What Are The Risks Of Hyperglycemia
Hyperglycemia can be a sign that your body isnt getting enough insulin. It is normal for patients with T1D to get hyperglycemia, and most of the time this is simply treated with insulin. If the body does not have insulin for approximately 8 hours, you could develop a condition called diabetic ketoacidosis, or DKA.
In DKA, your body breaks down fat for energy because it doesnt have enough insulin to use the sugar in your blood. This produces chemicals called ketones, which make your blood more acidic.
DKA is dangerous. Too much acid in your blood can make you pass out or even cause death.
Keep Your Feet Dry To Reduce The Risk Of Infection
Make sure that drying your feet is part of your hygiene routine. The space between the toes is very airtight, says Tillett. Skin gets moist and breaks down, leading to infection. Prevent this by toweling off thoroughly after washing your feet and by removing wet or sweaty socks or shoes immediately. As mentioned previously, you can still use moisturizer to prevent dry, cracked skin just avoid putting it between your toes.
How To Check Your Blood Sugar Levels
As Dr. Emanuele says, glucose monitoring can be an important tool to help you get your blood sugar under control. Typically, you would do it yourself using a glucose meter or glucometer, which analyzes a drop of blood that you draw by sticking your finger with a lancet and placing the blood on a disposable test strip that you insert into the meter. Your blood sugar goals are set by you and your doctor, but blood glucose for an adult without diabetes is below 100 mg/dl before meals and at fasting and less than 140 mg/dl two hours after a meal, notes the ADA.
Some people will check their blood sugar daily or multiple times a day, sometimes using a continuous monitor that is worn on the body particularly those who have type 1 diabetes or who have type 2 but take insulin. Yet how frequently a person should monitor their blood sugar is based on a number of factors, including but not limited to whether theyre on insulin, whether they’re taking oral medication, and how well their blood sugar is controlled and how old they are.
Meanwhile, keep an eye out for these nine key warning signs and symptoms that blood sugar is too high and talk to your doctor about whether you need to adjust your management plan.
Read Also: Can High Sugar Cause Migraines
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.
How To Prevent Hyperglycaemia
There are simple ways to reduce your risk of severe or prolonged hyperglycaemia:
- Be careful what you eat be particularly aware of how snacking and eating sugary foods or carbohydrates can affect your blood sugar level.
- Stick to your treatment plan remember to take your insulin or other diabetes medications as recommended by your care team.
- Be as active as possible getting regular exercise can help stop your blood sugar level rising, but you should check with your doctor first if you’re taking diabetes medication, as some medicines can lead to hypoglycaemia if you exercise too much.
- Take extra care when you’re ill your care team can provide you with some “sick day rules” that outline what you can do to keep your blood sugar level under control during an illness.
- Monitor your blood sugar level your care team may suggest using a device to check your level at home so you can spot an increase early and take steps to stop it.
Page last reviewed: 08 August 2018 Next review due: 08 August 2021
Also Check: How To Manage High Blood Sugar Levels
Ask Your Doctor How Often You Should Be Checking Your Blood Sugar
Blood sugar control is crucial when youre living with type 2 diabetes. Dips and spikes can not only make you feel cranky and sluggish, but they can also wreak havoc on your personal health.
For the record, the American Diabetes Association notes that you have diabetes if one of the following applies to you:
- Your blood glucose after fasting is 126 milligrams per deciliter or higher.
- Your blood glucose two hours after eating a meal is 200 mg/dl or higher.
- Your hemoglobin A1C is 6.5 or higher.
The tricky part is that with type 2 diabetes you may not feel it when blood sugar levels are too high, according to the ADA. It feels different for everyone. Not everyone will have the same symptoms, and some individuals will have no symptoms at all, says Lori Zanini, RD, CDE, a Los Angelesbased former spokesperson for the Academy of Nutrition and Dietetics.
Because blood sugar management is so important to your overall health with type 2 diabetes, you need to take action if you think your levels may be out of control, even if youre feeling totally fine.
What Should My Blood Sugar Levels Be
Your blood sugar level changes depending on what you’ve eaten, whether you’ve exercised and other factors but we have some general guidelines to determine what levels are healthy.
For generally healthy individuals who haven’t eaten for eight hours or more, a normal blood sugar level is between 70-99 mg/dL. When you’ve eaten in the past two hours, it should be no higher than 140 mg/dL. To refresh your chemistry knowledge, that unit is milligrams per deciliter and it’s measuring the amount of glucose present in your blood.
