How Can I Prevent Low Blood Glucose
All people with diabetes:
- If you experience low blood glucose often, ask your doctor if setting a higher goal for your A1C level may be appropriate.
- Ask your doctor to look at the test results from your home blood glucose monitor. These results reveal how often you have low blood glucose and when these episodes occur. Your doctor will look for patterns to see if low glucose happens after exercise or at certain times of day, for example.
- If you’ve had low blood glucose in the past, consider wearing a medical alert bracelet so that others will know that you have diabetes in the event of an emergency.
- Keep a fast-acting carbohydrate in your bag, desk drawer, car and other places for easy access. Good options include hard candy, fruit juice or glucose paste or tablets, which can be purchased at most pharmacies.
- Ask your doctor for an emergency glucagon kit. This kit contains a fast- acting medication that can be injected in case of loss of consciousness because of low blood glucose. Keep one kit at home and one at work or school.
- Monitor your blood glucose regularly so that low levels can be corrected before symptoms progress.
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.
- Inject insulin
- Provide food or fluids
Use The Right Antiperspirant
Antiperspirants can often reduce the amount of sweating you experience to the point where it is no longer bothersome. However, itâs important to understand that they only mask the problem. If you believe your sweating is related to diabetes, itâs a good idea to speak to a healthcare provider. Antiperspirant is an effective solution for hyperhidrosis and night sweating, but is unlikely to help with gustatory or facial sweating.
You can start with one of the âclinical strengthâ products offered over the counter at the drugstore. If this doesnât help, speak to your doctor, who may be able to offer an alternative.
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How Are Insulinomas Diagnosed
Insulinomas can be difficult to diagnose. The average time between the start of symptoms and a diagnosis is about 3 years.
If your healthcare provider suspects an insulinoma, you may stay in the hospital for a few days. This is so your doctor can watch your blood sugar and other substances in your blood while you fast. You will not be able to eat or drink anything except water during this time. If you have an insulinoma, you will probably have very low blood sugar levels within 48 hours of starting this test. If your symptoms of low blood sugar have been after meals, you may also have a test of your blood sugar and insulin for several hours after a meal.
Your healthcare provider may also use imaging tests. These can help find out how big your tumor is and where it’s located. A transabdominal ultrasound study is usually the first test done. Other tests include endoscopic ultrasound, CT scan or MRI . If the insulinoma is too small to be seen with these imaging tests, you may need tests which sample blood from multiple areas of your pancreas to detect where the extra insulin is being release into your blood stream.
You’re Also Experiencing Sudden Weight Loss
If you’re rapidly losing weight and sweating excessively, you may have a thyroid condition like hyperthyroidism. Infections including tuberculosis and mononucleosis, as well as certain types of cancers, can lead to these symptoms too, Garshick said.
“If you’re experiencing sudden weight loss and sweating, it can mean many different things and is important to see a board-certified physician,” she said.
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Prevention Of Low Blood Sugar
Do not skip or delay meals. If your diet plan includes snacks, make sure to take these.
Measure insulin dosage carefully and inject it properly. If you cannot see well, a family member or a visiting nurse can prepare your insulin injections for you.
Take only the prescribed amount of insulin or oral medication for diabetes that your doctor has ordered.
Keep exercise consistent from day to day. Eat a snack or reduce your insulin prior to unusual exercise.
If you are taking insulin, notify your doctor if you have low blood sugars four or more times per week or if you have a severe low blood sugar. Severe low blood sugars are those less than 40 mg., those requiring help from another person, or those which cause you to have a convulsion or become unconscious.
If you are taking oral medication for your diabetes notify your doctor or nurse if blood sugars are running less than 80 mg. or if you have a severe low blood sugar.
The Dangers Of Low Blood Glucose
At some time, most people with diabetes experience the sweating and shakiness that occurs when blood glucose levels fall below 70 mg/dl a condition known as hypoglycemia. The average person with type 1 diabetes may experience symptoms of low blood glucose up to two times a week. However, not all are aware that these symptoms can rapidly progress to seizures, coma and even death if hypoglycemia is severe. Though hypoglycemia can be common and occur repeatedly in some people with diabetes, symptoms of low blood glucose should always be taken seriously. People with diabetes and their families, friends or coworkers should be prepared to act quickly and responsibly at the earliest signs of low blood glucose.
