How Can I Treat And Manage Hyperglycemia
People with both type 1 and type 2 diabetes can manage hyperglycemia by eating healthy, being active, and managing stress. In addition, insulin is a critical part of managing hyperglycemia for people with type 1 diabetes, while people with type 2 diabetes may need oral medications and eventually insulin to help them manage hyperglycemia.
If you dont have diabetes and have any of the signs and symptoms of hyperglycemia, call your healthcare provider. Together you can work to manage your hyperglycemia.
How To Lower Blood Sugar Immediately
Michael Menna, DO, is a board-certified, active attending emergency medicine physician at White Plains Hospital in White Plains, New York.
If you have high blood sugar, a condition also known as hyperglycemia, theres too much sugar in your blood and not enough insulin in your body to lower it. In people with diabetes, hyperglycemia can be caused by things like eating too many carbohydrates, lack of physical activity, stress from an illness or infection, nondiabetes medications , or skipping or not taking enough glucose-lowering medication.
Hyperglycemia requires immediate treatment to prevent serious complications, including nerve, tissue, and organ damage diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome . While taking rapid-acting insulin is the quickest way to lower your blood sugar, there are other ways like exercising and staying hydrated that can help. In cases of an emergency, contact your healthcare provider immediately.
How Is It Treated
If you have diabetes and notice any of the early signs of high blood sugar, test your blood sugar and call the doctor. They may ask you for the results of several readings. They could recommend the following changes:
Drink more water. Water helps remove excess sugar from your blood through urine, and it helps you avoid dehydration.
Exercise more. Working out can help lower your blood sugar. But under certain conditions, it can make blood sugar go even higher. Ask your doctor what kind of exercise is right for you.
Caution: If you have type 1 diabetes and your blood sugar is high, you need to check your urine for ketones. When you have ketones, do NOT exercise. If you have type 2 diabetes and your blood sugar is high, you must also be sure that you have no ketones in your urine and that you are well-hydrated. Then your doctor might give you the OK to exercise with caution as long as you feel up to it.
Change your eating habits. You may need to meet with a dietitian to change the amount and types of foods you eat.
Switch medications. Your doctor may change the amount, timing, or type of diabetes medications you take. Donât make changes without talking to them first.
If you have type 1 diabetes and your blood sugar is more than 250 mg/dL, your doctor may want you to test your urine or blood for ketones.
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For People With Type 2 Diabetes
It is normal for blood glucose levels to go up and down throughout the day. An occasional high blood glucose level is not a problem. But if your blood glucose level remains high for a few days or if you are sick, contact your doctor or Credentialed Diabetes Educator.
If not treated, high blood glucose levels can be dangerous and lead to Diabetic Ketoacidosis. Find out more here:
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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High And Low: How To Reduce Blood Sugar Level Immediately
Is insulin enough to reduce blood sugar immediately? Insulins main function is to lower blood sugar levels, but does your insulin dosage do the job?
The simple answer is: yes, insulin does the job, especially for those with insulin-dependent diabetes. There are certainly alternative ways to lower blood sugar immediately, but thats not exactly the goal when it comes to diabetes.
You dont want to lower blood sugar rapidly, just for the sake of being rapid. If you reduce blood sugar too quickly, then youll end up having to deal with low blood sugar instead.
Diabetes management is more about finding balance and treating yourself in a controlled manner. So, while you might need to reduce blood sugar immediately in some situations, you can do it in a way where youre still in control.
Find out how to stay in control, lower blood sugar, and get back to your normal lockdown routine of bread-baking and Tiger King-viewing!
Natural Ways To Lower Blood Sugar
Whether you have symptoms of high blood sugar or youve been diagnosed with diabetes, you may be wondering how to lower blood sugar naturally. While blood sugar may be improved with home remedies, people with diabetes should not stop taking their medication or change their dosage without talking to their healthcare provider. But in addition to medication, you can try these natural remedies for lowering your blood sugar. Also consider the opposite, if you do not follow these healthful ways to lower blood sugar, the medication that your physician prescribes may never effectively control your blood sugars.
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When To Lower Blood Sugar
When blood sugar is too high, it is termed hyperglycemia. The World Health Organization recognises hyperglycemia as blood sugar thats above 126 mg/dL or 7.0 mmol/L in a period before eating , or above 200 mg/dL or 11.1 mmol/L two hours after eating.
When blood sugar is at this point, you should take steps to reduce those numbers. It goes without saying that testing blood sugar regularly is ideal, in order to know when youre hyperglycemic.
