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.
Keep An Eye On Your Waistline
Far from a quick fix to lower your blood sugar quickly, this is more of a fact-of-life tip. You likely know the reasons why maintaining a healthy weight is vital to your longevity and quality of life.
It turns out that a trim tummy not only helps your pants fit better but also wards off the risk of developing abnormal high blood sugar, insulin resistance, and diabetes28. Your wait measurement could be more important than the number on the scale when it comes to maintaining metabolic health and avoiding chronic conditions related to high glucose.
Men and women who have waist circumferences greater than 40 inches and 35 inches , respectively, are considered to be at increased risk for cardiometabolic disease29.
A whole foods diet made up of more low-glycemic foods than high combined with plenty of physical activity, enough quality sleep, hydration, and stress coping strategies can help you whittle your waist to a healthy circumference.
References
How Do I Treat Low Blood Glucose
If you begin to feel one or more symptoms of low blood glucose, check your blood glucose level. If your blood glucose level is below your target or less than 70 mg/dL, follow these steps
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What Are The Symptoms Of High Blood Sugar
High blood sugar, also known as hyperglycemia, usually occurs when the body cannot use insulin properly or has extremely low levels of insulin. Insulin is the hormone responsible for moving glucose, or sugar, into the bloodstream where it can then be delivered to cells and used for energy. High blood sugar is usually associated with diabetes.
Symptoms of high blood sugar may include:
- Frequent urination
- Feeling thirsty all the time
- Increased hunger
- Tingling and numbness in hands and feet
- Skin changes, such as blisters and dryness
- Swollen and bleeding gums
- Confusion
- Abdominal pain
Patients can have symptoms of headache and dizziness with high blood pressure, but patients can also be completely asymptomatic, adds Dr. Raja.
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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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.
What Causes The Blood Sugar Levels Go To High
Our bodies need sugar to make energy for the cells. Without it, we cannot do basic functions. When we eat foods with glucose, insulin pairs with it to allow it to enter into the cell wall. If the insulin is not there, then the glucose molecule cant get through the wall and cannot be used. The extra glucose hangs out in the bloodstream which is literally high blood sugar.
The lack of insulin can be caused by two different things.
- First, you can have decreased insulin resistance which means that your insulin doesnt react the way that it is supposed to. It doesnt partner with glucose to be used as fuel.
- Secondly, you can have no insulin, which is the case with type 1 diabetes.
Regardless of how it is caused, it is imperative to control blood sugars to help prevent problems.
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What Causes High Blood Sugar
To better manage hyperglycemia, its helpful to know potential triggers. Probably the first thing most people think about is foodin particular, carbohydratesand I would say even more specifically, simple carbohydrates would be the most likely culprit, says Dr. Hong. Foods that have a high glycemic index include things like white bread, potatoes, or rice.
Beyond that, a common cause for a rise in blood sugar is a missed insulin dose, but its not always a matter of forgetting an injection. For example, in patients who are using an insulin pump, if the pump malfunctions or if there is a kink in the tubing or the infusion site is lodged and they are not aware that the insulin is not infusing, then that may happen, says Lorena Wright, M.D., an endocrinologist and the director of the LatinX Diabetes Clinic atUW Medicine. Insulin that is exposed to heat wont work as well either. Its not toxic, but it’s just not as effective, says Dr. Wright. That means your typical dose might not be as potent as youre used to, making the insulin less effective.
What about stress or hormone fluctuations? Yes, absolutely, stress can certainly cause a rise in blood sugars, says Dr. Hong. In regards to hormonal fluctuations, some female patients with type 1 diabetes will experience differences in their blood glucoses depending on where they are in their menstrual cycle but this effect is not often seen in patients with type 2 diabetes.
Preventing Low Blood Sugar Levels
Here are some other tips to help you avoid low blood sugar levels:
- Eat all your meals and snacks on time and try not to skip any.
- Take the right amount of insulin.
- If you exercise longer or harder than usual, have an extra snack.
- Don’t take a hot bath or shower right after an insulin shot.
- Stick to your diabetes management plan.
- Check your blood sugar levels regularly, so you can tell if your blood sugars are running too low and your treatment plan needs adjustment.
- Carry something containing sugar with you at all times and take it right away if you have symptoms. Don’t wait to see if the symptoms will go away they may get worse!
Alcohol and drugs can cause major problems with your blood sugar levels, so avoiding them is another way to prevent diabetes problems. Drinking can be particularly dangerous even deadly for people with diabetes because it messes up the body’s ability to keep blood glucose in a normal range. This can cause a very rapid drop in blood glucose in people with diabetes. Drug or alcohol use is also dangerous because it may affect someone’s ability to sense low blood sugar levels.