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Nighttime Low Blood Sugar
While low blood sugar can happen at any time during the day, some people may experience low blood sugar while they sleep. Reasons this may happen include:
- Having an active day.
- Being physically active close to bedtime.
- Taking too much insulin.
- Drinking alcohol at night.
Eating regular meals and not skipping them can help you avoid nighttime low blood sugar. Eating when you drink alcohol can also help. If you think youre at risk for low blood sugar overnight, have a snack before bed.
You may wake up when you have low blood sugar, but you shouldnt rely on that. A continuous glucose monitor can alert you with an alarm if your blood sugar gets low while youre sleeping.
The Link Between Night Sweats And Diabetes
There are a number of reasons why a person with either type 1 or type 2 diabetes might experience low blood sugar at night that leads to sweating while sleeping. When we sleep, our bodies require less fuel so the liver produces less sugar. In people without diabetes, the pancreas responds by producing less insulin and everything stays in balance. For individuals with diabetes, the pancreas either doesnt produce enough insulin or produces no insulin at all, requiring individuals to inject insulin to control blood sugar levels. However, injecting too much insulin or changing the quantities or timing of meals can throw off blood sugar levels.
Low Blood Sugar Symptoms
When blood sugar drops to the mid 60s, the nervous system reacts in a number of ways. One of those reactions is sweating, either as traditional night sweats or cold sweats at night. Sweating can also be accompanied by trembling, hunger, weakness or fatigue and a sense of nervousness or anxiety. These symptoms are important to note as it is your bodys way of signaling you that you need to restore your blood sugar to a normal level.
Since nighttime hypoglycemia is relatively common in both type 1 and type 2 diabetes, and one of the most common side effects of hypoglycemia is sweating, its no wonder that night sweats and diabetes are often linked. Luckily there are some effective nights sweats treatments to help you avoid diabetic night sweats.
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How To Ease The Symptoms Of Diabetic Night Sweats
- Prepare your sleeping environment: Make sure your bedroom is not too warm. Open windows or use fans to keep air circulating around the room, and make sure you turn down your heating in enough time for the room to cool before you will be heading for bed. That way your nocturnal hypoglycemia symptoms can be kept to a minimum.
- Choose natural fibers to sleep in: Curling up in natural fibers, as opposed to synthetic ones, can have a miraculous effect on your sleep. Bedding made from natural fibers can help to regulate your body temperature, and will absorb moisture, taking it away from your body. Wool, in particular, is known for its ability to keep you feeling dry and cool throughout a warm night, as it is more absorbent than other natural fibers such as feather or down. This means that even if you are suffering from diabetic night sweats, wool comforters and nightclothes can help you get a better nights sleep.
What Causes Low Blood Sugar
Despite advances in the treatment of diabetes, low blood sugar episodes occur as a side effect of many treatments for diabetes. In fact, these episodes are often the limiting factor in achieving optimal blood sugar control, because many medications that are effective in treating diabetes carry the risk of lowering the blood sugar level too much, causing symptoms. In large scale studies looking at tight control in both type 1 and type 2 diabetes, low blood sugars occurred more often in the patients who were managed most intensively. This is important for patients and physicians to recognize, especially as the goal for treating patients with diabetes becomes tighter control of blood sugar.
While people who do not have any metabolic problems can complain of symptoms that resemble low blood sugar, true hypoglycemia usually occurs in people with diabetes mellitus . People with pre-diabetes or insulin resistance also can have low blood sugars on occasion if their high circulating insulin levels are further challenged by a prolonged period of fasting. There are other rare causes for the condition, such as insulin-producing tumors and certain medications.
These uncommon causes of hypoglycemia will not be discussed in this article, which will primarily focus on the condition occurring with type 1 or 2 diabetes and its treatment.
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What Extreme Conditions Can Occur If Hypoglycemia Is Left Untreated
Although severe episodes which can trigger potentially life-threatening comas are rare, they require immediate emergency room care, so its best to make sure you are tracking your blood sugar so that you never have to worry about getting to that point. A drop in blood sugar means less fuel for your brain, so its critical for your body to receive enough glucose. Hypoglycemia that leads to extended, reduced brain function is the biggest concern, as this can lead to seizures and loss of basic bodily functions controlled by the brain, which can ultimately lead to death, explains Dr. Dyer.
What Causes Night Sweats In Diabetics
- Insulin use: Hypoglycemia is more common in diabetics who use insulin to manage their condition.
