Exercise Food And Alcohol
For people with type 1 diabetes, maintaining the correct blood glucose level involves balancing how much insulin you inject, the amount of food you eat, and how much energy you burn during exercise.
Hypoglycaemia may occur if you’ve taken your dose of insulin as usual, but your carbohydrate intake is lower than normal or has been used up more quickly. This may happen if you delay or miss a meal or snack, don’t eat enough carbohydrate, or exercise more than usual.
People with diabetes who’ve drunk too much alcohol, or drank alcohol on an empty stomach, can also get hypoglycaemia.
However, it’s not always possible to identify why a particular episode of hypoglycaemia has occurred, and sometimes it happens for no obvious reason.
Signs Of Low Blood Sugar At Night
If your blood sugar drops while you are sleeping, your partner or other family members may notice that you are sweating and behaving differently. Signs of low blood sugar at night include:
- Attempting to get out of bed or accidentally rolling out of bed.
You may wake up with a headache in the morning if your blood sugar was low during the night.
Overdose Of Diabetes Medication
A common cause of hypoglycaemia is taking too much insulin for your current needs. Insulin is a medication that helps control your blood glucose levels. It’s commonly used to treat type 1 diabetes and is also recommended for some people with type 2 diabetes.
A fall in blood glucose levels can also occur after taking too much oral hypoglycaemia medication, such as sulphonylurea, which causes a release of insulin. This medication is often used to lower blood glucose levels in people with type 2 diabetes.
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What Is Low Blood Glucose
Low blood glucose, also called low blood sugar or hypoglycemia, occurs when the level of glucose in your blood drops below what is healthy for you. For many people with diabetes, this means a blood glucose reading lower than 70 milligrams per deciliter .1 Your number might be different, so check with your doctor or health care team to find out what blood glucose level is low for you.
Does Everyone Have Symptoms From Hypoglycemia
Some people dont have symptoms or dont notice them. Healthcare providers call that situation hypoglycemia unawareness. People with such a challenge arent aware when they need to do something about their blood sugar. Theyre then more likely to have severe episodes and need medical help. People with hypoglycemia unawareness should check their blood sugar more often.
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What To Do When Your Blood Pressure Drops Too Low
So, what to do when your blood pressure drops too low? If you are experiencing symptoms of very low blood pressure, for example, dizziness or fainting, it is always advisable to seek medical opinion. As there are various factors that can be the reason why your blood pressure drops too low, the condition should be properly evaluated. It is important to assess the situation and rule out any related serious cause like sudden dehydration, internal bleeding, serious infection or an allergic reaction.
Here are some immediate steps that guide on how to raise the blood pressure if it is too low. These include
- Drink plenty of fluids
- Lie with the feet above heart
- Avoid standing for long as it acts as a trigger for hypotension
- Consume salt or salty food
Causes Of Low Blood Sugar
Low blood sugar is common for people with type 1 diabetes and can occur in people with type 2 diabetes taking insulin or certain medications. The average person with type 1 diabetes may experience up to two episodes of mild low blood sugar each week, and thats only counting episodes with symptoms. If you add in lows without symptoms and the ones that happen overnight, the number would likely be higher.
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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 they’re doing, or by a trained healthcare professional.
You should dial 999 to request an ambulance if:
- a glucagon injection kit isn’t available
- there’s nobody available who’s trained to give the injection
- the injection is ineffective after 10 minutes
Never try to put food or drink into the mouth of someone who’s unconscious as they could choke.
If you’re 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.
Checking For Low Blood Sugar Levels
The warning signs of hypoglycemia are the body’s natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:
- start shaking
- have an increased heart rate
If the hypoglycemia isn’t treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if you’re having a low blood sugar level is to test. Blood sugar levels can be tested with a . This computerized device measures and displays the amount of glucose in a blood sample. But if you can’t quickly check your blood sugar level, it’s important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.
Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline is not just released when blood sugar drops too low it’s also released when blood sugar levels fall quickly when they’re too high. If you’re having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if you’re having a false reaction.
