Controlled Means Different Things To Different People
Theres no one-size-fits-all recommendation for blood sugar control.
The ADA says that a reasonable goal for many nonpregnant adults is to aim for an A1C level of less than 7. Yet some patients may be given a more stringent goal by their healthcare providers, such as 6.5, if thats reachable without harmful side effects, including hypoglycemia.
On the other hand, if you are elderly, managing other health complications, or reliant on insulin, you may be given less stringent goals. It really becomes more important to just keep in the same place, says Rahil Bandukwala, DO, an endocrinologist at MemorialCare Saddleback Medical Center in Laguna Hills, California. Keeping A1C between 7.5 and 8.5 may be very reasonable for such a patient, Dr. Bandukwala adds, echoing the ADAs recommendations.
Because elderly people are more likely to have blood sugar that swings too far downward, with fewer warning signs, managing their glucose too tightly can put them at greater risk for hypoglycemia, says Bandukwala. When you have low blood sugar, youre at a higher risk for becoming dizzy and falling or passing out, notes the ADA.
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What Is High Blood Glucose
To fully understand your blood glucose levels, itâs important to know: a) what values are actually considered high, and b) factors that can cause your elevated reading in the first place.
High blood glucose, also known as hyperglycemia, occurs when there is too much sugar in the bloodstream. Low blood sugar, or hypoglycemia, is the result of too little glucose in the bloodstream. Hyperglycemia usually occurs because your body doesnât produce enough insulin or canât properly use the available insulin to remove the glucose from the bloodstream.
Using milligrams of glucose per deciliter of blood for measurement, high blood glucose readings after a meal indicating prediabetes can fall between 140 and 199 mg/dL. Levels reaching 200 mg/dL two hours after eating indicate you may already be insulin resistant or diabetic, though that diagnosis will need to come from your doctor. By comparison, the typical standard for normal glucose readings is to remain under 140 mg/dL throughout the day and under 100 mg/dL after eight hours of fasting.
A range of lifestyle factors, habits, and health conditions can cause high blood sugar. To debunk common hyperglycemia myths, review causes and symptoms, and discuss the best ways to address them, we spoke with two experts on high blood sugar levels: registered dietitian and For The Love of Diabetes creator Lori Zanini and registered dietitian nutritionist and diabetes management expert .
Hyperglycemia Or High Blood Sugar Is A Condition That Is Becoming Prevalent Among The Young And Old
Society has become affluent, so people prefer expensive, sugary desserts. So the fact that there are more people with the signs of high blood sugar than before is not surprising.
If diabetes and hyperglycemia run in your family, take some time to understand its causes and symptoms. This article will point out the signs of high blood sugar and teach you how to keep it in check.
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What Is The Future Of Blood Sugar Testing
Even though you can monitor blood sugar level with glucometers and CGMs, the future might provide additional ways to manage your diabetes.
- Multiple waves: Researchers have been studying and experimenting with new technologies. For example, some adults with type 2 diabetes in Europe have access to a device that can measure blood sugar using ultrasonic, electromagnet, and thermal waves.
- Radio waves: Other advances on the horizon involve using radio waves to measure blood sugar .
- Tears: Additionally, some researchers are working on a sensor to monitor blood sugar under the lower eyelid . It works by measuring the sugar level of tear fluid.
- Contacts and lasers: Other future technologies might possibly include using a smart contact lens to measure blood sugar, as well as laser technology.
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Things To Do If You Have Diabetes
Common things that people with diabetes should avoid include eating lots of simple sugars, eating too much food for the activity theyve performed recently, and not following medication or exercise plans.
Some things that can be harmful to people with diabetes are smoking cigarettes, drinking alcohol in excess, and eating large portions of unhealthy foods.
The person should maintain a healthy diet and exercise regularly. The doctor may also recommend taking insulin or other medications to manage their blood sugar levels.
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You Feel Tiredness And Fatigue Constantly
Fatigue and extreme tiredness are symptoms of uncontrolled blood sugar, the ADA says. Simply put, when your body is not processing insulin properly or it doesnt have sufficient amounts of insulin, the sugar is staying in our blood rather than getting into our cells to be used for energy, Zanini says. Also, frequent urination can lead to dehydration, which Bandukwala identifies as another contributing factor to fatigue.
Reflect On The Amount Of Sugar In Your Diet
Hyperglycemia occurs when there is too much glucose in the blood.
Therefore, one way of reducing your blood glucose levels is reflecting on where sugar may be consumed in the diet. Think about any refined and processed foods that may be in your diet as these are often high in sugar. This can be achieved through a low carbohydrate diet.
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What Should My Blood Sugar Level Be
When you’re first diagnosed with diabetes, your diabetes care team will usually tell you what your blood sugar level is and what you should aim to get it down to.
You may be advised to use a testing device to monitor your blood sugar level regularly at home.
Or you may have an appointment with a nurse or doctor every few months to see what your average blood sugar level is. This is known as your HbA1c level.
