What Additional Tests Might Be Recommended In A Pet With Hypoglycemia
There are several additional tests that might be recommended depending on the results of a pet’s history, physical examination, and screening tests.
Examples of more advanced tests would include:
- Serum bile acid testing. If either liver disease or a portosystemic shunt is suspected then measurement of serum bile acids would be recommended.
- X-rays and ultrasound. These imaging studies would be used to assess the liver and other abdominal organs, especially if liver disease, insulinoma, or other tumors are suspected.
- Biopsy followed by microscopic examination would be recommended if a tumor or abnormal organ is found on imaging. The biopsy might be collected by fine needle aspiration, ultrasound-guided biopsy, or surgical intra-operative biopsy.
- ACTH stimulation test would be recommended if Addison’s disease is suspected.
- Blood culture would be recommended if widespread bacterial infection is suspected. Blood culture confirms the presence of bacteria in the blood stream and determines which antibiotic should to used treat the infection.
- Blood insulin:glucose ratio. The simultaneous measurement of blood insulin and blood glucose levels may help to confirm the presence of an insulinoma. Finding too much insulin in the blood of an animal that is truly hypoglycemic is strong evidence of underlying insulinoma. Typically, imaging studies and possibly biopsy would be recommended to confirm the diagnosis.
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.
Low Blood Glucose During Sleep
Your blood glucose level can drop while you sleep and stay low for several hours, causing serious problems.7 Symptoms of low blood glucose while you sleep can include
- crying out or having nightmares
- sweating enough to make your pajamas or sheets damp
- feeling tired, irritable, or confused after waking up
Although you may not wake up or notice any symptoms, low blood glucose can interfere with your sleep, which may affect your quality of life, mood, and ability to work. Having low blood glucose during sleep can also make you less likely to notice and respond to symptoms of low blood glucose during the day.
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Exercise Food And Alcohol
For people with type 1 diabetes, maintaining the correct blood glucose level involves balancing how much insulin you inject, the amount of food you eat, and how much energy you burn during exercise.
Hypoglycaemia may occur if you’ve taken your dose of insulin as usual, but your carbohydrate intake is lower than normal or has been used up more quickly. This may happen if you delay or miss a meal or snack, don’t eat enough carbohydrate, or exercise more than usual.
People with diabetes who’ve drunk too much alcohol, or drank alcohol on an empty stomach, can also get hypoglycaemia.
However, it’s not always possible to identify why a particular episode of hypoglycaemia has occurred, and sometimes it happens for no obvious reason.
What Is The Outlook For People With Hypoglycemia
Hypoglycemia can be managed when you and your healthcare provider understand what causes your blood sugar to go down. Give your healthcare provider as much information as possible about any hypoglycemic episodes. Fixing the problem may be as simple as changing the times you take medication, eat and exercise. Minor changes to the types of food you eat may also help.
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Why Is It Important To Recognize A Low Blood Sugar Level
Low blood sugar levels can happen with Type 1 and Type 2 diabetes. Low levels are more likely to happen if you use insulin. Hypoglycemia can cause you to have falls, accidents, and injuries. A blood sugar level that gets too low can lead to seizures, coma, and death. Learn to recognize the symptoms early so you can get treatment quickly.
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 your 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.
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What Are Blood Sugar Levels
Blood sugar levels, also known as blood glucose level, is the level of sugar/glucose present in the blood. Glucose is a simple version of sugar which comes from the food we eat. Therefore, the more food you consume with high sugar levels over a period of time, will typically increase your blood sugar level.
Glucose comes from the foods we eat and its sugar content. When a person consumes a food with high sugar content, that is turned into glucose. The glucose is then absorbed into the bloodstream with the support of insulin. This is then distributed between the bodys cells and used as energy.
Foods high in glucose include most carbohydrates and a handful of proteins and fats. Most foods contain glucose as it is simply a natural sugar that occurs in most dietary forms. However, it is carbohydrates that contain the most sugar and 100% of it turns into glucose, through the process mentioned above, once consumed. The concentration of glucose present in the blood will determine your blood sugar level.
