Diabetes Sign: Youre Exhausted
Fatigue is a classic side effect of dehydration. So if youre peeing more often and are thirstier than usual, you might find yourself feeling weirdly wiped out, explains Elizabeth Halprin, M.D., clinical director of adult diabetes at Joslin Diabetes Center in Boston.
You might feel zonked even if youre still going to bed and waking up at your usual time. Getting up multiple times throughout the nightsay, if you need to pee interrupts your sleep, too, Dr. Halprin says. As a result, you end up getting less snooze time than you think.
When Are Hypoglycemia And Hyperglycemia An Emergency
Mild hypoglycemia and hyperglycemia are usually treatable at home.
If you have mild hypoglycemia, consuming a small amount of glucose can quickly raise your blood sugar.
If you skipped a dose of medication and have symptoms of mild hyperglycemia, taking your insulin or diabetes medication can help stabilize your blood sugar level.
Hypoglycemia is an emergency if you experience confusion, blurry vision, or seizures.
Hyperglycemia is an emergency if you have:
- shortness of breath
High Blood Sugar Levels
Excess glucose, often known as hyperglycemia, is a disease in which there is an excessive amount of glucose circulating in the blood. Hyperglycemia is a major issue that may have severe consequences for both Type 1 diabetics and Type 2 diabetics. High blood sugar levels are present if they are more than 130 mg/dL before a meal and 180 mg/dL after a one-two hour gap between meals.
These are some symptoms of High Blood Sugar Levels:
Blurred vision: You start to see blurriness around the edges of your sight.
Dehydration: Your body is craving water because it knows that you are dehydrated, but cant tell you because theres too much sugar in your system. You may also start to notice a dry or sticky feeling on the roof of your mouth and throat area when this happens.
Fatigue: You feel tiredness in your body. Because of this, you may face difficulty in doing day-to-day activities.
Frequent Urination: Your body is trying desperately to flush out excess sugar through your urine stream. This can lead you to urinate more often than normal or even at night while sleeping.
Hunger Pangs/Cravings for Sweets: Your body is hungry because it needs a steady supply of energy, but you cant get any from the excess sugar in your system.
Weight Gain: Excess sugar leads to weight gain over time and less muscle mass, which will make losing weight more difficult later on down the road.
High blood sugar levels are usually caused these reasons:
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If A Person Is Unconscious
If a person loses consciousness because of severe hypoglycaemia, they need to be put into the recovery position and given an injection of the hormone glucagon . The injection will raise their blood glucose level.
The injection should be carried out by a friend or family member who knows what theyre doing, or by a trained healthcare professional.
You should dial 999 to request an ambulance if:
- a glucagon injection kit isnt available
- theres nobody available whos trained to give the injection
- the injection is ineffective after 10 minutes
Never try to put food or drink into the mouth of someone whos unconscious as they could choke.
If youre able to give a glucagon injection and the person regains consciousness, they should eat some longer-acting carbohydrate food, such as a few biscuits, a cereal bar or a sandwich.
You should continue to monitor the person for signs of recurring symptoms in case they need to be treated again.
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White Cheddar Zucchini Muffins
Did your registered dietitian tell you its important to fit more veggies into your meals? Heres an easy way to do that: white cheddar zucchini muffins. It’s a satisfying option that can easily be made ahead for a quick and easy breakfast, says , a culinary and integrative dietitian in Atlanta.
Another perk? Theyre made with almond flour, which helps pump up the protein, per the USDA youll get 10 g in each serving . Youll also get only 5 g of carbs, plus 2 g of fiber.
On the zucchini front, the ADA puts this veggie on its list of the nonstarchy vegetables they encourage people with diabetes to eat more of. Plus, zucchini is low in carbohydrates with one-eighth of a small zucchini per serving, youre getting less than ½ g carbs from the zukes, according to the USDA.
Bonus: You can put together these gluten-free and ketogenic dietfriendly muffins in a blender, so you wont have a sink full of tools to scrub down when youre finished.
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Make Physical Activity Part Of Your Daily Routine
Set a goal to be more physically active. Try to work up to 30 minutes or more of physical activity on most days of the week.