Only a medical professional can diagnose diabetes or another issue with your blood sugar, so if you’re concerned about your blood sugar levels, check with a doctor.
Read Also: How Can I Test My Blood Sugar Level At Home
Check In With Your Care Team For More Help
Your doctor and your diabetes healthcare team are great sources of information if you need ideas and inspiration for taking care of your feet, quitting smoking, or staying on top of your numbers your weight, blood sugar, and other measures of health, such as blood pressure. Of course, if you notice any changes in your feet that concern you, its a good idea to see your doctor before your next regularly scheduled check-up.
What Are The Symptoms Of Hyperglycemia
Its especially important to know the early signs of hyperglycemia if you have type 1 diabetes. If hyperglycemia is left untreated in people with type 1 diabetes, it can develop into ketoacidosis, where ketones, which are toxic acids, build up in the blood. This condition is an emergency situation that can lead to coma or death.
Early symptoms of hyperglycemia include:
- High blood sugar.
- Unusual fruity smell on the breath.
- Deep labored breathing or hyperventilation.
- Rapid heartbeat.
Read Also: What Happens If Blood Sugar Is Too High
How To Lower High Blood Sugar
With careful monitoring and control of your blood sugar levels, you can live a healthy life. There are a number of ways you can lower and prevent high blood sugar.
Learn to count carbohydrates: When you count carbs or keep track of what you are eating, you can control your blood sugar more efficiently. Set a maximum amount you can have each day for your meal,s and keep track to make sure you do not go past the limit. This helps to stabilize blood sugar and prevent dangerous spikes. Portion control is important too, so make sure your meals are not too large, as these can cause temporary spikes.
Try meal planning: To help keep track of your carbohydrate intake, start planning your meals. Based on the amount of carbohydrates you can have, plan meals accordingly, so you do not risk going above the set limit. When your meals are planned, you also avoid eating out or getting convenience food, which contains more sugar and fat, and will negatively affect your blood sugar.
Start a weight loss program: Obesity contributes to diabetes and impairs your bodys ability to process energy efficiently. Losing weight helps your body to use insulin more efficiently, and it reduces fat storage, which can trigger inflammation in the body.
What Is Blood Sugar
Blood sugar, or glucose, is your body’s main energy source. We get glucose from the food we eat, and our blood carries it around to all the cells in the body to give them energy to function. Glucose mainly comes from the carbohydrates we eat, though our bodies can convert protein and fat into sugar too if needed.
Glucose from protein is typically stored in the liver and doesn’t enter the bloodstream, so eating protein-rich foods won’t raise your blood sugar too much. Fats slow down the digestion of carbohydrates, which causes a delayed rise in blood sugar. A high blood sugar can be an issue because it usually leads to sugar crashes, which are no fun — symptoms include fatigue, headaches and the jitters. So, eat meals balanced with protein, fat and carbs to avoid this.
Blood sugar is closely related to insulin, a hormone secreted by the pancreas that helps your body use glucose that’s in the carbohydrates you eat. Insulin helps regulate your blood sugar levels — if you eat more sugar than you need in the moment, the hormone helps store the glucose in your liver until it’s needed for energy.
You probably also know about blood sugar in the context of diabetes. Type 1 diabetes is a condition in which people are unable to make insulin, so they need to inject the hormone in order to keep their blood sugar levels stable. People with Type 2 diabetes, which usually occurs later in life, either don’t secrete insulin or are resistant to it.
Only Diabetics Get High Glucose Values
While a high glucose value can indicate diabetes, nondiabetics can also have higher values than normal. When researchers studied people wearing a continuous glucose monitor who did not have a diabetes diagnosis, they found 93% of individuals reached glucose levels that are considered dangerous, with 10% spending over 2 hours per day in these dangerous levels. Traditional glucose measurements, like a single point in time blood glucose value, are unable to capture these abnormalities.
There are actually several causes of high blood sugar unrelated to diabetes that the CDC recognizes. These include certain foods, like artificial sweeteners and coffee. Other factors like stress can do it, too. If you live with an endocrine or pancreatic condition, had surgery recently, or are experiencing intense physical stress , you may also see your glucose value rise.
How Does Diabetes Affect Your Feet And Legs
If you’re managing diabetes, you may encounter problems with your feet and legs, two common complications of the disease. Diabetes puts you at higher risk for calluses, corns, bunions, blisters, and ulcers and high blood sugar means these minor injuries and alterations may become gateways to potentially disabling infections.
