Do I Have Blood Sugar Problems

What Happens During A Blood Glucose Test

A health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out.

For some types of glucose blood tests, you will drink a sugary liquid and wait for an hour before your blood sample is taken:

• A glucose challenge test is used to test for gestational diabetes in pregnancy. If your blood glucose level is higher than normal, you may have gestational diabetes. You’ll need an oral glucose tolerance test to get a diagnosis.
• An oral glucose tolerance test is used to diagnose gestational diabetes, and type 2 diabetes and prediabetes in people who aren’t pregnant. A blood sample will be taken before you have a sugary drink and then again, every hour for the next 2 or 3 hours.

Is There Anything Else I Should Know About A Blood Glucose Test

If you have diabetes, you may need to do blood sugar testing at home every day to help manage your blood glucose levels. There are two ways to do this:

• Blood glucose meters require you to prick your finger with a small device called a lancet. You apply a drop of blood to a test strip and insert it into a small, electronic glucose meter, which measures the glucose is in your blood.
• Continuous glucose monitors use a tiny sensor that you insert under your skin. Every few minutes, the sensor measures glucose levels in fluids between your cells. If your glucose is too high or too low, you use a blood glucose meter to check your blood levels before making changes to raise or lower your glucose level.

How Does High Blood Sugar Affect The Body

High sugar in the blood can lead to a number of other symptoms and complications. Here are just a few.

Urination and thirst: High blood sugar goes into the kidneys and urine. This attracts more water, causing frequent urination. This can also lead to increased thirst, despite drinking enough liquids.

Weight loss: High blood sugar can cause sudden or unexplained weight loss. This occurs because the bodys cells are not getting the glucose they need, so the body burns muscle and fat for energy instead.

Numbness and tingling: High blood sugar can also cause numbness, burning, or tingling in the hands, legs, and feet. This is due to diabetic neuropathy, a complication of diabetes that often occurs after many years of high blood sugar levels.

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Preventing A Low Blood Sugar Level

If you have diabetes, you can reduce your chance of getting a low blood sugar level if you:

• Check your blood sugar level regularly and be aware of the symptoms of a low blood sugar level so you can treat it quickly.
• Use a continuous glucose monitor or flash monitor to see how your blood sugar levels are changing. Ask your diabetes care team about getting a monitor if you do not already have one.
• Always carry a sugary snack or drink with you, such as glucose tablets, a carton of fruit juice or some sweets. If you have a glucagon injection kit, always keep it with you.
• Do not skip meals.
• Be careful when drinking alcohol. Do not drink large amounts, check your blood sugar level regularly, and eat a carbohydrate snack afterwards.
• Be careful when exercising eating a carbohydrate snack before exercise can help to reduce the risk of a hypo. If you take some types of diabetes medicine, your doctor may recommend you take a lower dose before or after doing intense exercise.
• Have a carbohydrate snack, such as toast, if your blood sugar level drops too low while you’re asleep .

If you keep getting a low blood sugar level, talk to your diabetes care team about things you can do to help prevent it.

What Happens When Diabetes Is Under Control

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Signs & Symptoms Of Low Blood Sugar

Keeping blood glucose levels in a healthy range can be challenging.

When the amount of sugar in your blood has dropped below your target range , it is called low blood sugar .

If your blood sugar has dropped, you may feel:

• shaky, light-headed, nauseated
• an increase in heart rate
• sweaty, headachy
• weak, drowsy
• numbness or tingling on your tongue or lips

Symptoms of very low blood sugar are more severe and can make you:

• confused and disoriented
• lose consciousness
• have a seizure

Make sure you always wear your MedicAlert® identification and talk to your doctor or diabetes educator about prevention and emergency treatment for severe low blood sugar.

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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Early Signs And Symptoms Of Diabetes

1. Frequent urination

When your blood sugar is high, your kidneys expel the excess blood sugar, causing you to urinate more frequently. One of the early warning signs of diabetes is frequent urination that is urgent enough to wake you up to go to the bathroom during sleep.