- Exercise: Being more active means youll have used more glucose during the day. In particular, exercising in the hours before bed increases the chances of low blood sugar at night.
- Alcohol: Drinking alcohol in the hours before bed can decrease your livers ability to produce glucose overnight.
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Checking For Low Blood Sugar Levels
The warning signs of hypoglycemia are the body’s natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:
- start shaking
- have an increased heart rate
If the hypoglycemia isn’t treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if you’re having a low blood sugar level is to test. Blood sugar levels can be tested with a . This computerized device measures and displays the amount of glucose in a blood sample. But if you can’t quickly check your blood sugar level, it’s important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.
Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline is not just released when blood sugar drops too low it’s also released when blood sugar levels fall quickly when they’re too high. If you’re having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if you’re having a false reaction.
Jody Braverman Cpt Fns Ryt
Congratulations on giving sugar the boot! Eliminating sugar and other simple carbs from refined and processed foods will have wide-reaching effects on your health so much so that you’ll wonder why you ever ate the sweet stuff. But before you see the benefits, you’ll likely experience some low-carb diet side effects as your body adapts to the change, and those may include sleepiness and night sweats.
Video of the Day
Limiting carbs and cutting out sugar may cause a slew of side effects, which may include night sweats and sleepiness. Consult with your doctor for advice before making any drastic changes to your diet.
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What Is The Treatment For Serious Hypoglycaemia
A serious low blood glucose level is classified as one you need the help of another person to treat. If the person is conscious and able to eat or drink, treatment is the same as above. Sometimes it can be easier to suck on a teaspoon of jam than chew glucose tablets. If a person has any difficulty swallowing, do not put any food in their mouth.
How Can I Prevent Low Blood Sugar
Your best bet is to practice good diabetes management and learn to detect hypoglycemia so you can treat it earlybefore it gets worse.
Monitoring blood sugar, with either a meter or a CGM, is the tried and true method for preventing hypoglycemia. Studies consistently show that the more a person checks blood sugar, the lower his or her risk of hypoglycemia. This is because you can see when blood sugar levels are dropping and can treat it before it gets too low.
If you can, check often!
- Check before and after meals.
- Check before and after exercise .
- Check before bed.
- After intense exercise, also check in the middle of the night.
- Check more if things around you change such as, a new insulin routine, a different work schedule, an increase in physical activity, or travel across time zones.
How Are Low Blood Sugar Levels Treated
Your diabetes health care team will give you guidelines for treating low blood sugar levels, depending on your symptoms. If you can, try to test your blood sugar levels to make sure that your symptoms are because of hypoglycemia. If you can’t test blood sugar immediately, don’t delay in treating your symptoms you can always check your blood sugar after you’ve taken steps to get your blood sugar back up into the normal range.
When blood sugar levels are low, the goal is to get them back up quickly. To do that, you should take in sugar or sugary foods, which raise the blood sugar level quickly. Your health care team might suggest that you:
- Eat, drink, or take something that contains sugar that can get into the blood quickly. Your doctor may tell you to have really sugary foods or drinks or might give you glucose tablets or gel to take all of these can help to raise your blood sugar level fast, which is what you need to do when it’s low.
- Wait about 10 minutes to let the sugar work.
- Recheck your blood sugar level with a glucose meter to see if blood sugar levels are back to normal.
- Get a glucagon shot , if your symptoms are severe or get worse after you eat, drink, or take glucose.
Sometimes, blood sugar levels can get so low that you may not be awake enough to eat or drink something to get them back up. When this happens, you may need a glucagon shot.
What If The 15
If you dont feel better after three tries, or if your symptoms get worse, call your healthcare provider or 911. Healthcare providers can use a medication called glucagon. They inject it with a needle or squirt it up your nose. Glucagon is also available for home use. Your healthcare provider can prescribe it and teach a family member or friend how to use it in the event of severe hypoglycemia.
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Dont Drive When You Have Low Blood Sugar
It’s dangerous. If you’re driving and you have hypoglycemia symptoms, pull off the road, check your blood sugar, and eat a sugary food. Wait at least 15 minutes, check your blood sugar, and repeat these steps if needed. Eat a protein and carbohydrate source before you drive on. Be prepared. Keep a sugar source, such as glucose tablets, in your car at all times for emergencies.