How To Treat Low Blood Sugar Type 1 Diabetes

Preventing A Low Blood Sugar Level

If you have diabetes, you can reduce your chance of getting a low blood sugar level if you:

• Check your blood sugar level regularly and be aware of the symptoms of a low blood sugar level so you can treat it quickly.
• Always carry a sugary snack or drink with you, such as glucose tablets, a carton of fruit juice or some sweets. If you have a glucagon injection kit, always keep it with you.
• Do not skip meals.
• Be careful when drinking alcohol. Do not drink large amounts, check your blood sugar level regularly, and eat a carbohydrate snack afterwards.
• Be careful when exercising eating a carbohydrate snack before exercise can help to reduce the risk of a hypo. If you take some types of diabetes medicine, your doctor may recommend you take a lower dose before or after doing intense exercise.
• Have a carbohydrate snack, such as toast, if your blood sugar level drops too low while you’re asleep

If you keep getting a low blood sugar level, talk to your diabetes care team about things you can do to help prevent it.

S For Treating A Person With Symptoms Keeping Them From Being Able To Treat Themselves

Dont hesitate to call 911. If someone is unconscious and glucagon is not available or someone does not know how to use it, call 911 immediately.

Do NOT:

• Inject insulin
• Provide food or fluids

Checking For Low Blood Sugar Levels

The warning signs of hypoglycemia are the body’s natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:

• pale
• start shaking
• have an increased heart rate

If the hypoglycemia isn’t treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.

The only way to know for sure if you’re having a low blood sugar level is to test. Blood sugar levels can be tested with a . This computerized device measures and displays the amount of glucose in a blood sample. But if you can’t quickly check your blood sugar level, it’s important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.

Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline is not just released when blood sugar drops too low it’s also released when blood sugar levels fall quickly when they’re too high. If you’re having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if you’re having a false reaction.

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Bg Spikes After A Low

In about 20% of cases, rebound hyperglycemia occur after a a low. Over-correction with carbohydrates is the main cause of rebound hyperglycemia. It is recommended to give no more than 20 grams of carbohydrate for correction of blood glucose between 3-4 mmol/L50-70 mg/dl and as noted previously, to check BG levels as needed in 15 minute increments, giving 15 grams more of carbs until levels rise.

Read How to Prevent Eye Complications with Type 1 Diabetes by the Joslin Center and read All About Glucagon.

What Can We Do To Prevent It From Occurring

DKA is associated with an insulin deficiency and a severely elevated blood glucose level, typically greater than 300 mg/dL, per medical documentation. Individuals can experience DKA even if they have a low/normal blood glucose level, which can occur in the beginning of an illness if a person reduces their insulin in fear of hypoglycemia. The slow progression of DKA can result in a slow increase to the higher blood glucose levels usually seen by the time a person goes to the doctor. DKA is from a severe LACK of insulin, not from the high level of blood glucose.

Fats and protein can delay carbohydrate digestion and absorption – digestion is a break down of carbs into simple sugars, while absorption is the process where these simple sugars leave the gut and are absorbed directly into the bloodstream. The time frame becomes important especially when it relates to our insulin peak time.

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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 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.

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How Is Hypoglycemia Diagnosed

The only way to know if you have hypoglycemia is to check your blood sugar with a blood glucose meter. Its a small machine that measures blood sugar. Most of these devices use a tiny prick of the finger to take a small amount of blood.

People with hypoglycemia unawareness may need a continuous glucose monitor. These wearable devices measure glucose every few minutes, day and night. An alarm sounds if blood sugar drops too low.

When You Have Low Blood Sugar

First, eat or drink 15 grams of a fast-acting carbohydrate, such as:

• Three to four glucose tablets
• One tube of glucose gel
• Four to six pieces of hard candy
• 1/2 cup fruit juice
• 1 cup skim milk
• 1/2 cup soft drink
• 1 tablespoon honey

Fifteen minutes after you’ve eaten a food with sugar in it, check your blood sugar again. If your blood sugar is still less than 70 mg/dL, eat another serving of one of the foods listed above. Repeat these steps until your sugar becomes normal.

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Severe Low Blood Sugar

As your low blood sugar gets worse, you may experience more serious symptoms, including:

• Feeling weak.
• Having difficulty walking or seeing clearly.
• Acting strange or feeling confused.
• Having seizures.