Here is a quick video explaining Blood sugar levels chart :
Your blood sugar level can either be low, normal or high. Depending on what you eat and health conditions, it will vary from person to person. Here is a breakdown of how your blood sugar works and how low or high blood sugar levels happens:
Recognizing Hypoglycemia: Symptoms To Look For
Early symptoms of hypoglycemia include:
- Stubborn behavior
- Extreme sleepiness
If your childs blood sugar levels stay low and continue to drop, symptoms will get worse. This can lead to seizures or unconsciousness if not treated immediately.
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Slurred Speech And Clumsiness
Your sugar-starved brain may change the way you sound. Slurred speech is a common symptom associated with blood sugar levels that drop below 40 mg/dL, according to University of Michigan Health Systems. Combined with clumsiness another sign of low blood sugar you may seem as though you’ve had a few too many cocktails, even if you haven’t touched a drop, according to the National Health Service.
For more on managing low blood sugar, check out Diabetes Daily’s article “How to Treat Lows Without Sabotaging Your Diet!“
Preventing Low Blood Sugar
Preventing low blood sugar is better than having to treat it. Always have a source of fast-acting sugar with you.
- When you exercise, check your blood sugar levels. Make sure you have snacks with you.
- Talk to your provider about reducing insulin doses on days that you exercise.
- Ask your provider if you need a bedtime snack to prevent low blood sugar overnight. Protein snacks may be best.
DO NOT drink alcohol without eating food. Women should limit alcohol to 1 drink a day and men should limit alcohol to 2 drinks a day. Family and friends should know how to help. They should know:
- The symptoms of low blood sugar and how to tell if you have them.
- How much and what kind of food they should give you.
- When to call for emergency help.
- How to inject glucagon, a hormone that increases your blood sugar. Your provider will tell you when to use this medicine.
If you have diabetes, always wear a medical alert bracelet or necklace. This helps emergency medical workers know you have diabetes.
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How Can I Prevent Hypoglycemic Episodes
The key to preventing hypoglycemic events is managing diabetes:
- Follow your healthcare providers instructions about food and exercise.
- Track your blood sugar regularly, including before and after meals, before and after exercise and before bed.
- Take all your medications exactly as prescribed.
- When you do have a hypoglycemic event, write it down. Include details such as the time, what you ate recently, whether you exercised, the symptoms and your glucose level.
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.
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How Do I Treat Low Blood Glucose
If you begin to feel one or more symptoms of low blood glucose, check your blood glucose level. If your blood glucose level is below your target or less than 70 mg/dL, follow these steps
What To Do If You Have Low Blood Sugar Symptoms
If you have diabetes and are experiencing mild to moderate hypoglycemia symptoms, you need to immediately eat or drink 15 grams of easily digestible carbohydrates.
Very low blood sugar is a medical emergency. If you or someone else with diabetes is experiencing severe symptoms, such as unconsciousness, its important to administer a medication called glucagon and contact emergency services immediately.
If youre at risk for low blood sugar, its important to talk with your doctor about getting a prescription for glucagon.
You should never give an unconscious person anything by mouth, as it could cause them to choke. If you have diabetes, make sure your family and friends know not to do this if you lose consciousness.
Low blood sugar can occur for a number of reasons. Its usually a side effect of diabetes treatment.
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When To Talk With A Pro
Testing your blood sugar is crucial to diabetes management. Using a meter or continuous glucose monitoring can provide accurate results. But you might seek a pain-free method to check blood sugar.
Talk with your doctor or a certified diabetes educator. You might be a candidate for a glucose monitoring device that involves fewer finger pricks or no finger pricks.
Additionally, making a few adjustments in the way you collect your blood sample might reduce the level of pain and discomfort.
Results Of Poor Blood Sugar Control
Letting your blood sugar get too high has serious consequences. If your blood sugar is too high for too long, you may have:
Circulation problems. Diabetes keeps the blood vessels in your body from working properly. This can lead to heart attack and stroke. Poor blood supply can also lead to vision problems, kidney problems, and nerve damage. Hyperglycemia is a risk factor for these problems even if blood sugar is not high enough to be considered diabetes.