Brisk walking and swimming are good ways to move more. If you are not active now, ask your health care team about the types and amounts of physical activity that are right for you. Learn more about being physically active with diabetes.
Following your meal plan and being more active can help you stay at or get to a healthy weight. If you are overweight or obese, work with your health care team to create a weight-loss plan that is right for you.
You Say Sugar I Say Glucose
Is sugar in a doughnut the same as blood sugar? Lets clear up the confusion: Sugar can have many different names, with different meanings.
When doctors and scientists talk about sugar in the blood, they often use the word glucose. Glucose is a simple carbohydrate, also known as a monosaccharide . This can also be called blood sugar.
Unlike sucrose or fructose , you wont be able to find glucose in the grocery store.
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Postprandial Or Reactive Hyperglycemia
This type of hyperglycemia occurs after eating .
During this type of hyperglycemia, your liver doesn’t stop sugar production, as it normally would directly after a meal, and stores glucose as glycogen.
If your blood glucose level 1-2 hours after eating is above 180mg/dL, that signals postprandial or reactive hyperglycemia.
However, it’s not just people with diabetes who can develop hyperglycemia. Certain medications and illnesses can cause it, including beta blockers, steroids, and bulimia. This article will focus on hyperglycemia caused by diabetes.
How To Lower High Blood Sugar
With careful monitoring and control of your blood sugar levels, you can live a healthy life. There are a number of ways you can lower and prevent high blood sugar.
Learn to count carbohydrates: When you count carbs or keep track of what you are eating, you can control your blood sugar more efficiently. Set a maximum amount you can have each day for your meal,s and keep track to make sure you do not go past the limit. This helps to stabilize blood sugar and prevent dangerous spikes. Portion control is important too, so make sure your meals are not too large, as these can cause temporary spikes.
Try meal planning: To help keep track of your carbohydrate intake, start planning your meals. Based on the amount of carbohydrates you can have, plan meals accordingly, so you do not risk going above the set limit. When your meals are planned, you also avoid eating out or getting convenience food, which contains more sugar and fat, and will negatively affect your blood sugar.
Start a weight loss program: Obesity contributes to diabetes and impairs your bodys ability to process energy efficiently. Losing weight helps your body to use insulin more efficiently, and it reduces fat storage, which can trigger inflammation in the body.
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When To Contact Your Healthcare Provider
Hyperglycemia can turn into a medical emergency like DKA and HHS that requires immediate intervention by your practitioner or a local emergency department. If you have two blood sugar readings of 300 mg/dL or more or have blood sugar above your target range for more than a week, seek immediate medical help.
Signs of hyperglycemia include:
- Stomach pain, nausea, or vomiting
- Shortness of breath
Symptoms When Your Blood Sugar Levels Are Too High
Hyperglycemia is difficult to detect if you dont pay close enough attention, but there are always symptoms. The best thing to do is to have a medical examination every 6 months in order to have your doctor monitor any changes occurring in your body.
A blood sugar test is normally very cheap and simple. A small amount of blood will be taken and checked. As for the symptoms you need to watch out for, here is a list:
- Dark spots in your field of vision.
- Pain around the eyes.
- Difficulty focusing on close objects or objects in your lateral or peripheral vision.
Regular visits to an opthalmologist can help to identify these problems so that you can deal with any vision problems before they become severe.
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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
Why You Still Need To Exercise If You Have Diabetes
Despite all of the excuses you may come up with to skip the gym when you have neuropathy, you have even more reasons to make exercise a priority if youre managing this complication. Thats because exercise is actually good for neuropathy.
One of the best ways to prevent progression of diabetic neuropathy is to stay active, Machowsky says. For instance, in one study published in September 2012 in the Journal of Diabetes and Its Complications, all it took was 10 weeks of exercise to significantly reduce pain and symptoms in men and women with diabetes-related neuropathy. In that time frame, the participants nerve health and function also improved.