Severe low blood sugar is below 54 mg/dL. Blood sugar this low may make you faint . Often, youll need someone to help you treat severe low blood sugar.

People with diabetes may experience low blood sugar as often as once or twice a week, even when managing their blood sugar closely. Knowing how to identify and treat it is important for your health. Learn how to treat low blood sugar.

Signs Of Low Blood Sugar

With hypoglycemia, the blood sugar falls below the normal, healthy levels mentioned earlier, which can occur for a variety of reasons.

“Although some people with blood sugar problems may not experience symptoms,” Dr. Aldasouqi continued, “there are some key things to look out for. For those with low blood sugar, someone might have symptoms like anxiety, sweating, increased heart rate, confusion, and may go into what is called ‘a hypoglycemic coma’… The term ‘diabetic coma’ is also used by some.”

Other symptoms of low blood sugar may include:

• Fatigue
• Tingling or numb lips, tongue or cheek
• Blurry vision

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How To Treat Someone Who’s Having A Seizure Or Fit

Follow these steps if someone has a seizure or fit caused by a low blood sugar level:

Tell your diabetes care team if you ever have a severe hypo that caused you to have a seizure or fit.

What Are The Signs & Symptoms Of Low Blood Sugar

Different people may feel low blood sugar levels differently. People with low blood sugar may:

• feel hungry or have “hunger pains” in their stomach
• feel shaky or like they’re trembling
• have a rapid heart rate
• feel sweaty or have cold, clammy skin
• have pale, gray skin color
• have a headache
• have seizures or convulsions
• lose consciousness

If you have diabetes, try to remember how your body reacts when your blood sugar levels are low. It may help you figure out when you’re having a low blood sugar level more quickly the next time.

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Treatment For Severe Hypoglycemia

If hypoglycemia goes on too long, it can cause permanent damage to your health or become life threatening.

So, if you notice symptoms, you need to act quickly. If youre weak or disoriented, ask for help.

When blood sugar is under 50 mg/dL:

If needed, someone can give you an emergency dose of glucagon. This can be administered by injection or nasal spray. Your blood should be tested again in 15 minutes.

Someone should call 911 if:

• Youve lost consciousness.
• You had glucagon but you needed a second dose or still feel disoriented.
• Your blood sugar remains too low after 20 minutes.

When in doubt, call for help. First responders can give you intravenous glucose to quickly raise your blood sugar.

Several tools can help prevent and treat hypoglycemia or provide information if you cant speak for yourself.

What To Do When Your Blood Sugar Levels Drop Too Low

People who use insulin and other diabetes medications are at risk for hypoglycemia. Keep this action plan handy so you’re prepared.

If you take insulin or diabetes medication, you may be at risk of developing hypoglycemia, or low blood sugar. Without quick attention, hypoglycemia can lead to serious complications, so its important to know what to do if it happens to you or someone close to you.

In very severe cases, hypoglycemia can lead to seizures or loss of consciousness, says a clinical assistant professor of medicine, endocrinology, gerontology, and metabolism at Stanford Health Care, and chief of the Stanford Endocrine Clinic.

It’s possible to have hypoglycemia but have no symptoms, according to the National Institute of Diabetes and Digestive and Kidney Diseases . On the other hand, symptoms can also come on rapidly. While symptoms vary from person to person, if you develop mild to moderate low blood sugar you may:

• Feel shaky or jittery
• Have a headache or be lightheaded
• Turn pale
• Be irritable or combative
• Have blurred vision or see double

Some people feel tingling or numbness in their extremities too, says Rodolfo Galindo, MD, an assistant professor of medicine in the division of endocrinology, metabolism, and lipids at the Emory University School of Medicine in Atlanta, and chair of the inpatient diabetes taskforce.

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Treating Low Blood Sugars Quickly And Accurately

Its easy to panic when having a low glucose. Your heart is racing, your body is pumping out adrenaline, and your stomach says Feed me! FEED ME!!! Your brain isnt working logically, and if you live alone you may be afraid if you dont eat that chocolate cake, you might pass out and not wake up.

But binging to correct lows only causes rebound highs. Your body will also be raising your blood glucose by releasing stored glucose from the liver. Dual responses from you and your liver keep the roller coaster going. So eat quickly, but restrain yourself from piling on more carbs in a binge til you stop shaking routine. If you are on an AID, remember that your basal delivery has been reduced for some time beforehand, reducing the number of carbs that you need for treatment.