Reproductive issues. About one in six pregnant women worldwide have a form of dysglycemia. Blood sugar problems increase the risk of death for the mother and child. It also raises the risk of miscarriage and birth defects.
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What Causes Low Blood Glucose
- Symptoms occur when blood glucose levels fall below 70 mg/dl a condition known as hypoglycemia.
- In most cases, low blood glucose results from overtreatment: Either taking too much diabetes medication or not eating enough food. Higher doses of medicine than the person actually requires can also lead to hypoglycemia.
- People who aim for too-low values on their A1C test tend to experience more frequent drops in blood glucose.
- Vigorous exercise doesn’t just burn calories, it also burns blood glucose! Hypoglycemia can occur unless blood glucose levels are carefully monitored during and after exercise.
- Not eating on a regular basis can deprive the body of glucose and make it difficult to prevent hypoglycemia. Eat balanced meals throughout the day and always keep a snack on hand.
What Do You Do When Blood Sugar Is Low
If you notice that your blood sugar is low, it is important to treat it right away to prevent it from dropping even further. Here are some strategies you can use to treat low blood sugar, but its best to discuss these with your healthcare team before trying them:
Have an emergency hypoglycemia kit that is easily accessible and with you at all times. Make sure people you are with know what to do in a hypoglycemic emergency. Your kit should include:
Glucose tablets or sugary snacks
Glucagon read about emergency nasal glucagon and ready-to-use autoinjector pens
Emergency contact information
If you are not carrying a full emergency kit, make sure to at least carry glucose tablets or sugary candies.
Use the 15-15 rule. Eat or drink 15 grams of carbohydrates to raise your blood sugar. Check it after 15 minutes. If its still below 70 mg/dL, have another serving of 15 grams of carbs.
Repeat these steps until your blood sugar is at least 70 mg/dL. Once your blood sugar is back in range, you might consider eating a snack with little or no insulin to make sure it doesnt drop again. If you eat a snack, make it a small, protein-rich snack, and be careful of rebound high glucose levels.
If you use a closed loop device, discuss with your healthcare team if you should take less than 15 grams to correct a low glucose value.
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Causes Of Blood Sugar Levels
Whilst the liver and muscles produce some glucose, most comes from the foods we eat. Food and drinks that are high in carbohydrates are most impactful on blood sugar level. What we eat provides us most of the nutrients our body needs and sometimes, does not need. That is not to say that food is a major cause of blood sugar level increasing or decreasing too dramatically.
Typically, if a person has health conditions or poor nutrition, this will lead to a spike or decline in blood sugar level. The causes differ from high to low blood sugar levels and are as follows:
No Symptoms Be Alarmed
Surprisingly, the most dangerous episodes of hypoglycemia occur with little or no warning. When low blood glucose occurs on a regular basis, the body can become used to the warning signs and the person may stop noticing symptoms. This is a particularly dangerous condition known as hypoglycemic unawareness. People with this condition might not realize they have low blood glucose until it’s dangerously low seizures and coma are sometimes the first indication of a problem. The good news is that this condition can often be reversed allowing people to once again notice the signs of low blood glucose if hypoglycemia is avoided for a few weeks through careful monitoring of blood glucose.
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Symptoms Of Blood Blood Sugar Levels
Symptoms of blood sugar levels differ depending on if it is high or low. To determine which way the blood sugar have moved, the symptoms for each are typically:
|High Blood Sugar Symptoms|
|Slow healing wounds||Turning pale|
If symptoms are left untreated, more extreme circumstances can happen such as fainting, weakness, disorientation, vomiting and dehydration. When you notice symptoms, usually more than one at one time, it is advised to see a doctor right away.
It is important to get the right treatment so that you can return to a healthy normal blood sugar level and inhibit it from occurring again.
Treatment methods vary from the severity of the blood sugar level, whether it is high or low and if the patient has existing medical conditions, such as diabetes. Here are ways in which blood sugar levels can be treated: