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.
High Blood Sugar Levels
If you have diabetes, you can find out if your blood sugar level is high by having a blood sugar test.
You may have regular tests by your care team or GP surgery, or you may have tests you can do at home.
| Type of test | High level |
|---|---|
| Test done by a health professional to check your blood sugar level over the last 2 or 3 months | 48 mmol/mol or over |
| Test done by a health professional after not eating for a few hours | Over 7 mmol/L |
| Home test done after waking up or before eating | Over 7 mmol/L |
| Home test done at any other time | Over 11 mmol/L |
When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isn’t enough insulin or the insulin doesn’t work properly. Without the effect of insulin, the organs can’t make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
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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.
What Are The Symptoms Of Low Blood Sugar
- Difficulty speaking
- Muscle weakness
If you are experiencing an extremely low blood sugar, which is anything less than 40 mg/dL, that is not responding to fast-acting glucose or glucagon, and you have taken fast-acting insulin within the previous 2 hours, call 911 and seek immediate emergency medical attention.
This condition can be life-threatening if not treated.
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Fasting Plasma Glucose Test
A fasting plasma glucose test is taken after at least eight hours of fasting and is therefore usually taken in the morning.
The NICE guidelines regard a fasting plasma glucose result of 5.5 to 6.9 mmol/l as putting someone at higher risk of developing type 2 diabetes, particularly when accompanied by other risk factors for type 2 diabetes.
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.
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Causes Of High Blood Sugar
The leading causes of high blood sugar or hyperglycemia include:
Diet: Glucose comes from food, so what you are eating causes high blood sugar. Carbohydrates are the most common culprit as they are broken down into glucose very quickly in the body. High-sugar foods, high-fat foods, and processed foods also cause blood glucose spikes and should be replaced with healthier options.
Stress: When you are stressed, more stress hormones and chemicals are released, which drives blood sugar levels up too. If the stress is only temporary, this is not a serious issue, but if you experience chronic stress or an anxiety disorder, you may experience high blood sugar levels more often.
Metabolic Syndrome: These are a collection of conditions that occur at the same time and increase your risk for type 2 diabetes. High blood pressures, excess fat around the waist, and high cholesterol or triglycerides are examples of these conditions. When these occur in the body together, your risk for diabetes increases as does your blood sugar and the risk for potential complications.
Physical Inactivity: A lack of physical activity contributes to elevated blood sugar. When you are physically active each day, insulin works more efficiently, and your blood sugar can be maintained.
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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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.
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.
Risks Of Very High Blood Sugar
Clinically high blood sugar is called hyperglycemia. Its a severe danger, particularly for those who have type 1 diabetes. Diabetic ketoacidosis is a life-threatening condition. It happens in patients whose hyperglycemia gets out of control.
Diabetic ketoacidosis happens once a persons blood sugar rises above 240 mg/dL. Eating well, taking medications on time, and monitoring your blood sugars are the best ways to avoid this complication.
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What Is A Normal Blood Sugar Level
According to the American Diabetes Association, a normal fasting blood sugar is less than 100 mg/dL.
A fasting blood sugar reading of 100-125 mg/dL indicates prediabetes, and a reading above 125 indicates diabetes.
| Fasting Blood Sugar | |
| 100 mg/dl to 125 mg/dl | Prediabetes |
| 126 mg/dl or higher | Diabetes |
If you test your blood sugar two hours after eating or drinking something containing sugar instead , the numbers to look for are:
| Oral Glucose Tolerance Test | |
| 140 mg/dl to 199 mg/dl | Prediabetes |
You can learn more in the in-depth article: What Are Normal Blood Sugar Levels?
What Is A Normal Blood Glucose Level For Someone With Diabetes
Diabetes mellitus , often referred to as diabetes, is characterized by high blood glucose levels that result from the bodys inability to produce enough insulin and/or effectively utilize the insulin. Diabetes is a serious, life-long condition and the sixth leading cause of death in the United States. Diabetes is a disorder of metabolism . There are three forms of diabetes. Type 1 diabetes is an autoimmune disease that accounts for five- to 10-percent of all diagnosed cases of diabetes. Type 2 diabetes may account for 90- to 95-percent of all diagnosed cases. The third type of diabetes occurs in pregnancy and is referred to as gestational diabetes. Left untreated, gestational diabetes can cause health issues for pregnant women and their babies. People with diabetes can take preventive steps to control this disease and decrease the risk of further complications.Continue reading > >
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Risk Factors For High Blood Sugar
Doctors do not know what exactly causes diabetes. However, some factors may increase the risk, including the below.
Type 1 diabetes
Researchers believe certain genetic or environmental factors may make people more likely to get type 1 diabetes.
The National Institute of Diabetes and Digestive and Kidney Diseases notes certain genes play a role and that other factors such as viruses and infections may have an impact.
The Juvenile Diabetes Research Foundation states that there is nothing a person can do to prevent type 1 diabetes. Eating, exercising, or other lifestyle choices will not change the outcome.
Type 1 diabetes usually begins during childhood or early adulthood, but it can happen at any age.