What Is Low Blood Glucose

Low blood glucose, also called low blood sugar or hypoglycemia, occurs when the level of glucose in your blood drops below what is healthy for you. For many people with diabetes, this means a blood glucose reading lower than 70 milligrams per deciliter .1 Your number might be different, so check with your doctor or health care team to find out what blood glucose level is low for you.

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What Can I Do To Prevent Hypoglycemia In My Child

Not all episodes of hypoglycemia can be prevented. Most children with type 1 diabetes will have hypoglycemia. The chances of severe hypoglycemia go down as your child gets older. But you can help prevent severe episodes by:

• Testing your childs blood glucose often, including at night

• Checking that the glucose test strips are not outdated and match the glucose meter

• Recognizing symptoms

Other ways to minimize or prevent hypoglycemia include making sure your child:

• Takes medicines at the right time

• Eats enough food

• Doesnt skipping meals

• Checks blood glucose before exercising

• Eats a healthy snack if needed. The snack should include complex carbohydrates and some fat, if possible.

How To Treat Low Blood Sugar

If you think you have low blood sugar, be sure to check it.

Keeping your blood sugar levels on target as much as possible can help prevent or delay long-term, serious health problems. While this is important, closely managing your blood sugar levels also increases your chance for low blood sugar . Blood sugar below 70 mg/dL is considered low. If you think you have low blood sugar, check it. If you arent able to check it, go ahead and treat it.

Untreated low blood sugar can be dangerous, so its important to know what to do about it and to treat it immediately.

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Diet And Sugar Levels

Whilst insulin helps to lower sugar levels by allow cells to take in glucose from the blood, the food we eat raises sugar levels. When we eat, carbohydrate in food gets broken down into glucose during digestion and gets absorbed into the blood stream.

Our diet therefore plays a significant role in the control of our blood sugar levels.

How Can I Prevent Low Blood Sugar In The Morning

If you have diabetes, make sure you regularly check your glucose levels, especially before bed. If your blood sugar regularly dips while you sleep, consider using a continuous glucose monitoring device, which alerts you when your blood sugar goes too low or too high. Try to follow these guidelines for healthy glucose levels:

• before breakfast: 70130 mg/dL
• before lunch, dinner, or a snack: 70130 mg/dL
• two hours after meals: under 180 mg/dL
• bedtime: 90150 mg/dL

If you dont have diabetes but experience regular hypoglycemia, you may also want to periodically check your glucose levels. Try to keep your glucose level from dropping below 100 mg/dL throughout the day and before bed.

Whether or not you have diabetes, follow these tips to avoid waking up with low blood sugar:

• Eat balanced meals with healthy carbohydrates, proteins, and fats regularly throughout the day.
• Have a bedtime snack.
• If you drink alcohol, avoid excessive intake and have a snack with it.
• Avoid exercising too much at night.

For a bedtime snack, try these suggestions:

• 1 apple with 1 tablespoon of peanut butter
• 1 ounce of cheese and a small handful of whole-grain crackers
• one 8-ounce glass of milk
• 1/2 avocado spread on a piece of whole-grain toast
• handful of berries with a small handful of nuts and seeds

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Your Hypoglycemia Action Plan

If you experience symptoms of hypoglycemia, its important to take action. Start with these steps:

Test your blood sugar. If you recognize any of these symptoms and believe your blood sugar may be too low, the first step you should take is to test your blood sugar with your glucose meter, Tan says. Anything less than 70 milligrams per deciliter is considered low blood sugar, according to the National Library of Medicine . However, target levels are often individualized, so talk with your healthcare provider about your optimal numbers, Tan adds.

Eat or drink fast-acting carbs. If you have low blood sugar, you need to take action right away. Your best bet is to consume about 15 grams of carbohydrates, the NLM says. Some options include:

• ½ cup or 4 ounces of orange juice
• ½ cup or 4 ounces of regular soda
• 1 tablespoon of sugar dissolved in water
• 1 tablespoon of honey or maple syrup
• 5 or 6 hard candies, jelly beans, or gumdrops
• 1 tablespoon of cake frosting
• 2 tablespoons of raisins
• ½ cup of applesauce

You can also take three to four glucose tablets or a tube of glucose gel. Everyone who takes medications for diabetes should always have glucose tablets with them, Galindo urges.

Wait, then retest. The next step is to wait 15 minutes, then test your blood sugar again. If blood sugar has reached 100 mg/dl or greater, youre fine. If not…