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What Causes Low Blood Sugar In The Morning

Dog Alerts Owner With Diabetes When Blood Sugar is Low

The causes of low blood sugar in the morning vary. If you have diabetes, you likely need to adjust your background insulin levels. Make sure youre aware of how any other medications you take can affect your blood sugar. Your doctor can help you make sure that your insulin dosage and any other medications you take are a good fit with your diet and exercise routines. Additionally, alcohol usage is a risk for hypoglycemia.

If you dont have diabetes, hypoglycemia is less likely to occur. However, some non-diabetes-related causes of hypoglycemia include the following:

  • drinking too much alcohol the previous night, which makes it harder for your liver to release glucose into your blood, thus causing a low blood sugar
  • chronic starvation

Treating low blood sugar is fairly simple. If you wake up with hypoglycemia symptoms, try to consume about 15 grams of carbohydrates as soon as possible. Snacks that provide this include:

  • 3 glucose tablets
  • 1/2 cup of non-sugar-free fruit juice
  • 1 tablespoon of honey
  • 1/2 can of non-diet soda

Make sure you dont eat too much to treat low blood sugar, as this can have an opposite affect and make your levels too high. Wait 15 minutes after your first snack. If youre not feeling better, have another 15 grams of carbohydrates. Pairing your carbohydrate with a protein and healthy source of fat, such as nuts, seeds, cheese, or hummus, helps to keep you full and prevent another big drop in blood sugar.

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What Are The Symptoms Of Low Blood Sugar

The symptoms of low blood sugar include endocrine responses such as an elevated heart rate, sweating, shaking and confusion. Over time, people with type 1 and type 2 diabetes who are on medication may experience so many low blood sugar events that they no longer have any symptoms. This can be dangerous, because severe low blood sugar can lead to unconsciousness.

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Q What Is The Blood Sugar Level For A 72 Year Old Woman

Answer:If you are aged but completely healthy, then you are likely to have your blood glucose at a standard level. But generally, aged people are more or less vulnerable to diseases. Though it is preferable to have blood sugar in between 100-120 mg/dl rising up to 140mg/dl is acceptable in certain conditions.

How Much Diabetes Is Normal

25 Printable Blood Sugar Charts [Normal, High, Low] á? ...

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Consequences Of Blood Sugar Levels

Whilst most symptoms of low and high blood sugar levels are mild, they can worsen if left untreated and sometimes have long term consequences and/or complications. Overtime, a high blood sugar level is what can cause consequences. Lack of treatment can cause severe damage to the blood vessels and lead to complications such as:

  • Heart attack

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:

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Symptoms Of Low Blood Sugar

How you react to low blood sugar may not be the same as how someone else with low blood sugar reacts. Its important to know your signs. Common symptoms may include:

  • Fast heartbeat
  • Hunger

If youve had low blood sugar without feeling or noticing symptoms , you may need to check your blood sugar more often to see if its low and treat it. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel.

You may not have any symptoms when your blood sugar is low . If you dont have symptoms, it will be harder to treat your low blood sugar early. This increases your risk of having severe lows and can be dangerous. This is more likely to happen if you:

  • Have had diabetes for more than 5-10 years.
  • Frequently have low blood sugar.
  • Take certain medicines, such as beta blockers for high blood pressure.

If you meet one or more of the above and you have hypoglycemia unawareness, you may need to check your blood sugar more often to see if its low. This is very important to do before driving or being physically active.

Changes In Medication Regimes Can Cause Morning Low Blood Sugar

Low Blood Sugar

People with type 1 diabetes rely on insulin to survive, because they have a pancreas that no longer works. Many people with type 2 diabetes use pills or insulin to manage their blood sugar. These medications are engineered to bring the blood sugar down slowly over the course of the day and night. Insulin regimes and medication doses vary significantly from person to person, depending on body size, insulin resistance, recent exercise, stress and illness, hormones and many other factors.

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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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Treatment For Reactive Hypoglycemia

Treatment depends on whatâs causing your hypoglycemia.

If you have diabetes, check your blood sugar levels. For people with diabetes, a reading below 70 mg/dL means youâre hypoglycemic.

Eat 15 grams of carbohydrates, then check your blood sugar after 15 minutes. If itâs still below 70 mg/dL, have another serving. Repeat until your blood sugar is at least 70 mg/dL. Talk to your doctor to see if you need a new treatment plan.

If you know the specific cause of your hypoglycemia, your doctor will treat that cause. For example, if a medicine or tumor is triggering your hypoglycemia, you may need a new drug or possibly surgery.