Type 2 diabetes
People who have high blood sugar should discuss their target levels with a doctor.
They may need regular testing to keep these within a healthy range. Each person is different, and levels can vary between individuals.
To find out their blood sugar levels, a person may need to fast for 8 hours, 2 hours after a meal, or at both times.
Some people may also take a glucose tolerance test, where they drink a sugary liquid and have a blood test after.
The American Diabetes Association recommends a premeal blood sugar level of 80130 mg/dl. Around 1 to 2 hours after beginning a meal, their blood sugar should be less than 180 mg/dl.
Problems Caused By High Blood Sugar
It’s not usually a serious problem if your blood sugar is sometimes slightly high for a short time.
But high blood sugar can cause serious problems if it stays high for a long time or gets to a very high level.
It can lead to:
- life-threatening conditions such as diabetic ketoacidosis
If you have high blood sugar, your doctor or care team may ask you to test your blood or pee to check for ketones. A high level of ketones is a sign of diabetic ketoacidosis.
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Symptoms Signs Causes Of Levels Of High Blood Sugar In The Blood
High blood sugar or hyperglycemia is an abnormally high blood sugar level in the blood. Hyperglycemia is a hallmark sign of diabetes and prediabetes.
Signs and symptoms of hyperglycemia include blurred vision, headaches, hunger, and …
The normal ranges for blood sugar levels in adults who do not have diabetes while fasting are 72-99 mg/dL. These ranges may increase to 80-130 mg/dL for those being treated for diabetes.
According to the American Diabetes Association, people with diabetes should have
- blood sugar levels of 80-130 mg/dL before eating a meal , and
- less than 180 mg/dL about 1-2 hours after eating a meal
High blood sugar ranges for people who dont have diabetes begin at 140 mg/dL, while those being treated for diabetes have a high range beginning at 180 mg/dL.
Low Blood Sugar Symptoms
Low blood sugar, also called hypoglycemia, is what happens when blood glucose levels drop too low. People who take insulin may have low blood sugar if they take too much insulin or mistime the insulin dose in relation to food, or if they exercise more than usual when there is fast-acting insulin on board .
Your healthcare provider will tell you when and how to check blood sugar, and when and how to treat low blood sugar. A low blood sugar is generally considered to be less than 70 mg/dL. A dangerously low blood sugar is below 54 mg/dL.
Low blood sugar can also be caused by many things including certain medications or combinations of medications, alcohol, endocrine disorders, eating disorders, 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
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 monitor it with a continuous glucose monitor such as the Dexcom G6.
If your blood sugar is low , a general rule of thumb is to consume 15 grams of fast-acting carbs to raise your blood sugar levels and avoid further symptoms, according to the American Diabetes Association . Your healthcare provider will give you a plan for what to do in case of low blood sugar that is specifically designed for you.
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How Do I Check My Blood Sugar
Checking your blood sugar is simple and can be done at home with the right equipment. The most traditional and effective way of doing so is with a glucose meter. You wash your hands to wash away germs, prick your finger with a needle, apply the blood from the pricked finger to a test strip and insert it into the machine. Your blood sugar level will appear on the meters display. Alternatively, there are a few modern methods that have been developed. They show results but are considered not to be as accurate as glucose meters.
High Blood Sugar Management: Winters Make Us Slow Lethargic And Less Active Due To Which The Blood Sugar Levels Can Go Up So Lifestyle And Dietary Changes Are Required To Keep Blood Glucose Levels In Check
- Physical activities like exercise lower one’s blood sugar levels, help the body use insulin better, keeps you warm, and can even improve your mood
- When you’re sick, diabetes gets more difficult to control, so take overall care of health
- If you want to enjoy dessert, maintain a balance
During the winter season, blood sugar levels fluctuate and this can be especially worrying for diabetics. Dr Ashok Jhingan, Senior Director, BLK-Max Centre for Diabetes, Thyroid, Obesity & Endocrinology, points out that just as high temperatures can change how your body uses insulin, the winter season poses its own set of challenges for diabetics. “Not only extreme cold affects your glucose levels, but it may also lead to false readings. Diabetes management also depends a lot on lifestyle changes. Winters make us slow, lethargic, and less active due to which the blood sugar levels can go up. Add to it all the calorie-laden winter comfort food and your sugar levels can really go awry,” shares Dr Jhingan.
Dr Ashok Jhingan shares a few tips to control blood sugar levels during the winter months – follow these and keep those winter blues away!
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Get More Quality Shuteye
Getting good sleep is our best weapon against any illness. Many otherwise healthy individuals develop chronic ailments simply because they are not getting enough sleep. These same individuals develop insomnia, turning the problem into a vicious cycle.
In one study by the Harvard Medical Center, volunteers sleeping only for hours per night had more cholesterol in their blood. High cholesterol reduces insulins ability to regulate blood sugar. High cholesterol also leads to obesity, heart disease, and strokes.
Before making other significant changes, ensure you get 7-9 hours of sleep every night. You will likely notice an improvement in multiple areas of your life.