When Your Blood Sugar Gets Low
Check your blood sugar whenever you have symptoms of low blood sugar. If your blood sugar is below 70 mg/dL, treat yourself right away.
1. Eat something that has about 15 grams of carbohydrates. Examples are:
- 3 glucose tablets
- One half cup of fruit juice or regular, non-diet soda
- 5 or 6 hard candies
- 1 tablespoon or 15 mL of sugar, plain or dissolved in water
- 1 tbsp of honey or syrup
2. Wait about 15 minutes before eating any more. Be careful not to eat too much. This can cause high blood sugar and weight gain.
3. Check your blood sugar again.
4. If you do not feel better in 15 minutes and your blood sugar is still lower than 70 mg/dL , eat another snack with 15 g of carbohydrates.
You may need to eat a snack with carbohydrates and protein if your blood sugar is in a safer range — over 70 mg/dL — and your next meal is more than an hour away.
Ask your provider how to manage this situation. If these steps for raising your blood sugar do not work, call your doctor right away.
First Check Your Ketones
In people with type 1 diabetes, high blood sugars can put you at risk of developing ketones. Blood sugar levels over 250 mg/dL with too little insulin can quickly turn into diabetic ketoacidosis if it continues to rise.
Test your urine for ketones, and contact your doctor or visit an urgent care facility if you measure with moderate to large ketones. When large ketones are present, correcting a high blood sugar with insulin via pump or injection wont be effective. Instead, youll likely need intravenous fluids for a few hours to restabilize.
If you only have moderate ketones or less, you may be able to correct with insulin at home but youll likely need a larger dose than normal. Contact your healthcare team if you test positive for ketones and are unsure of how to safely manage the situation.
What Are Risk Factors For Hyperglycemia
Major risk factors for hyperglycemia are:
- You have a family history of type 2 diabetes.
- You are African American, Native American, Hispanic or Asian American.
- You are overweight.
- You have high blood pressure or cholesterol.
- You have polycystic ovarian syndrome .
- You have a history of gestational diabetes.
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Talk To Your Doctor Or Nurse
If you use insulin and your blood sugar is frequently or consistently low, ask your doctor or nurse if you:
- Are injecting your insulin the right way
- Need a different type of needle
- Should change how much insulin you take
- Should change the kind of insulin you take
DO NOT make any changes without talking to your doctor or nurse first.
Sometimes hypoglycemia can be due to taking the wrong medicines. Check your medicines with your pharmacist.
Signs That Blood Sugar Levels Are High
People with high blood sugar may:
- pee a lot. When blood sugar levels get too high, the kidneys flush out the extra glucose into your urine , which is why people who have high blood sugar levels need to pee more often and in larger amounts.
- drink a lot. Because you’re losing so much fluid from peeing so much, you can get very thirsty.
- lose weight. If there isn’t enough insulin to help the body use glucose, the body starts to break down your muscle and fat for energy and you lose weight.
- feel tired. Because the body can’t use glucose for energy properly, you may feel really tired.
High blood sugar levels don’t always cause these symptoms. Sometimes you can have high blood sugar levels without even knowing it. But if left untreated, they can cause serious health problems. That’s why it’s important to work with your parents and diabetes team to keep your blood sugar levels in a healthy range. This can mean checking your blood sugar levels a few times a day, even when you feel fine.
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When To See A Doctor
If youre experiencing one or many of these symptoms enough for it to raise a mental red flag or affect your life , thats a sign that you should talk to a doctor about your concerns. An expert like a primary care provider can help determine if high blood sugar due to diabetes or prediabetes is the cause of your symptoms. Even if youre not sure thats exactly whats going on, its still worth having a conversation with your doctor about hyperglycemia and other possible causes behind your symptoms.
Can You Tell When Your Blood Sugar Levels Are High
By | Submitted On January 26, 2010
Type 2 diabetes is defined by chronic hyperglycemia, or high blood sugar levels and this is the greatest single danger for people with type 2 diabetes. Over time too much sugar in your blood is linked with long term health complications such as kidney failure, heart disease and even blindness.
Listen to Your Body Talk:
Usually before hyperglycemia becomes an acute emergency, you will find yourself feeling really thirsty and urinating more than usual for weeks beforehand. This is your kidney’s way of unloading excess sugar into your urine. Your blood sugar would be around 180 mg/dL at this time. If your levels remain high, your body’s cells are likely to become dehydrated.