You may also realise that youre hyperglycemic if youre experiencing some of the following symptoms:
- Difficulty concentrating
- Blurred vision
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According to the American Diabetes Association, when blood sugar levels start teetering towards 250 mg/dL or 13.9 mmol/L is when diabetic ketoacidosis can occur.
Ketoacidosis happens because of the bodys need for fuel. With high blood sugar, the body isnt getting any fuel in the form of glucose. Instead, the body tries to burn fat for fuel, but this process leads to ketones essentially acids building up in the bloodstream.
Symptoms of ketoacidosis can include symptoms of hyperglycemia, along with:
- Vomiting or feeling nauseous
- Dry mouth
- Pain in the abdomen
Meanwhile, diabetes.co.uk recommends checking for ketones if your blood sugar levels have been consistently above 13 mmol/L or 230 mg/dL.
Choose Low Glycemic Index Foods
The glycemic index measures and ranks various foods by how much they cause blood sugar levels to rise. Research shows that following a low glycemic index diet decreases fasting blood sugar levels.
Low glycemic index foods are those that score below 55 on the glycemic index. Examples of low glycemic foods include:
- sweet potatoes
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Correcting High Blood Sugar Levels With Insulin
If you take insulin, one way to reduce blood sugar is to inject insulin.
However, be careful as insulin can take 4 hours or longer to be fully absorbed, so you need to make sure you take into account how much insulin you may already have in your body that is yet to be absorbed by the blood. Insulin that is yet to be absorbed by the blood is called active insulin.
If you decide to correct with insulin, watch you dont over correct as this can lead to hypoglycemia and can be dangerous, particularly so before bed.
Ramp Up Your Movement Each Day
Exercise helps improve blood glucose in people with type 2 diabetes by increasing insulin sensitivity and the bodys ability to use glucose as energy, according to the American Diabetes Association. In type 2, exercise helps improve insulin resistance, says James G. Beckerman, MD, a cardiologist in Portland, Oregon. The end result is lower blood sugars.
Crandall Snyder tells patients that exercise is like spring cleaning for the body. It takes the stored form of glucose and uses it for energy so the next time you eat carbohydrates there’s a place to put it, she says.
Because exercise can immediately reduce blood sugar levels in people with type 2 diabetes, work with your healthcare team to determine the right amount of activity and timing for you. A study published in September 2017 in Frontiers in Endocrinology found exercising 30 minutes after the start of a meal is usually best for maintaining blood sugar controls.
Learn more about managing your blood sugar in Diabetes Daily’s article “HbA1C: Everything You Need to Know.”
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Which Foods Keep Your Sugar Levels In Control
Carbohydrates need to be consistent. You dont want to eat all of your daily carb count in one meal. That will cause your blood sugar to spike, and then drop during the other meals. Giving your body a steady amount of carbohydrates will provide a stable amount of energy. It will also help your body make enough insulin to keep your blood sugar at a healthy number.
The easiest way to make sure that your carb intake is appropriate is to count carbohydrates. It is a simplified way to evaluate foods based on their nutritional value. The best place to start when counting is to aim for 45 to 60 grams of carbohydrates per meal and roughly 15 to 30 grams for each snack in between meals. You may have to adjust this based on your individual needs and your blood sugar readings. It is a lot easier to calculate the carbohydrates when you have a food with a label, but many foods do not. Check the serving size on the label to be sure that you are counting correctly. The US Department of Agriculture has a website that allows you to type in any food and it will give you the nutritional values. Check it out at . A few examples of 15 grams of carbs include:
- 1 slice of bread
- ½ cup of oatmeal
- 1 small piece of fresh fruit
It is important that you pay attention to nutrients other than the carbs too. Be sure to have adequate protein and fiber, while keeping lots of fat to a minimum.
Exercise In The Afternoon
Exercise lowers blood sugar by increasing insulin sensitivity, which allows the body to use insulin and glucose more effectively, increasing glucose movement during and after exercise. Studies have shown that exercise will lead to optimal insulin regulation. Exercise after dinner will set you up for steady glucose levels through the morning.
Research has also shown that moderate-intensity aerobic exercise before breakfast reduced the morning rise of blood glucose in type 2 diabetes patients, partially counteracting the dawn phenomenon. The same study also found that exercise significantly reduced blood glucose fluctuations and improved blood glucose control throughout the day.