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What Extreme Conditions Can Occur If Hypoglycemia Is Left Untreated
Although severe episodes which can trigger potentially life-threatening comas are rare, they require immediate emergency room care, so its best to make sure you are tracking your blood sugar so that you never have to worry about getting to that point. A drop in blood sugar means less fuel for your brain, so its critical for your body to receive enough glucose. Hypoglycemia that leads to extended, reduced brain function is the biggest concern, as this can lead to seizures and loss of basic bodily functions controlled by the brain, which can ultimately lead to death, explains Dr. Dyer.
What Low Blood Sugar Feels Like
Have you seen the video going viral on Facebook right now where four amazing women with type 1 diabetes talk about what low blood sugar feels like?
I love this video, and it inspired me to think about what a low blood sugar feels like for me and to put it into words in this post. I think this is particularly useful for friends and family who may not know or understand what its like.
Please watch the video and consider sharing this post with your loved ones if you feel that it helps explain how you feel when your blood sugar is low.
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Dont Drive When You Have Low Blood Sugar
It’s dangerous. If you’re driving and you have hypoglycemia symptoms, pull off the road, check your blood sugar, and eat a sugary food. Wait at least 15 minutes, check your blood sugar, and repeat these steps if needed. Eat a protein and carbohydrate source before you drive on. Be prepared. Keep a sugar source, such as glucose tablets, in your car at all times for emergencies.
Blood Sugar Spike Causes
Blood sugar levels fluctuate all day long. When you eat food, particularly those foods that are high in carbohydrates like bread, potatoes, or pasta, your blood sugar will immediately begin to rise.
If your blood sugar is consistently high, you need to talk to your doctor about improving your diabetes management. Blood sugar rises when:
- youre not taking enough insulin
- your insulin isnt lasting as long as you think it is
- youre not taking your oral diabetes medication
- your medication dosage needs adjusting
- youre using expired insulin
- youre not following your nutritional plan
- you have an illness or infection
- youre using certain medications, like steroids
- youre under physical stress, such as an injury or surgery
- youre under emotional stress, such as trouble at work or home or with money problems
If your blood sugar is usually well-controlled, but youre experiencing unexplained blood sugar spikes, there might be a more acute cause.
Try keeping a record of all the food and drinks you consume. Check your blood sugar levels according to your doctors recommendations.
Its common to record your blood sugar reading first thing in the morning, before youve eaten, and then again two hours after eating. Even a few days of recorded information can help you and your doctor discover whats causing your blood sugar spikes.
Common culprits include:
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Blood Sugar Spike: What To Do
Its important to know the symptoms of hyperglycemia. If you suspect that you have high blood sugar, perform a finger stick to check your level.
Exercising and drinking water after eating, particularly if youve consumed a lot of starchy carbs, can help lower your blood sugar.
You can also use an insulin injection, but be careful only to use this method while closely following the recommendation of your doctor regarding your dose. If used improperly, insulin can cause hypoglycemia .
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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How Do I Pay For These Tests And Supplies
Medicare, Medicaid and most private insurance plans pay for the A1C test and some of the cost of supplies for checking your blood sugar. Check your plan or ask your health care team for help finding low cost or free supplies. Ask your health care team what to do if you run out of test strips. For more information about Medicare and diabetes, go to .
How Peripheral Neuropathy Leaves You Cold
When diabetes goes uncontrolled for a long time, the nerves in your hands and feet can sustain permanent damage. This sort of nerve damage in the extremities is known as peripheral neuropathy, and it can interfere with all sorts of regular sensations.
For many people, nerve damage leads to pain, numbness or tingling. You may feel a pins-and-needles sensation in your fingers that lingers for a long time, or you can lose sensitivity, making it more difficult to pick things up or feel different textures. In some cases, the opposite is true heightened sensitivity makes any contact agonizing.
Since the nerves in your limbs also monitor temperature and send those signals to your brain, it is not uncommon for hands and feet to feel abnormally cold too. Coldness or numbness that stems from peripheral neuropathy often brings along some other common symptoms, like:
- Sharp pains.
- Loss of reflexes.
- Loss of balance.
If you havent noticed any strange symptoms in your extremities other than the cold feeling, you may be dealing with a different diabetic complication. Another type of neuropathy may be causing the trouble, or it could have more to do with your blood sugar levels or insulin usage.
