Stick To An Eating Schedule
Dr. Kara warns against skipping meals frequently to avoid the rollercoaster of high to low blood sugar surges and dips. Spreading your meals out throughout the day, rather than eating a large breakfast or large dinner can help to regulate blood sugar. Eating regularly from morning through evening is the best strategy.
Avoid Eating Large Meals
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One way to keep carbs under control is by eating in moderation. I always tell my patients to spread their food out over the day, Weisenberger says. Dont eat small meals to save up for a big dinner. Feeding your body throughout the day helps regulate your blood sugar levels and prevents highs and lows, Crandall Snyder says.
Both Weisenberger and Crandall Snyder say to keep an eye on carbs, even while snacking. Classically, less than 15 g of carbs per snack is a good standard approach, Crandall Snyder says. Thats about whats found in 1 cup of fruit, she says.
What Impacts On Your Health Does High Blood Sugar Have
Having extra sugar in your bloodstream can be very harmful to the vessels in your body, as well as some major organs. Complications of diabetes include and are not limited to:
- Problems with your eyes which could lead to loss of vision
- Neuropathy
- Poor wound healing which could lead to an amputation
- Increased risk of heart disease and stroke
These complications are not caused by a spike in the blood sugar. They are caused by an increased number of high blood sugar events over a period of time. Do not think that one or two high blood sugars are going to cause you to go blind. However, it is important to know what caused those high sugars so that you can prevent it from happening again. Hemoglobin A1C levels are checked to see what the average blood sugar has been over the past 120 days. Your doctor will check this to see if how your blood sugar levels have been trending.
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Always talk to your doctor before making any changes to your diet or exercise regimen.
Check your blood sugar levels!
There are critical times that you should check your blood sugar.
They include:
There are times when our health is well out of our control. Checking your blood sugar is one way that you can stay in control. Take this control and use it to better your health and your life.
According to the NIDDK, when checking your blood sugar levels, consider the following tips:
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What Is The Somogyi Effect
A second possible cause of high blood sugar levels in the morning is the Somogyi effect, sometimes also called rebound hyperglycemia. It was named after the doctor who first wrote about it.
If your blood sugar drops too low in the middle of the night while you are sleeping, your body will release hormones in an attempt to rescue you from the dangerously low blood sugar. The hormones do this by prompting your liver to release stored glucose in larger amounts than usual. But this system isnt perfect in a person with diabetes, so the liver releases more sugar than needed which leads to a high blood sugar level in the morning. This is the Somogyi effect.
What Foods Will Help Regulate My Blood Sugar
Diabetes or diabetes mellitus is a long-term health condition that is characterized by high blood glucose levels. The disease affects the ability of the body to convert food into energy inside the body. The food you eat is converted to simpler forms, most commonly glucose, inside the body. When the glucose in the blood increases, the body releases a hormone called insulin in the blood. Insulin brings high blood glucose levels back to normal levels. In diabetes, either there is a deficiency of insulin or the body is unable to respond to insulin . In either of the cases, there is an increased concentration of glucose in the blood known as hyperglycemia.
If you have diabetes, you must check your blood sugar levels regularly to make sure the levels are not too low or too high . Depending on your age and any other health conditions, your doctor may advise you to keep your blood sugar level in a range that they consider will be safe and healthy for you. Whenever your blood sugar level is over 240 mg/dL, you must check the presence of ketones in the urine by using an over the counter ketone test kit. High levels of ketones can be a sign of a serious medical emergency called diabetic ketoacidosis. Seek urgent medical help if your urine shows the presence of ketones or you have any signs of ketoacidosis, such as fast breathing, nausea and vomiting, stomachache, headache, or fruity smell from the mouth.
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Not Regularly Communicating With Your Healthcare Team
Your diabetes care team can help you determine the right low-carb approach for you, but it can also help to avoid any bad, potentially dangerous, or life-threatening side effects of going low-carb to help manage type 2 diabetes.
