How You Know When Your Sugar Is Low

Blood Sugar Levels: What’s Normal What’s Not And How To Measure

What do blood glucose levels mean and what range is healthy? Here’s what you need to know.

Sugar can lead to high blood sugar and contributes to the development of diabetes.

We all want to keep track of our health in every way we can — you may weigh yourself, keep track of your blood pressure or monitor your resting heart rate. But how close of an eye do you keep on your blood sugar?

People with diabetes are all too familiar with their blood sugar levels, but the rest of us might not even think about it much. However, consistently high blood sugar levels can coexist with Type 2 diabetes and cause serious health conditions like kidney disease, nerve problems or stroke.

While that’s no reason to panic, when it comes to our health, it’s important to know exactly what’s going on inside of our bodies. Without further ado, let’s get into what blood sugar means, how to measure it and everything else you need to know.

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How Is Hypoglycemia Diagnosed

If you suspect you have low blood sugar, its important to check your blood sugar right away. If you dont have a blood glucose meter and youre on diabetes medications that increase insulin, talk with your doctor about getting a meter.

If you experience low blood sugar often say, a few times a week see your doctor right away to find out why. Your doctor will begin your visit by requesting your medical history, asking questions about your eating habits, and learning more about the symptoms youre experiencing.

If you dont have diabetes but suspect you have hypoglycemia, talk with your doctor about your symptoms. Your doctor will use three criteria, sometimes referred to as Whipples triad, to diagnose low blood sugar:

• Signs and symptoms of low blood sugar. Your doctor may require you to fast, or abstain from drinking and eating for an extended period of time, so they can observe your low blood sugar signs and symptoms.
• Documentation of low blood sugar when your signs and symptoms occur. Your doctor will order a blood test to analyze your blood sugar levels in a laboratory.
• Disappearance of the signs and symptoms of low blood sugar. Your doctor will want to know whether the signs and symptoms go away when your blood sugar levels are raised.

What Are The Symptoms Of Hypoglycemia

Symptoms of hypoglycemia can start quickly, with people experiencing them in different ways. The signs of hypoglycemia are unpleasant. But they provide good warnings that you should take action before blood sugar drops more. The signs include:

• Shaking or trembling.

• Tingling or numbness in the face or mouth.

During a severe hypoglycemic event, a person may:

• Be unable to eat or drink.
• Have a seizure or convulsions .
• Lose consciousness.
• Slip into a coma or die .

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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.

When To Call 911

Your friend, relative, or coworker should call 911 for help if:

• You pass out and no glucagon is available
• You need a second dose of glucagon
• You had glucagon, but are still confused
• Your blood sugar stays too low 20 minutes after treatment or doesnt respond to your usual treatments

The emergency medical technicians can give you IV sugar . This raises your blood sugar level right away. You might need to stay in the hospital for a few hours.

NEVER be afraid to call 911 or ask someone to call 911 for you if you are concerned .

Other things to know about hypoglycemia:

It takes time for blood sugar to rise after eating, and its important to give your first treatment time to work. Use the table above to guide your treatment and timing instead of eating until you feel better, which will almost always lead to eating too much.

Hypoglycemia can be common with certain types of exercise. Managing blood sugar during and after physical activity is important and is something that a lot of people with T1D have questions about. JDRF has a number of resources available for people with T1D and their families, many of which can be found here.

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What Drinks And Foods Raise Blood Sugar Fast

• 4 teaspoons of sugar
• 1/2 can of regular soda or juice

Many people like the idea of treating low blood sugar with dietary treats such as cake, cookies, and brownies. However, sugar in the form of complex carbohydrates or sugar combined with fat and protein are much too slowly absorbed to be useful in acute treatment.

Once the acute episode has been treated, a healthy, long-acting carbohydrate to maintain blood sugars in the appropriate range should be consumed. Half a sandwich is a reasonable option.

