, a bedtime snack that includes something with protein and fat, like chocolate milk or peanut butter, will help raise blood sugar levels and help keep blood sugar levels steady through the night.
When you wake up in the morning, your fasting blood sugar is generally at its lowest because you havent consumed food for about eight hours. However, many people experience an increase in blood sugar levels in the early morning hours. If youre an adult and struggling with glucose control, your healthcare provider can help you develop a treatment plan to manage your blood sugar better.
Blood glucose levels outside the ranges listed above are categorized as either high or low blood sugar. For example, according to this chart, blood sugar levels are considered high if theyre over 130 mg/dL before a meal or 180 mg/dL within one to two hours after a meal. Many people wont start to experience symptoms from high blood sugar until their levels are at 250 mg/dL or higher. .
What Are The Complications Associated With Hypoglycemia
Its important to manage your hypoglycemia because it can cause long-term health problems. Your body needs glucose to function. Without the right level of glucose, your body will struggle to perform its normal functions. As a result, you may have difficulty thinking clearly and performing even simple tasks.
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What Causes Blood Sugar To Be High
Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:
- Feeling very tired.
- Having blurry vision.
- Needing to urinate more often.
If you get sick, your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. If youre ill and your blood sugar is 240 mg/dL or above, use an over-the-counter ketone test kit to check your urine for ketones and call your doctor if your ketones are high. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately.
S For Treating A Person With Symptoms Keeping Them From Being Able To Treat Themselves
Dont hesitate to call 911. If someone is unconscious and glucagon is not available or someone does not know how to use it, call 911 immediately.
- Provide food or fluids
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