2. Increased thirst

While your kidneys are working overtime and youre urinating more frequently, valuable fluids will be pulled from your tissues. Frequent urination will make you feel constantly thirsty.

3. Fatigue

When your blood sugar is high, your body works hard to get rid of the excess sugar. Not only does this process take a toll on your body, but it also alters the way that your body uses glucose for energy. Excessively high blood sugar, or hyperglycemia, has fatiguing effects among other symptoms. Additionally, the dehydration that accompanies more frequent urination is a common cause of fatigue in diabetics.

4. Blurred vision

High blood sugar can cause damage to the small blood vessels of the eye, resulting in a swollen lens that can cause blurred vision. As blood sugar levels rise and lower, your vision may return to normal or worsen, respectively.

5. Increased hunger

When you have high blood sugar, your body is actively looking to get rid of it. Because your body expels so much of the glucose you’re getting from your food, you may have increased feelings of hunger.

6. Unexplained weight loss

7. Slow healing cuts and wounds

8. Tingling or numbness in the hands or feet

9. Skin discoloration

How Can I Pay For Tests And Diabetes Supplies

Medicareexternal icon, Medicaid, and most private insurance plans pay for the A1C test and fasting blood sugar test as well as some diabetes supplies. Check your plan or ask your health care team for help finding low-cost or free supplies, and see How to Save Money on Diabetes Care for more resources.

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High Blood Sugar Over Time Leads To:

• Kidney damage and kidney failure
• Blood vessel damage that can cause heart attacks and strokes
• Eye disease that can cause poor vision or blindness
• Nerve damage that can cause pain like pins and needles in the feet
• Sores on the feet or legs that do not heal and could lead to removal of a toe, foot, or leg

Taking care of your diabetes and keeping most of your blood sugars near the normal range throughout your life lowers your chance for these long-term problems.

Learn How To Deal With Low Blood Sugar Levels

Because you have diabetes and can have low blood sugar levels, you need to keep some glucose or sucrose tablets or solution or quick-sugar food with you at all times. These can quickly raise your blood sugar level. Be sure to check your blood sugar level 15 minutes after eating a quick-sugar food to make sure your level is getting back to your target range. If you continue to have low blood sugar, take another 15 grams of carbohydrate. When your blood sugar gets to 4.0 mmol/L or higher, you can eat your normal meals and snacks. Eat a small snack if your next meal or snack is more than one hour away.

Quick sugar foods to help raise blood sugar

It is important to know that sugar foods like a candy bar or ice cream do not help raise low blood sugar levels quickly, because these foods also have fat and protein. So the body can’t use the sugar in these foods quickly to raise the blood sugar level.

You can get low blood sugar from using too much insulin or from other medicines you take.

Pregnant women who have gestational diabetes also need to know how to deal with a low blood sugar level.

Since low blood sugar levels can quickly become a medical emergency, be sure to wear medical identification, such as a medical alert bracelet, to let people know you have diabetes so they can get help for you.

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Is Hyperglycaemia Serious

The aim of diabetes treatment is to keep blood sugar levels as near to normal as possible. But if you have diabetes, no matter how careful you are, you’re likely to experience hyperglycaemia at some point.

It’s important to be able to recognise and treat hyperglycaemia, as it can lead to serious health problems if left untreated.

Occasional mild episodes aren’t usually a cause for concern and can be treated quite easily or may return to normal on their own. However, hyperglycaemia can be potentially dangerous if blood sugar levels become very high or stay high for long periods.

Very high blood sugar levels can cause life-threatening complications, such as:

• diabetic ketoacidosis a condition caused by the body needing to break down fat as a source of energy, which can lead to a diabetic coma this tends to affect people with type 1 diabetes
• hyperosmolar hyperglycaemic state severe dehydration caused by the body trying to get rid of excess sugar this tends to affect people with type 2 diabetes

Regularly having high blood sugar levels for long periods of time can result in permanent damage to parts of the body such as the eyes, nerves, kidneys and blood vessels.