If the hypoglycemic episode has progressed to the point at which the patient cannot or will not take anything by mouth, more drastic measures will be needed. In many cases, a family member or roommate can be trained in the use of glucagon. Glucagon is a hormone that causes a rapid release of glucose stores from the liver. It is an injection given intramuscularly to an individual who cannot take glucose by mouth. A response is usually seen in minutes and lasts for about 90 minutes. Again, a long-acting source of glucose should thereafter be consumed to maintain blood sugar levels in the safe range. If glucagon is not available and the patient is not able to take anything by mouth, emergency services should be called immediately. An intravenous route of glucose administration should be established as soon as possible.

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

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Act Quickly To Treat The Situation

If you suspect you have low blood sugar, Dr. Fruge recommends quickly treating the situation, which she says should include “eating healthy foods such as complex carbohydrates, beans or fruit.”

“At the Pritikin Longevity Center we serve a cup of fruit with a cup of veggies to prevent a spike in insulin, which can sometimes lead to a later drop in blood sugar again,” she explains. “Adjusting your diabetes medication as prescribed by your physician may also be necessary. It’s important to retest your blood sugar 20 minutes after eating to confirm it has improved.”

Keep a fast-acting carbohydrate snack or two on hand in case your blood sugar dips below healthy levels.

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.

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Whats The Link Between Diabetes And Hypoglycemia

Hypoglycemia is most common, by far, in people with diabetes. Treatment for the diseaseoften involves taking medication to increase insulin. Hypoglycemia can develop if things like food, exercise and diabetes medications are out of balance.

Common pitfalls for people with diabetes include:

• Being more active than usual.
• Drinking alcohol without eating.
• Eating late or skipping meals.
• Not balancing meals by including fat, protein and fiber.
• Not eating enough carbohydrates.
• Not timing insulin and carb intake correctly .

Also, if someone with diabetes uses the wrong insulin, takes too much or injects it incorrectly, that can cause hypoglycemia.

Treating Mild To Moderate Hypoglycemia

If you start feeling any of the symptoms listed above, check your blood sugar as soon as possible, then follow the chart below to treat low blood sugar. If you have any concerns, or cant test immediately, its best to treat first and check when possible.

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Overdose Of Diabetes Medication

A common cause of hypoglycaemia is taking too much insulin for your current needs. Insulin is a medication that helps control your blood glucose levels. It’s commonly used to treat type 1 diabetes and is also recommended for some people with type 2 diabetes.

A fall in blood glucose levels can also occur after taking too much oral hypoglycaemia medication, such as sulphonylurea, which causes a release of insulin. This medication is often used to lower blood glucose levels in people with type 2 diabetes.

Treating Severely Low Blood Sugar

Blood sugar below 55 mg/dL is considered severely low. You wont be able to treat it using the 15-15 rule. You also may not be able to check your own blood sugar or treat it by yourself, depending on your symptoms. Make sure your family members, friends, and caregivers know your signs of low blood sugar so they can help treat it if needed.

Injectable glucagon is the best way to treat severely low blood sugar. A glucagon kit is available by prescription. Speak with your doctor to see if you should have a kit. Be sure to learn how and when to use it. Let family members and others close to you know where you keep the glucagon kit and make sure theyve been trained in how to use it too.

Its important to contact a doctor for emergency medical treatment immediately after receiving a glucagon injection. If a person faints due to severely low blood sugar, theyll usually wake up within 15 minutes after a glucagon injection. If they dont wake up within 15 minutes after the injection, they should receive one more dose. When the person is awake and able to swallow:

• Feed the person a fast-acting source of sugar .
• Then, have them eat a long-acting source of sugar .

Its also important that friends, family, co-workers, teachers, coaches, and other people you may be around often know how to test your blood sugar and treat severely low blood sugar before it happens.

If any of the following happens, your friend, relative, or helper should call 911:

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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.