You and your doctor may need to lower or change your meds to avoid low blood sugar, or hypoglycemia cardiovascular complications and diabetic ketoacidosis , which is a health emergency. This is especially true for people taking insulin, insulin-promoting drugs, or blood pressure medications, Urbanski says. Additionally, SGLT2 inhibitors, oral medications that assist the kidneys in lowering blood glucose levels, push some people into potentially fatal DKA, with low-carb intake further exacerbating that risk, she says. Its recommended that someone on SGLT2 inhibitors should not go on a low-carb diet or should first discontinue and change medications under their doctors supervision, she says. According to the Food and Drug Administration, examples of SGLT2 inhibitors include canagliflozin, dapagliflozin, and empagliflozin.
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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.
- Stomach pain.
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.
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Take A Pass On The Bread Bowl
Its obvious that sugary stuff leads to an increase in blood sugar, but starchy foods can do the same thing. Your body processes simple carbs quickly and turns them into sugar, and it needs a lot of insulin to absorb them. That means a bag of Doritos is as likely as a candy bar to cause a spike.
If youre in the middle of a blood sugar spike, its best to curtail your carb intake. Check the glycemic index if youre not sure about a food.
Surprisingly, popcorn and white potatoes are worse than ice cream, according to the index. If you stick to low-carb/low-glycemic-index foods, your blood sugar will return to normal much more quickly.
Ultimately, its best to limit your carb intake. A 2004 study found that a diet of 20 percent carbs, 30 percent protein, and 50 percent fat lowered fasting blood sugar and kept blood sugar from spiking after meals.
This was a very small study, but the results suggest that lower carb intake can lead to generally lower blood glucose. In general, most people with diabetes eat 40 to 45 percent of their calories in the form of carbohydrates. Choosing nutrient-rich sources of carbs is best.
Another promising study found that after two years on a low-carb diet, many participants with type 2 diabetes were able to manage their condition without medication or resolve it entirely.
The occasional baked potato isnt a problem, but frequent trips to the drive-through are not a good idea. Find a few veggie-and-protein-heavy meals and make them your go-tos.
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.
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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.
Ramp Up Your Movement Each Day
Exercise helps improve blood glucose in people with type 2 diabetes by increasing insulin sensitivity and the bodys ability to use glucose as energy, according to the American Diabetes Association. In type 2, exercise helps improve insulin resistance, says James G. Beckerman, MD, a cardiologist in Portland, Oregon. The end result is lower blood sugars.
Crandall Snyder tells patients that exercise is like spring cleaning for the body. It takes the stored form of glucose and uses it for energy so the next time you eat carbohydrates there’s a place to put it, she says.
Because exercise can immediately reduce blood sugar levels in people with type 2 diabetes, work with your healthcare team to determine the right amount of activity and timing for you. A study published in September 2017 in Frontiers in Endocrinology found exercising 30 minutes after the start of a meal is usually best for maintaining blood sugar controls.
Learn more about managing your blood sugar in Diabetes Daily’s article “HbA1C: Everything You Need to Know.”
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Only You Can Prevent Blood Sugar Spikes
Its annoying but true: The best way to lower your blood sugar is to avoid a spike in the first place.
Eating whole foods that are low in sugar and exercising regularly will help keep your blood sugar in check. This can be beneficial for people with type 2 diabetes, but medications may also be necessary to keep blood sugar in a healthy range.
To avoid food-based spikes, try to steer clear of added sugars in your diet. The FDA recommends consuming less than 200 calories a day from added sugars.
That sounds pretty simple, but when you realize that 16 ounces of orange juice has 240 calories , its easy to see how sugar consumption gets out of hand.
Its best to avoid all sugary drinks and check the labels. There are hidden sugars in everything from bread to turkey slices, so double-check your favorite foods to make sure you arent getting any unnecessary sweetness.