Some of the best exercises for avoiding morning blood sugar spikes include:
- A walk
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Recommended Blood Sugar Targets
For people with type 1 diabetes, the American Diabetes Association recommends that blood sugar targets be based on a person’s needs and goals. Talk to your doctor and diabetes educator about these goals. A general guideline is:
Before meals, your blood sugar should be:
- From 90 to 130 mg/dL for adults
- From 90 to 130 mg/dL for children, 13 to 19 years old
- From 90 to 180 mg/dL for children, 6 to 12 years old
- From 100 to 180 mg/dL for children under 6 years old
After meals , your blood sugar should be:
- Less than 180 mg/dL for adults
At bedtime, your blood sugar should be:
- From 90 to 150 mg/dL for adults
- From 90 to 150 mg/dL for children, 13 to 19 years old
- From 100 to 180 mg/dL for children, 6 to 12 years old
- From 110 to 200 mg/dL for children under 6 years old
For people with type 2 diabetes, the American Diabetes Association also recommends that blood sugar targets be individualized. Talk to your doctor and diabetes educator about your goals.
In general, before meals, your blood sugar should be:
- From 70 to 130 mg/dL for adults
After meals , your blood sugar should be:
- Less than 180 mg/dL for adults
How Common Is Low Blood Glucose
Low blood glucose is common among people with type 1 diabetes and among people with type 2 diabetes who take insulin or some other diabetes medicines. In a large global study of people with diabetes who take insulin, 4 in 5 people with type 1 diabetes and nearly half of those with type 2 diabetes reported a low blood sugar event at least once over a 4-week period.2
Severely low blood glucose, defined as when your blood glucose level drops so low you cant treat it yourself, is less common. Among U.S. adults with diabetes who take insulin or some diabetes medicines that help the pancreas release insulin into the blood, 2 in 100 may develop severely low blood glucose each year.3
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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.
Control How Much Sugar You Eat
While this one may seem obvious to some, donât scroll past just yet. How closely do you read ingredient labels? You likely buy and eat some processed foods unless you make all foods including sauces, dressings, and condiments, from scratch.
Thatâs OK youâre a modern-day human and convenience and cost matter. But, most packaged or pre-made foods contain added sugar or artificial sweeteners. Select carefully and, as an example, buy big tubs of steel-cut oats or quick-cooking oats over the flavored, sugary oatmeal in a box or cup.
Dr. Robert Lustig, a pediatric endocrinologist, professor, and specialist in childhood obesity, believes that sugar is so toxic to health that he recommends federal regulation against marketing sugar-laden products1 to children and even adding taxes to processed foods that contain added sugar.
These ideas may seem radical but are similar to rules that govern marketing alcohol to minors, and similar to the extra taxes consumers pay to purchase alcohol and tobacco products. Just as booze and cigarettes can be addictive for some, sugar can hook you and make you want more2.
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What Is Hyperglycemia
Hyperglycemia, or high blood glucose, occurs when there is too much sugar in the blood. This happens when your body has too little insulin , or if your body can’t use insulin properly. The condition is most often linked with diabetes.
Hyperglycemia is blood glucose greater than 125 mg/dL while fasting .
- A person has impaired glucose tolerance, or pre-diabetes, with a fasting blood glucose of 100 mg/dL to 125 mg/dL.
- A person has hyperglycemia if their blood glucose is greater than 180 mg/dL one to two hours after eating.
If you have hyperglycemia and its untreated for long periods of time, you can damage your nerves, blood vessels, tissues and organs. Damage to blood vessels can increase your risk of heart attack and stroke, and nerve damage may also lead to eye damage, kidney damage and non-healing wounds.
The Cause Of Diabetes
Diabetes is an illness related to elevated blood sugar levels. When you stop releasing and responding to normal amounts of insulin after eating foods with carbohydrates, sugar and fats, you have diabetes. Insulin, a hormone thats broken down and transported to cells to be used as energy, is released by the pancreas to help with the storage of sugar and fats. But people with diabetes dont respond to insulin properly, which causes high blood sugar levels and diabetes symptoms.
Its important to note that theres a difference between type 1 and type 2 diabetes. Heres an explanation of the two types of diabetes and what causes these conditions:
Type 1 Diabetes
Type 1 diabetes is commonly called juvenile diabetes because it tends to develop at a younger age, typically before a person turns 20 years old. Type 1 diabetes is an autoimmune disease where the immune system attacks the insulin-producing beta cells in the pancreas.
The damage to the pancreatic cells leads to a reduced ability or complete inability to create insulin. Some of the common causes that trigger this autoimmune response may include a virus, genetically modified organisms, heavy metals, or foods like wheat, cows milk and soy.
The reason foods like wheat and cows milk have been linked to diabetes is because they contain the proteins gluten and A1 casein. These proteins can cause leaky gut, which in turn causes systemic inflammation throughout the body and over time can lead to autoimmune disease.
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