Target blood sugar levels differ for everyone, but generally speaking:
- if you monitor yourself at home with a self-testing kit a normal target is 4 to 7mmol/l before eating and under 8.5 to 9mmol/l 2 hours after a meal
- if your HbA1c level is tested every few months a normal HbA1c target is below 48mmol/mol
The Diabetes UK website has more about blood sugar levels and testing.
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What If I Have Trouble Getting To My Blood Sugar Goals
There may be times when you have trouble reaching your blood sugar goals. This does not mean that you have failed. It means that you and your health care team should see if changes are needed. Call your health care team if your blood sugar is often too high or too low. Taking action will help you be healthy today and in the future.
Risk Factors For High Blood Sugar
Doctors do not know exactly what causes diabetes. Some factors may increase the risk, however.
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 say certain genes play a role, and other factors such as viruses and infections may have an impact.
The Juvenile Diabetes Research Foundation say that there is nothing a person can do to prevent type 1 diabetes. Eating, exercise, 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 their 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, the 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, in which they drink a sugary liquid and have a blood test after.
The American Diabetes Association recommend a pre-meal blood sugar level of 80130 milligrams per deciliter . Around 1 to 2 hours after the beginning of a meal, blood sugar should be less than 180 ml/dL.
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Why Do These Symptoms Matter For Diabetics
These symptoms are essential for diabetics to understand, because they may encounter high or low blood sugar levels from time to time.
A cold or virus can cause sudden high blood sugar levels, and understand the symptoms means knowing how to deal with hyperglycemia or hypoglycemia.
People with diabetes who can recognise the symptoms can avoid levels that lead to medical emergencies such as diabetic ketoacidosis
Keep Your Blood Sugar Levels In Check
If you’re feeling any of these early warning signs that something might be wrong with your body, then make sure to speak with a doctor or a certified diabetes educator who can provide medical advice on what steps to take next.
It doesn’t hurt to get your blood sugar regularly tested, especially if you’re experiencing any of these symptoms. The earlier something is detected, the better chance there will be at reversing it and making sure that your blood sugar levels stay in a healthy normal range.
On the contrary, if none of these apply, but your blood sugar level still seems off – please see a doctor as soon as possible! Your health matters more than anything else in this world. Never forget that. And remember: if it’s not one thing on this list or another, just go get checked out by a medical professional immediately.
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When To See A Doctor
If youre experiencing one or many of these symptoms enough for it to raise a mental red flag or affect your life , thats a sign that you should talk to a doctor about your concerns. An expert like a primary care provider can help determine if high blood sugar due to diabetes or prediabetes is the cause of your symptoms. Even if youre not sure thats exactly whats going on, its still worth having a conversation with your doctor about hyperglycemia and other possible causes behind your symptoms.
What Is Normal Blood Sugar
Normal blood sugar or blood glucose levels are between 80 and 130 mg/dL. That number is an average of what is normal for individuals with diabetes. When blood sugar levels are too high, the person may experience hyperglycemia. Hyperglycemia can be characterized by extreme thirst and urination, blurred vision, or shakiness, sweating, dizziness, or confusion. When the person has low blood glucose, they may experience hypoglycemia which can be characterized by sweating, dizziness, or confusion.
The range of normal blood glucose levels for people with diabetes is between 80-130 milligrams per deciliter . A persons individual level will depend on many factors including how old they are, their ethnicity, their weight and height, and the activity theyve performed recently.
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Diabetes Sign: Youre Exhausted
Fatigue is a classic side effect of dehydration. So if youre peeing more often and are thirstier than usual, you might find yourself feeling weirdly wiped out, explains Elizabeth Halprin, M.D., clinical director of adult diabetes at Joslin Diabetes Center in Boston.
You might feel zonked even if youre still going to bed and waking up at your usual time. Getting up multiple times throughout the nightsay, if you need to pee interrupts your sleep, too, Dr. Halprin says. As a result, you end up getting less snooze time than you think.
Managing Blood Sugar Levels
Many people with diabetes must check their blood sugar levels daily with a glucose meter. This device takes a drop of blood, usually from a finger, and displays the sugar level within a few seconds.
People with type 1 diabetes will need to take insulin as their doctor recommends, usually several times a day.
Those with type 2 diabetes or gestational diabetes may need to change their diet and exercise habits. They may also need to take oral medications or insulin.
A number of strategies can help prevent hyperglycemia.
- check their blood sugar levels as their doctor advises and take the correct amount of insulin, if they have type 1 diabetes
- speak to their healthcare provider or dietitian about which foods to eat or avoid, how much to eat, and how often
- take precautions to avoid infections, for example, through regular hand washing, as illness, such as a cold, can trigger a rise in blood pressure
- plan their food intake and exercise to balance blood sugar levels
- minimize stress, as far as possible, for example, through exercise, getting enough sleep, and stress-reducing activities such as meditation or yoga
Low blood sugar, or hypoglycemia, can happen when a person:
- has certain medical conditions
- does a lot of exercise
- skips meals or eats too little
It can also be a side effect of diabetes medicines. Taking too much insulin can result in low blood sugar levels.
Symptoms of low blood sugar may include:
- visit a doctor regularly
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