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Treating Low Blood Sugar At Night

How to Fix Low Blood Sugar Quickly for Diabetics.SugarMD

There are two ranges of blood sugars to treat if your child is low because they need more carbohydrates if their blood sugar is less than 50.

Nighttime Low Blood Sugar Treatment For Children UNDER 5 Years Old:

Blood Sugar 50 or less Blood Sugar 51-100
  • Any 15 gram carbohydrate item

Remember:

  • 14 cup = 2 ounces
  • 12 cup = 4 ounces

Do you still have questions about managing your childs blood sugar levels during the day or at night? Contact the diabetes team at Childrens Diabetes Center, Childrens Hospital & Medical Center at for more information about how to treat your childs blood sugar levels to keep them safe.

Prevention Of Low Blood Sugar

Do not skip or delay meals. If your diet plan includes snacks, make sure to take these.

Measure insulin dosage carefully and inject it properly. If you cannot see well, a family member or a visiting nurse can prepare your insulin injections for you.

Take only the prescribed amount of insulin or oral medication for diabetes that your doctor has ordered.

Keep exercise consistent from day to day. Eat a snack or reduce your insulin prior to unusual exercise.

If you are taking insulin, notify your doctor if you have low blood sugars four or more times per week or if you have a severe low blood sugar. Severe low blood sugars are those less than 40 mg., those requiring help from another person, or those which cause you to have a convulsion or become unconscious.

If you are taking oral medication for your diabetes notify your doctor or nurse if blood sugars are running less than 80 mg. or if you have a severe low blood sugar.

Why Your Blood Sugar Level May Be Low

If blood sugar drops below 70 mg/dL, it is below normal levels. This can be caused by a variety of factors, such as:

  • Not eating enough or missing a meal or snack
  • Reducing the amount of carbohydrates you normally eat
  • Alcohol consumption especially if youre drinking on an empty stomach
  • Taking too much insulin or oral diabetes medication based on carbohydrates or activity levels
  • Increased physical activity
  • Side effects from medications

If you have diabetes, keep your blood glucose meter and sources of fast-acting glucose close by in case your blood sugar drops. This is especially important for people with hypoglycemia unawareness, which is a condition that causes symptoms of low blood sugar to go unnoticed.

Eating balanced meals and snacks at regular times throughout the day is a big part of maintaining normal blood glucose levels. Check out our article on meal planning for diabetes to better understand the three macronutrients where calories come from and which have the biggest effect on blood sugar.

Meal Planning for Diabetes: How to Optimize Your Diet >

Everyone will respond differently to certain factors, which is why its important to have individualized target glucose levels. To help you reach your target blood glucose goals, work with your healthcare provider to discuss modifications to your diet, physical activity, or medications, and alert them of other factors like a recent illness or stressful event.

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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.

How To Help Others Help You

Fasting, Ketosis and Fat Loss

Knowing the signs of low blood sugar, having an action plan, and being prepared with your glucose meter and glucose tablets are vital, but sometimes you might need to rely on other people to help when youre blood sugar drops too low. Take these additional steps so youre prepared and they are, too:

Teach your loved ones. If youre unable to help yourself, friends, family, or colleagues may need to treat you with an injection of glucagon, a hormone that tells your liver to release stored glucose, the American Diabetes Association says. For this reason, its a good idea to teach those close to you what to do. If they dont know how to give you the injection or if glucagon isnt available, they must call 911 and get you the help you need, Evans says. Low blood sugar thats sustained for a prolonged time can lead to irreversible brain damage, according to the University of Maryland Medical Center.

Wear an ID bracelet. Evan suggests that everyone with diabetes should get a tattoo or wear a medical ID bracelet. The bracelet should say diabetes and whether youre on insulin or take other medications, the Joslin Diabetes Center in Boston recommends.

Talk to your doctor about your low blood sugar risk. If you have frequent bouts of hypoglycemia, be sure to talk with your doctor. The solution may be as simple as changing how much or the kind of diabetes medicine you take. However, never make any changes to your medication regimen without your doctors approval.

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Target Blood Sugar Ranges For Pregnant People With Diabetes

Blood sugar targets during pregnancy are lower due to hormonal influences. The ADA, AACE, and Joslin Diabetes Center have slightly different guidelines for target blood sugar levels during pregnancy. In general, pregnant women with diabetes will want to follow individual guidelines provided by their endocrinologist.