Add More Resistant Starch To Your Plate
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Resistant starch found in some potatoes and beans bypasses the small intestine and ferments in the large intestine, which means it doesnt raise glucose levels and promotes the growth of good bacteria in the body, according to Johns Hopkins Medicine. Its a fiber-filled starch and helps with glycemic control, says Joelle Malinowski, RD, a certified diabetes care and education specialist with Ellis Medicine in Schenectady, New York. And the effect will last through your next meal, Weisenberger says. Its called the second-meal effect, she says.
Interestingly, resistant starch can change with heat, and some foods, like rice, are higher in resistant starch when cooked and cooled than when cooked and served warm, according to Johns Hopkins Medicine.
Resistant starches are also found in:
Just be sure to keep carb count in mind when incorporating foods with resistant starch into your diet.
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Dispelling Fruit’s Bad Reputation For People With Diabetes
One of the central misconceptions behind fruits is that they are always bad for people with diabetes. At first glance this seems to make sense.
After all, most people who have diabetes are concerned about their blood sugar, so it would make sense to avoid one of nature’s densest forms of natural sugar.
However, there is a big difference between the sugars that you find in a juicy red strawberry and in the table sugar that you might sprinkle on top.
Focusing Too Much On Total Carbs And Not Enough On Carb Quality
For the best health, following a low-carb diet shouldnt just be about what you cut, it should also be about what you add into your nutrition plan, Zanini says. After all, a healthy diet meets all of your bodys nutritional needs and doesnt exceed your bodys caloric needs.
But when people become narrowly fixed on reducing carbs, they can easily wind up replacing those carbs with high-calorie fats, as well as chemically laden sugar-free foods and artificial sweeteners. When following a low-carb diet, the more you can focus on whole, unprocessed foods, the better. These foods can certainly include high-fat foods such as olive oil, avocado, walnuts, and salmon, but the exact amount of fat you should eat depends on whether you are following a ketogenic diet or trying to build lean muscle through an increase in dietary protein, Urbanski says. Again, keeping an open dialogue with a registered dietitian is helpful.
Still, you dont have to work directly with a registered dietitian to take advantage of their knowledge. The Academy of Nutrition and Dietetics is a great resource for expert nutritional information, eating strategies, and healthy recipes.
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What Is A Dangerous Blood Sugar Level
A normal blood sugar level is between 70 and 130 after you have been fasting for a few hours. Blood sugar levels can be dangerous if they are too high or too low.
Low blood sugars can be caused by not eating enough, or by trying to lower your sugar too quickly. A blood sugar under 60 is considered dangerous. It can lead to confusion or loss of consciousness, which can be deadly. It is important to have a snack with you at all times in case this happens to you. If it does happen, think about what you did or didnt do that lead to the low number. If it happens often, start writing things down to help you track what the cause is so that you can avoid it.
High blood sugars over 300 are pretty concerning. A lot depends on what your sugar typically runs. If you are normally in the 200s, then a sugar of 320 wouldnt affect you the way that it would for someone whose typically runs 150.
If your blood sugar gets too high, then you may have Ketoacidosis. What happens is that the body does not have enough insulin to use the glucose cells, so it starts to break down fat and muscle for fuel. This causes ketones to enter the bloodstream and causes a pretty bad chemical imbalance. Ketones can also be found in your urine, which is an easy way to test. Signs of Diabetic Ketoacidosis are:
- Fruity smelling breath
- Loss of vision
- An abnormal increase in blood sugar
You should also seek medical attention for this as well to rehydrate your body before any complications happen.
What Are The Signs & Symptoms Of Low Blood Sugar
Different people may feel low blood sugar levels differently. People with low blood sugar may:
- feel hungry or have “hunger pains” in their stomach
- feel shaky or like they’re trembling
- have a rapid heart rate
- feel sweaty or have cold, clammy skin
- have pale, gray skin color
- have a headache
- have seizures or convulsions
- lose consciousness
If you have diabetes, try to remember how your body reacts when your blood sugar levels are low. It may help you figure out when you’re having a low blood sugar level more quickly the next time.
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