This is exceedingly rare and the way to avoid this is by regular self-monitoring. Self-management teaches you to control your blood sugar levels… and this control benefits your body and your health.
A Quick Test:
A quick test will tell you if you are hyperglycemic… levels above 150 mg/dL indicates a need for better control. You may experience:
- skin problems
- tingling in various parts of your body, your tongue or fingers
- trembling hands
- a tight feeling in your throat
- headaches and blurred vision, visual spots or double vision
- buzzing in your ears
- slowly healing cuts, or sores, or infections
- unusual hunger
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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
What Causes High Blood Sugar Levels
Managing diabetes is like a three-way balancing act because you have to watch:
All three need to be balanced. If any one of these is off, blood sugar levels can be too. In general, higher than normal blood glucose levels can be caused by:
- not taking your diabetes medicine when you’re supposed to or not taking the right amounts
- not following the meal plan
- not getting enough exercise
- having an illness, like the flu
- stress
- taking other kinds of medicines that affect how your diabetes medicines work
A single high blood sugar reading usually isn’t cause for alarm it happens to everyone with diabetes from time to time. But if you have high blood sugar levels a lot, let your parents and your diabetes health care team know. Insulin or meal plans may need adjusting, or you may have an equipment issue, like an insulin pump that isn’t working right. Whatever the case, make sure you get help so you can get your blood sugar levels back under control.
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Low Blood Sugar Symptoms
Hypoglycemia happens when blood glucose levels drop too low. Low blood sugar can be caused by many things including the two different types of diabetes, certain medications, alcohol, endocrine disorders, eating disorders, pregnancy , and disorders of the liver, kidneys, or heart.
Here are some of the most common symptoms that someone with low blood sugar might experience:
- Lightheadedness
- Fainting
- Tingling lips
If your blood sugar is low you might start to feel some of the first signs of hypoglycemia like dizziness, lightheadedness, or sweating. The only way to know for sure if your blood sugar is low is to test it with a glucose meter or other glucose monitoring device.
If you dont have access to these tools and start to feel the symptoms of low blood sugar, consume 15 grams of carbs or take a quick dissolve glucose tablet to raise your blood sugar levels and avoid further symptoms, according to the American Diabetes Association . Once your blood sugar is back in its target range, you can have a snack or meal to make sure it doesnt drop again.
Here are some other lifestyle and medicinal treatments that can help treat hypoglycemia:
- Eat a healthy diet full of whole foods that are minimally processed.
- Take prediabetes or diabetes medications as recommended by your healthcare provider.
- Use a glucagon kit in emergencies. Glucagon is a hormone that raises blood sugar levels quickly.
Warning Signs That Your Blood Sugar Is High:
How would you know if your blood sugar has shot through the roof? You can spot the warning signs of high blood sugar even before you see the doctor. If you notice any of them, arrange for an appointment at once!
1. Dehydration
Your skin will feel dry and scaly if your blood sugar levels are on the high end. You may have problems urinating as well. Dehydration can cause diabetic ketoacidosis or too many acids building up in the body. It can lead to organ failure or death.
2. Feeling Parched
Are you always reaching for water, even if the weather is not too hot? Constant thirst indicates dehydration. It shows you that you have to work at making your blood sugar levels drop.
3. Diarrhea
Having constant diarrhea is a warning symptom of Hyperglycemia. Seek a doctors help if your stools are runny. There may be an overgrowth of bacteria in your intestines. Also, it may be difficult for them to break down sugar.
4. Loss of Appetite
Hyperglycemia can create a condition known as Gastroparesis when food moves slowly through the digestive tract. Food cannot move out of the stomach and into the small intestine. A person with Hyperglycemia will lose his appetite because he has a clogged stomach.
5. Excessive Hunger Pangs
6. Impotence
Sex may not bring you the same satisfaction it used to. High blood sugar has links with Erectile Dysfunction or ED. Men with diabetes may develop ED because the blood vessels and nerves that prompt erections are weak.
7. Open Cuts
8. Itchiness
14. Fatigue
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How To Test For Ketones
You can use a urine test strip or blood ketone meter and ketone test strip to test for ketones at home. Testing either urine or blood is important, but when possible, a blood test is preferred because it gives you and your care team more precise information about your ketone levels. Because urine may have been in the bladder for some time, the results from these tests may show levels that are either higher or lower than the ketone levels that are actually circulating in your body. It is also very important to know that urine test trips degrade over time, so if you are using this method, you need to look at expiration dates carefully.
