How Low Can My Blood Sugar Go

Nighttime Low Blood Sugar

While low blood sugar can happen at any time during the day, some people may experience low blood sugar while they sleep. Reasons this may happen include:

• Having an active day.
• Being physically active close to bedtime.
• Taking too much insulin.
• Drinking alcohol at night.

Eating regular meals and not skipping them can help you avoid nighttime low blood sugar. Eating when you drink alcohol can also help. If you think youre at risk for low blood sugar overnight, have a snack before bed.

You may wake up when you have low blood sugar, but you shouldnt rely on that. A continuous glucose monitor can alert you with an alarm if your blood sugar gets low while youre sleeping.

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.

After You Have Low Blood Sugar

If your low blood sugar was mild , you can return to your normal activities once your blood sugar is back in its target range.

After you have low blood sugar, your early symptoms for low blood sugar are less noticeable for 48 to 72 hours. Be sure to check your blood sugar more often to keep it from getting too low again, especially before eating, physical activity, or driving a car.

If you used glucagon because of a severe low , immediately call your doctor for emergency medical treatment. If you have had lows several times close together , you should also tell you doctor. They may want to change your diabetes plan.

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A Low Blood Sugar Level Without Diabetes

A low blood sugar level is uncommon in people who do not have diabetes.

Possible causes include:

• a gastric bypass
• other medical conditions, such as problems with your hormone levels, pancreas, liver, kidneys, adrenal glands or heart
• some medicines, including quinine

See a GP if you think you keep getting symptoms of a low blood sugar level. They can arrange some simple tests to check if your blood sugar level is low and try to find out what’s causing it.

What Can Cause Low Blood Sugar Levels

Some things that can make low blood sugar levels more likely are:

• skipping meals and snacks
• not eating enough food during a meal or snack
• exercising longer or harder than usual without eating some extra food
• getting too much insulin
• not timing the insulin doses properly with meals, snacks, and exercise

Also, some things may increase how quickly insulin gets absorbed into the bloodstream and can make hypoglycemia more likely. These include:

• taking a hot shower or bath right after having an insulin injection increases blood flow through the blood vessels in the skin, which can make the insulin be absorbed more quickly than usual
• injecting the shot into a muscle instead of the fatty layer under the skin
• injecting the insulin into a part of the body used a lot in a particular sport .

All of these situations increase the chances that a person may get hypoglycemia.

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What To Do To Lower Blood Sugar

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Treating Mild To Moderate Hypoglycemia

If you start feeling any of the symptoms listed above, check your blood sugar as soon as possible, then follow the chart below to treat low blood sugar. If you have any concerns, or cant test immediately, its best to treat first and check when possible.

Insulin Is The Fastest Way To Lower Blood Sugar

Michael Menna, DO, is a board-certified, active attending emergency medicine physician at White Plains Hospital in White Plains, New York.

• Frequently Asked Questions

High blood sugar is common in people with diabetes. It occurs when there is too much glucose in your blood and not enough insulin in your body. The quickest way to lower high blood sugar is an insulin injection.

For those who are not prescribed insulin, exercise is your best option for bringing blood sugar levels down. Taking missed medication, drinking lots of water, and using stress-management tools can also help to lower blood sugar quickly.

This article discusses the four best ways to lower your blood sugar quickly. It also explains what causes high blood sugar and warning signs that your blood sugar is dangerouly high.

Verywell / Theresa Chiechi

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What Are The Complications Of Low Blood Glucose

Mild-to-moderate low blood glucose can be easily treated. But severely low blood glucose can cause serious complications, including passing out, coma, or death.

Repeated episodes of low blood glucose can lead to

• high blood glucose levels, if worry or fear of low blood glucose keeps you from taking the medicines you need to manage your diabetes8
• hypoglycemia unawareness, a condition in which you dont notice any symptoms of low blood glucose until your blood glucose level has dropped very low

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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.

How Can I Be Better Prepared For Hypoglycemia

You can take some steps to be ready for hypoglycemia:

• Be aware of the symptoms and treat them early.
• Carry some fast-acting carbs with you all the time.
• Check your glucose levels frequently, especially around meals and exercise.
• Inform family, friends and co-workers so they know what do if you need help.
• Talk to your healthcare provider regularly to make and update your plan.
• Wear a medical bracelet that lets people know you have diabetes. Carry a card in your purse or wallet with instructions for hypoglycemia.

A note from Cleveland Clinic

Hypoglycemia is quite common in people with diabetes. If not treated, it can cause troubling symptoms, and even serious health problems. Fortunately, you can avoid hypoglycemic episodes by monitoring your blood sugar. You can also make small adjustments to eating and exercising routines.