The ADA recommends maintaining blood sugar levels of 95-140 mg/dL for pregnant women. However, some providers recommend an even tighter goal of blood glucose levels below 89 mg/dL before a meal and below 120 mg/dL after a meal.

To keep close tabs on levels, most diabetes specialists recommend that women with diabetes during pregnancy check their blood sugar:

  • First thing in the morning
  • Before all meals

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Digestive Endocrine And Circulatory Systems

After you eat, your digestive system breaks down carbohydrates and turns them into glucose. Essentially, glucose is your bodys fuel source.

As your sugar levels rise, your pancreas releases a hormone called insulin, which helps glucose get taken up and used by cells throughout your body. If you have insulin-dependent diabetes, you must take the right about of insulin to get the job done.

Any excess glucose goes to your liver for storage.

When you go a few hours without eating, blood sugar levels go down. If you have a healthy pancreas, it releases a hormone called glucagon to make up for the absence of food. This hormone tells your liver to process the stored sugars and release them into your bloodstream.

If everything works as it should, your blood sugar levels should remain in the normal range until your next meal.

Insufficient blood sugar levels can cause a rapid heartbeat and heart palpitations. However, even if you have diabetes, you may not always have obvious symptoms of low blood sugar. This is a potentially dangerous condition called hypoglycemia unawareness. It happens when you experience low blood sugar so often that it changes your bodys response to it.

Normally, low blood sugar causes your body to release stress hormones, such as epinephrine. Epinephrine is responsible for those early warning signs, like hunger and shakiness.

Does Blood Sugar Level Change With Age

Diabetes- How to Help Someone with Low Blood Sugar (2020)

Many factors changes with age and even sometimes co-morbidities gets added. To adopt with these certain conditions, optimum levels of different substances in blood also changes. So the same goes for the blood sugar. It has been confirmed by different studies that fasting blood sugar level increases with age considering different factors like obesity.

But, now the question comes, how much increment will be considered as normal? Obviously not random! It has a specific level but the increment varies depending on various conditions.

It is said that the ideal level of blood sugar increases with the passing of decade through your adult years due to benign physiological changes which decrease the glucose tolerance.

Basically, if you are quite healthy then, 2mg per 100 ml rise is considered as normal through the advancing years. But this issue is seen to bewilder both clinicians and investigations alike.

However, this small extent is only for fasting. Besides this, you may notice that your postprandial sugar levels are also escalating. Be conscious! Because it must not increase more than 4mg per 100ml. Again, sugar level may elevate up to 8 to 13mg per 100 ml per decade following a glucose challenge.

The above-mentioned levels are for those who are comparatively healthy and are not suffering from any other disease apart from diabetes.

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What Might Be Causing My Pets Low Blood Sugar

Low blood sugar , is called hypoglycemia . Hypoglycemia is caused by many different conditions and some of them are quite serious. A few examples include:

  • Severe liver disease
  • Congenital portosystemic liver shunts in puppies
  • Hypoadrenocorticism
  • Inadequate nutrition in kittens and toy breed puppies
  • Extreme exertion
  • Over-treatment of diabetes mellitus
  • Some types of tumors, especially a tumor of the pancreas, called an islet cell tumor or insulinoma
  • Xylitol toxicity from ingesting certain sugar free foods

Why Doctors Order It

A fasting blood glucose test is done to screen for prediabetes and diabetes. It also helps doctors monitor diabetes and determine if medications and dietary changes are having an effect .

Your fasting blood glucose level is the lowest your blood sugar can be because the influence of recent meals is minimized .

Fasting blood sugar is often checked alongside HbA1c , which is a measure of your blood sugar levels over the past three months. The more sugar there is in the blood, the more it will attach to hemoglobin, raising HbA1c .

Taken together, the two offer more information than each test alone. For example, even if your blood sugar levels are very high at one random point, they may have been mostly low over the past couple of months . On the other hand, HBA1c could be higher but your glucose levels at the moment lower.

Apart from diabetes, abnormal levels can point out issues such as insulin resistance, hormonal imbalances, and pancreatic, liver, or kidney disease.