Learning how to recognize the signs of low blood sugar levels and get them back to normal is an important part of caring for diabetes. Keeping track of your blood sugar levels and recording lows when they occur will help you and your diabetes health care team keep your blood sugar levels in a healthy range.
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Drink Drink Drink Some Water
Dehydration can cause high blood sugars, which means getting hydrated can help prevent and reduce high blood sugars.
Your blood consists partly of water. When you dont drink enough water throughout the day, the other things in your blood become more concentrated! And thus, higher blood sugar levels.
You know that uncomfortable thirst you feel when your blood sugars are high? Give in to it. This is how your body helps flush excess sugar out through your urine, and how you replenish the necessary fluid balance in your bloodstream.
When Blood Sugar Is Too Low
Glucose is a sugar that comes from the foods we eat, and it’s also formed and stored inside the body. It’s the main source of energy for the cells of our body, and is carried to each cell through the bloodstream. Our brains depend on glucose to function, even when we’re sleeping.
The is the amount of glucose in the blood. When these levels drop too low, it’s called hypoglycemia . Very low blood sugar levels can cause serious symptoms that need to be treated right away.
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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.
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High Blood Sugar Causes
Sometimes the cause of a blood sugar spike is clear . But other times, the cause is a little more mysterious.
According to the Centers for Disease Control and Prevention, losing sleep, skipping breakfast, not drinking enough water, or drinking coffee can cause blood sugar instability.
Even weirder, sometimes a sunburn can cause a spike! The pain of a burn causes stress, and high levels of stress can mess up your blood sugar. So bust out the sunscreen for the sake of your pancreas!
Other causes include eating high-sugar/high-carb foods, drinking alcohol, getting sick, and changing medication. A diet low in fiber and high in refined carbs or sugars and a sedentary lifestyle also make high blood sugar more likely.
So, what can you do when your blood sugar gets too high? Here are some natural ways to get your sugar back into a safe zone.
Make An Effort To Get Better Sleep
Ever wondered why the blueberry crumb muffins in the coffee shop look even more irresistible when youâre shuffling on three hours of sleep? Poor sleep can affect glucose levels21, insulin sensitivity22, and the hormones that control appetite.
When you donât get enough shut-eye, your cravings and desire to eat now can go into overdrive. Thatâs because leptin reduces and ghrelin increases23, signaling to your brain that you have to eat that blueberry crumb muffin⦠maybe even two of them before you feel satisfied.
You might find it easier to choose the sous-vide egg bites over the tender, berry-studded cake-with-no-icing when youâre well-rested. Even partial sleep loss may increase the risk of weight gain and obesity24, one sugary muffin at a time.
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When To Go To The Er
High blood sugar can be very concerning because your body can start burning fat for energy instead of blood glucose.
This can cause conditions such as DKA and hyperglycemic hyperosmolar syndrome . These conditions are medical emergencies and can be fatal if left untreated.
DKA is a serious complication of type 1 diabetes. Its rare in people with type 2 diabetes, but can occur.
Symptoms that can indicate you should go to the emergency room include:
- ketones in your urine, as diagnosed using a urine dipstick test
- confusion
- stomach pain
- vomiting
High blood sugar levels can cause a fluid imbalance in the body and can cause the blood to become acidic in a manner that doesnt support life.
Medical treatments for these conditions include administering intravenous insulin on a continuous basis and IV fluids to correct dehydration.
Summary
High blood sugar can become a medical emergency. Go to the ER if you suspect DKA or HHS.
Never Skip Eating Breakfast
Cameron Whitman/Stocksy
Weve all heard that breakfast is the days most important meal. This is especially true for those who have diabetes. I think eating breakfast is important, especially with potential risk for hypoglycemia and avoiding potential highs related to fasting for too long a period of time, Crandall Snyder says.
A high-protein breakfast has an edge over breakfasts that are high in carbohydrates, according to research from The University of Missouri-Columbia. In the research, women ages 18 to 55 consumed meals with similar calories, fat, and fiber contents but differing amounts of protein. Researchers monitored the amount of glucose and insulin in the participants blood for four hours after they ate breakfast. The best breakfasts contained 39 g of protein and led to lower post-meal glucose spikes than the meals with less protein, the researchers found.
Besides, eating breakfast may help overweight people with type 2 diabetes shed extra pounds. Of the participants in the National Weight Control Registry who maintained at least a 30-pound weight loss for at least one year, 78 percent said they eat breakfast daily.
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