If you experience hyperglycaemia regularly, speak to your doctor or diabetes care team. You may need to change your treatment or lifestyle to keep your blood sugar levels within a healthy range.

Causes Of Low Blood Sugar

There are many reasons why you may have low blood sugar, including:

• Taking too much insulin.
• Not eating enough carbs for how much insulin you take.
• Timing of when you take your insulin.
• The amount and timing of physical activity.
• Drinking alcohol.
• How much fat, protein, and fiber are in your meal.
• Hot and humid weather.
• Unexpected changes in your schedule.
• Spending time at a high altitude.
• Going through puberty.
• Menstruation.

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What Is Diabetic Ketoacidosis

When the body doesn’t have enough insulin, glucose stays in the blood and can’t get into the body’s cells to be used for energy. This can happen, for example, when someone skips doses of insulin or when the need for insulin suddenly increases and the doses are not adjusted.

When the body can’t use glucose for fuel, it starts to use fat. When this happens, chemicals called ketones are released into the blood. Some of these ketones, like extra glucose, pass out of the body through the urine.

High levels of ketones in the blood can be a problem because they cause the blood to become acidic. Too much acid in the blood throws off the body’s chemical balance and causes the symptoms listed below. In people with diabetes, this problem is called diabetic , or DKA. DKA is a very serious condition that can lead to coma or death if it’s not treated. The good news, though, is that it’s preventable and can be treated.

DKA happens more often in people with type 1 diabetes, but can sometimes also happen to those with type 2 diabetes.

Urgent Advice: Call Your Care Team Immediately Or Get Help From Nhs 111 If:

You think you have high blood sugar and:

• you’re feeling sick, being sick or have stomach pain
• you’re breathing more quickly than usual or your heart is beating faster than usual
• you feel drowsy or are struggling to stay awake
• your breath has a fruity smell
• you feel confused or have difficulty concentrating
• you have a high level of ketones in your blood or pee

These could be signs you’re becoming seriously unwell.

You can call 111 or get help from 111 online.

Page last reviewed: 26 May 2022 Next review due: 26 May 2025

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What Are The Signs & Symptoms Of High Blood Sugar Levels

Signs of high blood sugar levels include:

• Peeing a lot: The kidneys respond by flushing out the extra glucose in urine. People with high blood sugar need to pee more often and in larger amounts.
• Drinking a lot: Someone losing so much fluid from peeing that often can get very thirsty.
• Losing weight even though your appetite has stayed the same: If there isn’t enough insulin to help the body use glucose, the body breaks down muscle and stored fat instead in an attempt to provide fuel to hungry cells.
• Feeling tired: Because the body can’t use glucose for energy properly, a person may feel unusually tired.

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Where Can America Get Diabetes Medication

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What Is Blood Sugar

Blood sugar, or glucose, is your body’s main energy source. We get glucose from the food we eat, and our blood carries it around to all the cells in the body to give them energy to function. Glucose mainly comes from the carbohydrates we eat, though our bodies can convert protein and fat into sugar too if needed.

Glucose from protein is typically stored in the liver and doesn’t enter the bloodstream, so eating protein-rich foods won’t raise your blood sugar too much. Fats slow down the digestion of carbohydrates, which causes a delayed rise in blood sugar. High blood sugar can be an issue because it usually leads to sugar crashes, which are no fun — symptoms include fatigue, headaches and the jitters. So, eat meals balanced with protein, fat and carbs to avoid this.

Blood sugar is closely related to insulin, a hormone secreted by the pancreas that helps your body use glucose that’s in the carbohydrates you eat. Insulin helps regulate your blood sugar levels — if you eat more sugar than you need in the moment, the hormone helps store the glucose in your liver until it’s needed for energy.

You probably also know about blood sugar in the context of diabetes. Type 1 diabetes is a condition in which people are unable to make insulin, so they need to inject the hormone in order to keep their blood sugar levels stable. People with Type 2 diabetes, which usually occurs later in life, either don’t secrete insulin or are resistant to it.