But you can take several steps to help keep your feet in good shape, including wearing specialized footwear, having regular foot exams, and performing low-impact exercise.
Why does this complication occur in the first place? First, know that high blood sugar levels damage nerves. Researchers arent exactly sure how this damage happens, but they think that blood sugar may have a negative effect on the nervous systems cells and enzymes, according to the Joslin Diabetes Center. These damaged nerves may lead to diabetic neuropathy, a condition in which you lose feeling in your feet or your hands.
According to the National Institute of Diabetes and Digestive and Kidney Diseases, neuropathy occurs in about 70 percent of people with diabetes, and its symptoms can result in harmful infections. After all, if you can’t feel your feet, you won’t be able to notice cuts, sores, or pain. And if you cant feel these irritations and wounds, they may lead to infection, and untreated infections can lead to gangrene, which in turn can require amputation.
Additional reporting by Carlene Bauer
Also Check: What Are Ways To Lower Your Blood Sugar
I Feel Fine So I Dont Need To Test My Levels
Zanini points out that having high blood glucose can come as a surprise to anyone. âIt’s possible they didn’t notice any symptoms or were simply feeling ‘more tired than usual,ââ she says. âIt’s easy to attribute being tired to many other things. . .so this is why regular physicals with your healthcare provider are important.â The bottom line? Listen to your body, take note of symptoms as they arise, and consider monitoring your continuous glucose values.
High Blood Sugar Treatment
- Medication change: High blood sugars may be a sign that the person with diabetes needs to take medication, to change medications, or to change the way it is given .
- Other illness: Other illnesses need to be diagnosed and treated if an illness is causing high blood sugar levels. Infection or illness may need to be treated in the hospital, where health professionals can adjust the plan of care.
- Other Medications: A number of medications are available to help control blood sugar levels for people with type 2 diabetes. Insulin is also prescribed for people with diabetes .
Don’t Miss: How To Get Off Sugar And Carbs
What To Do If You Have Signs Of Diabetes
Feeling unusually thirsty or tired for a day or two probably isnt a big deal. But if the symptoms stick around for more than a couple of days, or theyre accompanied by other symptoms, get them checked out ASAP. These are clear signs of diabetes, and you should go to the doctor right away, Dr. Halprin says.
Your doctor will perform a blood test to test your blood sugar levels. If theyre too high, he may recommend medication to help you manage your levels. But lifestyle changes can make a big difference, too. A healthy diet thats high in plant-based foods and low in sugar has been shown to reverse pre-diabetes and diabetes, Dr. Fuhrman says.
Can Hyperglycemia Be Treated
Your doctor may recommend a low-impact exercise program as your first line of defense. If youre already following a fitness plan, they may recommend that you increase your overall level of activity.
Your doctor may also suggest that you eliminate glucose-rich foods from your diet. Its important to maintain a balanced diet and stick to healthy food portions. If you arent sure where to begin, your doctor can refer you to a dietician or nutritionist who can help you establish a diet plan.
If these changes dont help lower your high blood sugar, your doctor may prescribe medication. If you have diabetes, your doctor may prescribe oral medications or change the amount or type of insulin youve already been prescribed.
Recommended Reading: What Is Good Blood Sugar Level For Type 2 Diabetes
Warning Signs That Your Blood Sugar Is High:
How would you know if your blood sugar has shot through the roof? You can spot the warning signs of high blood sugar even before you see the doctor. If you notice any of them, arrange for an appointment at once!
Your skin will feel dry and scaly if your blood sugar levels are on the high end. You may have problems urinating as well. Dehydration can cause diabetic ketoacidosis or too many acids building up in the body. It can lead to organ failure or death.
2. Feeling Parched
Are you always reaching for water, even if the weather is not too hot? Constant thirst indicates dehydration. It shows you that you have to work at making your blood sugar levels drop.
Having constant diarrhea is a warning symptom of Hyperglycemia. Seek a doctors help if your stools are runny. There may be an overgrowth of bacteria in your intestines. Also, it may be difficult for them to break down sugar.
4. Loss of Appetite
Hyperglycemia can create a condition known as Gastroparesis when food moves slowly through the digestive tract. Food cannot move out of the stomach and into the small intestine. A person with Hyperglycemia will lose his appetite because he has a clogged stomach.
5. Excessive Hunger Pangs
Sex may not bring you the same satisfaction it used to. High blood sugar has links with Erectile Dysfunction or ED. Men with diabetes may develop ED because the blood vessels and nerves that prompt erections are weak.
7. Open Cuts
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.