Thats not exactly surprising when you consider what researchers already know about the benefits of exercise for diabetes. Physical activity is a great way to keep your blood sugar levels in check, improve insulin sensitivity, and reduce inflammation, Machowsky says. Plus, by undoing some of the blood vessel damage that can occur with diabetes, exercise can help increase the flow of blood, oxygen, and other nutrients to nerve cells, further helping to improve neuropathic symptoms.
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Insulin Resistance: Understanding What Happens In Type 2 Diabetes
In type 2 diabetes, the body has become insulin resistant, meaning insulin is no longer able to effectively remove sugar from the blood. As a result, the pancreas ramps up its insulin production to try to keep up with the amount of carbohydrates youre eating a state of overproduction that can lead to B-cell fatigue.
When B-cells become fatigued , they can no longer make enough insulin to shuttle glucose out of your bloodstream. The end result: hyperglycemia, or high blood sugar.
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.
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What Else Can I Do To Help Manage My Blood Sugar Levels
Eating a healthy diet with plenty of fruit and vegetables, maintaining a healthy weight, and getting regular physical activity can all help. Other tips include:
- Keep track of your blood sugar levels to see what makes them go up or down.
- Eat at regular times, and dont skip meals.
- Choose foods lower in calories, saturated fat, trans fat, sugar, and salt.
- Track your food, drink, and physical activity.
- Drink water instead of juice or soda.
- Limit alcoholic drinks.
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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 youre losing so much fluid from peeing so much, you can get very thirsty.
- lose weight. If there isnt 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 cant use glucose for energy properly, you may feel really tired.
High blood sugar levels dont 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. Thats why its 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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How Can I Treat High Blood Sugar
Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:
- Be more active. Regular exercise can help keep your blood sugar levels on track. Important: dont exercise if ketones are present in your urine. This can make your blood sugar go even higher.
- Take medicine as instructed. If your blood sugar is often high, your doctor may change how much medicine you take or when you take it.
- Follow your diabetes meal plan. Ask your doctor or dietitian for help if youre having trouble sticking to it.
- Check your blood sugar as directed by your doctor. Check more often if youre sick or if youre concerned about high or low blood sugar.
- Talk to your doctor about adjusting how much insulin you take and what types of insulin to use.
Youre Hungrier Than Usual But Losing Weight
Many people with uncontrolled high blood sugar find that theyre hungrier than usual, which signals a symptom called polyphagia, MedlinePlus notes. And although youre eating more, you may be losing weight for no apparent reason if your blood sugar levels are too high, according to the Mayo Clinic.
Since your body is not getting energy from the preferred source, glucose, it has to turn to muscle and fat, Zanini explains. When your body starts breaking down muscle and fat for energy, you experience unintentional and unhealthy weight loss. In addition to these changes in weight and appetite, you may notice weakness in your muscles and experience more frequent falls, Emanuele adds.
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Check In With Your Care Team For More Help
Your doctor and your diabetes healthcare team are great sources of information if you need ideas and inspiration for taking care of your feet, quitting smoking, or staying on top of your numbers your weight, blood sugar, and other measures of health, such as blood pressure. Of course, if you notice any changes in your feet that concern you, its a good idea to see your doctor before your next regularly scheduled check-up.
All Carbs Are Created Equal
Phipps explains that, despite containing similar amounts of carbohydrates, one serving of pasta could have a hugely different effect on your blood glucose levels than one serving of rice. Likewise, that serving of pasta may have an entirely different effect on your blood glucose levels than your friendsâ or even family membersâ. âWeâre all unique,â Phipps says.
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Only Diabetics Get High Glucose Values
While a high glucose value can indicate diabetes, nondiabetics can also have higher values than normal. When researchers studied people wearing a continuous glucose monitor who did not have a diabetes diagnosis, they found 93% of individuals reached glucose levels that are considered dangerous, with 10% spending over 2 hours per day in these dangerous levels. Traditional glucose measurements, like a single point in time blood glucose value, are unable to capture these abnormalities.
There are actually several causes of high blood sugar unrelated to diabetes that the CDC recognizes. These include certain foods, like artificial sweeteners and coffee. Other factors like stress can do it, too. If you live with an endocrine or pancreatic condition, had surgery recently, or are experiencing intense physical stress , you may also see your glucose value rise.
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