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How Can I Prevent Hypoglycemia

You may need to change what and when you eat to prevent low blood sugar levels. Follow the meal plan that you and the dietitian have planned. The following guidelines may help you keep your blood sugar levels under control.

• Eat 5 to 6 small meals each day instead of 3 large meals. Eat the same amount of carbohydrate at meals and snacks each day. Most people need about 3 to 4 servings of carbohydrate at meals and 1 to 2 servings for snacks. Do not skip meals. Carbohydrate counting can be used plan your meals. Ask your healthcare provider or dietitian for information about carbohydrate counting.
• Limit refined carbohydrates. Examples are white bread, pastries , regular sodas, syrups, and candy.
• Do not have drinks or foods that contain caffeine. Examples are coffee, tea, and certain types of sodas. Caffeine may cause you to have the same symptoms as hypoglycemia, and may cause you to feel worse.
• Limit or do not drink alcohol. Women should limit alcohol to 1 drink a day. Men should limit alcohol to 2 drinks a day. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor. Do not drink alcohol on an empty stomach. Drink alcohol with meals to avoid hypoglycemia.
• Include protein foods and vegetables in your meals. Some foods that are high in protein include beef, pork, fish, poultry , beans, and nuts. Eat a variety of vegetables with your meals.

Are High Levels Of Blood Sugar Dangerous

Low blood sugar levels begin at 70 mg/dL or less.

• People with diabetes who take too much medication or take their usual amount but then eat less or exercise more than usual can develop hypoglycemia. Although much rarer, hypoglycemia may develop in some people without diabetes when they take someone elses medication, have excessive alcohol consumption, or have hepatitis or a rare tumor of the pancreas .
• The treatment for hypoglycemia is oral glucose intake (15.0 grams of sugar, for example, 1 tablespoon of sugar, honey, corn syrup, or IV fluids containing glucose. Rechecking your blood sugar levels in about 15 minutes after the treatment is advised.

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When To Call The Doctor

If signs of low blood sugar do not improve after you have eaten a snack that contains sugar, have someone drive you to the emergency room or call 911 or the local emergency number. Do not drive when your blood sugar is low.

Get medical help right away for a person with low blood sugar if the person is not alert or cannot be woken up as this is a medical emergency.

Prevention Of Low Blood Sugar

Do not skip or delay meals. If your diet plan includes snacks, make sure to take these.

Measure insulin dosage carefully and inject it properly. If you cannot see well, a family member or a visiting nurse can prepare your insulin injections for you.

Take only the prescribed amount of insulin or oral medication for diabetes that your doctor has ordered.

Keep exercise consistent from day to day. Eat a snack or reduce your insulin prior to unusual exercise.

If you are taking insulin, notify your doctor if you have low blood sugars four or more times per week or if you have a severe low blood sugar. Severe low blood sugars are those less than 40 mg., those requiring help from another person, or those which cause you to have a convulsion or become unconscious.

If you are taking oral medication for your diabetes notify your doctor or nurse if blood sugars are running less than 80 mg. or if you have a severe low blood sugar.

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The Dangers Of Low Blood Glucose

At some time, most people with diabetes experience the sweating and shakiness that occurs when blood glucose levels fall below 70 mg/dl a condition known as hypoglycemia. The average person with type 1 diabetes may experience symptoms of low blood glucose up to two times a week. However, not all are aware that these symptoms can rapidly progress to seizures, coma and even death if hypoglycemia is severe. Though hypoglycemia can be common and occur repeatedly in some people with diabetes, symptoms of low blood glucose should always be taken seriously. People with diabetes and their families, friends or coworkers should be prepared to act quickly and responsibly at the earliest signs of low blood glucose.

Drink Water And Stay Hydrated

Drinking enough water could help you keep your blood sugar levels within healthy ranges.

In addition to preventing dehydration, it helps your kidneys flush out any excess sugar through urine.

One review of observational studies showed that those who drank more water had a lower risk of developing high blood sugar levels (

34 ).

You can do so at home using a portable blood glucose meter, which is known as a glucometer. You can discuss this option with your doctor.

Keeping track allows you to determine whether you need to adjust your meals or medications. It also helps you learn how your body reacts to certain foods .

Try measuring your levels regularly every day and keeping track of the numbers in a log. Also, it may be more helpful to track your blood sugar in pairs for example, before and after exercise or before and 2 hours after a meal.

This can show you whether you need to make small changes to a meal if it spikes your blood sugar, rather than avoiding your favorite meals altogether. Some adjustments include swapping a starchy side for non-starchy veggies or limiting them to a handful.

Summary

Checking your blood glucose and maintaining a daily log enables you to adjust foods and medications when necessary to better manage your blood sugar levels.

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What Stimuli Causes Blood Sugar To Raise Or Lower

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