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The Causes Of Low Blood Sugar

Low blood sugar levels can happen to kids with diabetes because of the medicines they have to take. Kids with diabetes may need a hormone called insulin and/or diabetes pills to help their bodies use the sugar in their blood. These medicines help take the sugar out of the blood and get it into the body’s cells, which makes the level of sugar in the blood go down.

But sometimes it’s a tricky balancing act, and blood sugar levels can get too low. Kids with diabetes need to keep their blood sugar levels from getting too high or too low. How do they do it? With help from grown-ups, they keep three things in balance:

Each one of these can affect the other. For instance, eating more might mean a kid needs more insulin. And exercising might create the need for an extra snack. Again, a grown-up can help you learn how to juggle those three activities so you keep feeling good.

Some things that can make low blood sugar levels more likely to happen are:

  • skipping meals and snacks
  • not eating enough food at a meal or snack
  • exercising longer or harder than usual without eating something extra
  • getting too much insulin
  • not timing the insulin doses properly with meals, snacks, and exercise
  • taking a long bath or shower right after an insulin shot
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When Blood Sugar Is Too Low

Hypoglycemia is the medical word for low blood sugar level. It needs to be treated right away. Why? Because glucose, or sugar, is the body’s main fuel source. That means your body including your brain needs glucose to work properly.

When blood sugar levels go lower than they’re supposed to, you can get very sick. Your parents and your diabetes health care team will tell you what your blood sugar levels should be and what to do if they get too low.

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Daytime Low Blood Sugars

While your child is out and about during the day, there are three main factors that can impact their blood sugar levels:

  • Too little food
  • Too much insulin
  • Too much exercise
  • You should treat low blood sugars under 70 for children over 5 years old. For children that are younger than 5 years old, treat under 80 because they are not able to tell someone how they feel. Targets may be different for infants, toddlers, or children of any age who cant speak. Be sure to talk to the Diabetes Team if you have any questions about when your child needs treatment.

    What Causes A Low Blood Sugar Level

    The Best Ways to Treat a Low Blood Sugar

    In people with diabetes, the main causes of a low blood sugar level are:

    • the effects of medicine especially taking too much insulin, medicines called sulfonylureas , medicines called glinides , or some antiviral medicines to treat hepatitis C
    • skipping or delaying a meal
    • not eating enough carbohydrate foods in your last meal, such as bread, cereals, pasta, potatoes and fruit
    • exercise, especially if it’s intense or unplanned
    • drinking alcohol

    Sometimes there’s no obvious reason why a low blood sugar level happens.

    Very occasionally, it can happen in people who do not have diabetes.

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    What Causes Blood Sugar To Be High

    Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:

    • Feeling very tired.
    • Having blurry vision.
    • Needing to urinate more often.

    If you get sick, your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. If youre ill and your blood sugar is 240 mg/dL or above, use an over-the-counter ketone test kit to check your urine for ketones and call your doctor if your ketones are high. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately.

    What Might The Screening Tests Indicate

    Complete Blood Count

    This is a simple blood test that provides information about the different cell types in blood. These include red blood cells, which carry oxygen to the tissues, white blood cells, which fight infection and respond to inflammation, and platelets, which help the blood to clot. The CBC provides details about the number, size, and shape of the various cells types, and identifies the presence of abnormal cells in circulation. In a pet with hypoglycemia, examples of changes seen on a CBC could include:

    • Anemia. This means the number of red blood cells and the amount of hemoglobin in the blood are lower than normal. Anemia can be found with many diseases, including those causing hypoglycemia .
    • Changes in the shape of red blood cells. Certain types of oddly shaped red blood cells are seen in hypoglycemic pets that have conditions such as liver disease, severe infection, and a portosystemic shunt, which is a blood vessel abnormality found in puppies.
    • High numbers of white blood cells with an increased proportion of immature white blood cells. This is a sign of severe underlying infection, and can be associated with hypoglycemia.
    • Unusual pattern of white blood cells. The presence of high numbers of both lymphocytes and eosinophils in a blood sample is unusual and could be a sign of underlying Addison’s disease, which is associated with hypoglycemia.

    Serum biochemistry profile

    Urinalysis

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