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Hypoglycemia Tests And Diagnosis
To diagnose nondiabetic hypoglycemia, your doctor will do a physical exam and ask questions about any medicines you take. Theyâll want to know all about your health and any history of diseases or stomach surgery.
Theyâll check your blood glucose level, especially when you are having symptoms. Theyâll also check to see if you feel better when your sugar goes back to a normal level.
If your doctor suspects hypoglycemia, you may have to fast until you start to have symptoms. Theyâll test your blood glucose level at different times throughout the fast.
To check for reactive hypoglycemia, you may have to take a test called a mixed-meal tolerance test . For this, you take a special drink that raises your blood glucose. The doctor will check your blood glucose levels over the next few hours.
Your Hypoglycemia Action Plan
If you experience symptoms of hypoglycemia, its important to take action. Start with these steps:
Test your blood sugar. If you recognize any of these symptoms and believe your blood sugar may be too low, the first step you should take is to test your blood sugar with your glucose meter, Tan says. Anything less than 70 milligrams per deciliter is considered low blood sugar, according to the National Library of Medicine . However, target levels are often individualized, so talk with your healthcare provider about your optimal numbers, Tan adds.
Eat or drink fast-acting carbs. If you have low blood sugar, you need to take action right away. Your best bet is to consume about 15 grams of carbohydrates, the NLM says. Some options include:
- ½ cup or 4 ounces of orange juice
- ½ cup or 4 ounces of regular soda
- 1 tablespoon of sugar dissolved in water
- 1 tablespoon of honey or maple syrup
- 5 or 6 hard candies, jelly beans, or gumdrops
- 1 tablespoon of cake frosting
- 2 tablespoons of raisins
- ½ cup of applesauce
You can also take three to four glucose tablets or a tube of glucose gel. Everyone who takes medications for diabetes should always have glucose tablets with them, Galindo urges.
Wait, then retest. The next step is to wait 15 minutes, then test your blood sugar again. If blood sugar has reached 100 mg/dl or greater, youre fine. If not…
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What Causes Low Blood Sugar
Despite advances in the treatment of diabetes, low blood sugar episodes occur as a side effect of many treatments for diabetes. In fact, these episodes are often the limiting factor in achieving optimal blood sugar control, because many medications that are effective in treating diabetes carry the risk of lowering the blood sugar level too much, causing symptoms. In large scale studies looking at tight control in both type 1 and type 2 diabetes, low blood sugars occurred more often in the patients who were managed most intensively. This is important for patients and physicians to recognize, especially as the goal for treating patients with diabetes becomes tighter control of blood sugar.
While people who do not have any metabolic problems can complain of symptoms that resemble low blood sugar, true hypoglycemia usually occurs in people with diabetes mellitus . People with pre-diabetes or insulin resistance also can have low blood sugars on occasion if their high circulating insulin levels are further challenged by a prolonged period of fasting. There are other rare causes for the condition, such as insulin-producing tumors and certain medications.
These uncommon causes of hypoglycemia will not be discussed in this article, which will primarily focus on the condition occurring with type 1 or 2 diabetes and its treatment.
What To Do When Your Blood Pressure Drops Too Low And How To Raise It
Falling down of blood pressure below the normal range is referred to as low blood pressure or hypotension. The normal blood pressure reading is 120/80mm Hg, and a person with low blood pressure shows a reading of 90/60mm Hg or low. Having a low blood pressure without any symptoms might not be much of a problem, but if the symptoms start showing up it means that the blood supply to the body is being affected. If this happens the doctor might diagnose the condition to get the cause.
It is important to know what to do if your blood pressure drops too low and how to raise it. But before that let us understand the causes of low blood pressure and understand why your blood pressure drops too low. Some of the conditions causing low blood pressure involve
- Chest pain or heart attack in a patient suffering from heart disease.
- Sitting and standing may lead to vertigo or dizziness in the patient with postural hypotension.
- Increase in urea and creatinine levels in the patient with kidney disease. This happens due to decreased blood supply to the kidney.
- Kidney failure, heart failure, lung failure, and brain failure.
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