Your diabetes care team can give you specific directions about when you should check for ketones, but in general, you should check for them when your blood glucose is 240 mg/dL or higher. You should also check for ketones if you notice any of the DKA symptoms listed above or if you are sick it is possible to have ketones while your blood glucose levels are within range .
At-home urine test strips will change color to show the level of ketones in the urine. They typically report results as negative, trace, small, moderate or large. Blood ketone meters will provide a number that indicates the ketone levels. The following ranges are generally used:
How Can I Treat Low Blood Sugar
If youve had low blood sugar without feeling or noticing symptoms , you may need to check your blood sugar more often to see if its low and treat it. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel.
Carry supplies for treating low blood sugar with you. If you feel shaky, sweaty, or very hungry or have other symptoms, check your blood sugar. Even if you dont have symptoms but think you may have low blood sugar, check it. If your blood sugar is lower than 70 mg/dL, do one of the following immediately:
- Take four glucose tablets.
- Drink four ounces of fruit juice.
- Drink four ounces of regular soda, not diet soda.
- Eat four pieces of hard candy.
Wait for 15 minutes and then check your blood sugar again. Do one of the above treatments again until your blood sugar is 70 mg/dL or above and eat a snack if your next meal is an hour or more away. If you have problems with low blood sugar, ask your doctor if your treatment plan needs to be changed.
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Go Easy On Your Feet With Low
People with diabetes benefit from exercise, but what is the best kind? While exercise for diabetes certainly isn’t one-size-fits all, be mindful that many fitness classes and aerobics programs include bouncing, jumping, and leaping, which may not be good for your feet. This is especially true if you have neuropathy. Instead, look into programs, such as walking or swimming, that dont put too much pressure on your feet. Just make sure you have the right shoe for whatever activity you choose.
What Do They Mean
Maintaining a consistent blood sugar level is a key component of optimal health. Hereâs why:
When we eat sugar, our body creates a surge of the feel-good brain chemicals dopamine and serotonin. Immediately following, our pancreas kicks into gear producing insulin to absorb the excess glucose and help regulate our blood. Once the insulin has done its job, our blood sugar drops again, leaving us feeling cranky and drained. Our body craves more sugar to give it a temporary boost and the cycle continues.
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Causes Of High Blood Sugar
You must rein in your blood sugar if you have Type 2 diabetes. Not doing so will lead to a potentially fatal condition known as the hyperglycemic hyperosmolar nonketotic syndrome , when your body cannot process blood sugar any longer. You may be unable to urinate because you are completely dehydrated.
To avoid hyperglycemia, you must know its causes. Your blood sugar may spike if you miss your insulin injections or eat too many carbohydrates. You may also develop hyperglycemia if you are ill, under stress or do not exercise enough.
Avoiding High Blood Sugar And Dka
No matter how well they take care of themselves, people with diabetes will sometimes have high blood sugar levels. But the best way to avoid problems is to keep your blood sugar levels as close to your desired range as possible, which means following your diabetes management plan. Checking your blood sugar levels several times a day will let you know when your blood sugar level is high. Then you can treat it and help prevent DKA from happening.
High blood sugar levels don’t always cause symptoms, and a person who isn’t testing regularly might be having blood sugar levels high enough to damage the body without even realizing it. Doctors may use the HbA1c test to find out if someone has been having high blood sugar levels over time, even if the person has not had obvious symptoms.
Here are some other tips for avoiding high blood sugar levels and preventing DKA:
- Try to eat all your meals and snacks on time and not skip any.
- Take the right amount of insulin.
- Check your blood sugar levels regularly and your ketone levels when your diabetes management plan recommends it.
- Stick to your diabetes management plan.
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Treating And Managing Hyperglycaemia
If your blood sugar level is slightly high for a short time, emergency treatment wont be necessary. But if it continues to rise you may need to act fast to avoid developing diabetic ketoacidosis .
If your blood sugar level is 15 mmol/l or more, you should check your blood or urine for ketones. If ketones are present, it is likely that you do not have enough insulin in your body. This means you may need to increase your dose or give yourself an extra dose. Talk to your diabetes team about how to do this if you are unsure.
You should also try to drink plenty of sugar-free fluids to prevent dehydration. And if you are feeling unwell, especially if you are vomiting, you should follow any sick day rules you have been given and contact your diabetes healthcare team for advice.