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 Are The Signs Of High And Low Blood Sugar

The symptoms vary depending on whether you have hyperglycemia or hypoglycemia. Find out how to spot the warning signs and stabilize your glucose.

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One of the challenges of managing diabetes is maintaining consistent blood sugar levels. Even with diligence, some situations can cause high blood sugar, or hyperglycemia, while others can bring on low blood sugar, or hypoglycemia.

After all, its not just carbohydrate intake that influences the amount of glucose coursing through your bloodstream when you have type 2 diabetes. Emotional stress and certain medications can increase your blood sugar levels, and a boost in activity can cause it to drop, says Megan ONeill, CDCES, a medical science liaison for diabetes care at Abbott healthcare company in Monterey, California. Sometimes people experience a spike in their blood sugar early in the morning due to the dawn effect, a temporary surge of hormones that occurs as the body prepares to wake, according to the Cleveland Clinic.

For people with diabetes, managing blood glucose levels is especially important, ONeill says. Levels that are too low or high can result in complications that affect your kidneys, heart, and vision, reduce your quality of life, require expensive interventions, or even be fatal.

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• Between 80 and 130 milligrams per deciliter before meals
• Less than 180 mg/dL two hours after meals

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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.

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Nausea Vomiting Confusion And More

These seemingly disparate symptoms are all signs of a rare and life-threatening state called diabetic ketoacidosis , according to the U.S. National Library of Medicine. DKA can cause the symptoms above, as well as stomach pain, trouble breathing, dry or flushed skin, fruity-smelling breath, or difficulty paying attention. It usually occurs in people with type 1 diabetes and is sometimes the first sign they are sick, according to the U.S. National Library of Medicine. DKA happens when the liver is unable to use the sugar in the blood for energy without insulin and begins to break down body fat into a type of fuel called ketones at such a high rate that they become toxic and make the blood acidic, the U.S. National Library of Medicine explains. DKA can be fatal if left untreated, so anyone experiencing these symptoms should seek care immediately.

Over time, untreated high blood sugar can cause additional symptoms, such as:

Your Diabetes Devices And Hypoglycemia

Several insulin pumps are now available that make managing blood sugar levels easier, particularly when connected to a glucose meter or a CGM.

Some of the most important advantages of CGM devices are the improved insulin control and the ability to detect trends and lows early. With improved technology, it is now possible for parents to track blood sugar trends in their kids even when they are hundreds of miles apart .

In addition, automated insulin delivery systems, also known an artificial pancreas or a hybrid closed-loop system, will automatically adjust insulin to match your bodys need to help you spend more time in your target range.

Resources that provide people with T1D and their families with more detailed information about pumps and CGM devices are available through JDRF here. For people looking for a deeper understanding of technology that helps people with T1D better manage their blood sugar, JDRF resources are available here.

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When It’s Time To Call A Doctor

If any of the symptoms mentioned have begun to impact your life, such as fatigue so severe you can’t stay awake through the day, it’s a good idea to consult your physician. Dr. Fruge warns that “unstable blood sugar levels could put you at higher risk of heart disease and stroke and it is a red flag for serious health issues” — so blood sugar issues should be taken seriously.

You should also see a doctor if you’re experiencing symptoms of hypoglycemia and haven’t been diagnosed with diabetes or any other underlying condition.

If you do have diabetes and your hypoglycemia isn’t responding to the treatments described above, that’s another good cue to call your health care provider.

If testing reveals you have Type 1 diabetes, you’ll need to continue to test your blood sugar levels as often as instructed by your physician, take insulin regularly and participate in regular exercise. This may mean you will need a new glucose monitoring system, so ask your doctor what they recommend. If you’re diagnosed with Type 2 diabetes, you’ll most likely need to do the same as for Type 1, as well as working with health care professionals to make lifestyle changes such as improving nutrition and planning workouts. Medication may be necessary as well.

Healthy eating, regular exercise and other lifestyle changes can help alleviate symptoms and possibly even reverse prediabetes.