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Summary Of Normal Glucose Ranges

In summary, based on ADA criteria, the IDF guidelines, a persons glucose values are normal if they have fasting glucose < 100 mg/dl and a post-meal glucose level < 140 mg/dl. Taking into account additional research performed specifically using continuous glucose monitors, we can gain some more clarity on normal trends and can suggest that a nondiabetic, healthy individual can expect:

  • Fasting glucose levels between 80-86 mg/dl
  • Glucose levels between 70-120 mg/dl for approximately 90% of the day
  • 24-hour mean glucose levels of around 89-104 mg/dl
  • Mean daytime glucose of 83-106 mg/dl
  • Mean nighttime glucose of 81-102 mg/dl
  • Mean post-meal glucose peaks ranging from 99.2 ± 10.5 to 137.2 ± 21.1 mg/dl
  • Time to post-meal glucose peak is around 46 minutes 1 hour

These are not standardized criteria or ranges but can serve as a simple guide for what has been observed as normal in nondiabetic individuals.

Can You Prevent Low Blood Sugar

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Hypoglycemia might sound a little scary, so you might wonder if you can avoid it. No matter how well they take care of themselves, kids with diabetes will sometimes have low blood sugar levels. But taking these steps can help:

  • Try to eat all your meals and snacks on time and don’t skip any.
  • Take the right amount of insulin.
  • If you exercise longer or harder than usual, have an extra snack.
  • Don’t take a hot bath or shower right after an insulin shot.
  • Stick to your diabetes management plan.

What else can you do? Wear a medical identification bracelet or necklace that says you have diabetes. Then, if you are not feeling well, whoever’s helping you even if the person doesn’t know you will know to call for medical help. Medical identification also can include your doctor’s phone number or a parent’s phone number. The quicker you get help, the quicker you’ll be feeling better.

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Normal Blood Sugar Levels Chart

Every substance present in our body has an optimum level. Above or below that specific range, that particular substance is harmful to our health. And so is sugar. There is a certain range of blood sugar which is considered as standard for almost all age. However, there might be some changes in the level considering different factors like age and other co-morbidities. Lets look at the chart:

Time
2 hours after the meal < 140 mg/dl
5.7-6.4% 6.5%

Sometimes, random blood is also taken. In this case, the glucose level of 200 mg/dl is considered a diabetic condition.

Going through the chart you will notice certain terms regarding blood sugar which you need to understand in order to evaluate your own glucose level. So, I will just give a small brief regarding those:

  • Fasting blood glucose: Here, blood sugar is tested after abstaining from food and drink for at least 8 hours.
  • Postprandial blood sugar:In this case, blood sugar is tested 2 hours after a meal to access if its at the optimum level after having a meal or not.
  • Random blood glucose: Blood is tested at any time of the day.
  • HbA1c: It refers to a blood test which is done to evaluate the average level of blood glucose over the past 3 months. HbA1c is also known as glycosylated haemoglobin or A1C. Moreover, fasting is not required before carrying out the test.

What Are Abnormal Glucose Levels And Why Do They Matter

Why is it unhealthy for glucose levels to be too high or too low ?

Hyperglycemia refers to elevated blood glucose levels. This usually occurs because the body does not appropriately remove glucose from the blood this can happen due to many complex reasons. Elevated glucose levels can damage blood vessels and nerves over time this can then lead to problems in the eyes, kidneys, and heart, as well as numbness in the hands and feet. Very high levels can lead to coma and even death in some cases. People with fasting glucose levels higher than 100 mg/dl have impaired glucose tolerance and should speak with their healthcare provider.

Some people may think that to avoid all these issues, they should just keep their blood glucose levels as low as possible. If too high is bad, then low must be good, right? Not exactly. When glucose gets too low, its called hypoglycemia. The threshold for hypoglycemia is typically thought to be when glucose falls below 70 mg/dl. When this happens, the body may release epinephrine , the fight or flight hormone, which can lead to a fast heart rate, sweating, anxiety, blurry vision, and confusion, but also helps the body mobilize glucose into the blood. If blood glucose levels stay too low for too long, it can cause seizures, coma, and in very rare instances, death.

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Q: I Have Type 2 Diabetes And Take Insulin Injections If My Blood Sugar Is Low Should I Still Take My Insulin

A: Let me say that if you are experiencing a low blood sugar with symptoms, you should always treat first, worry about your insulin later. Common symptoms of hypoglycemia, the official term for low blood sugar, are confusion, heart racing, vision changes, being uncoordinated, and feeling cold, clammy, or sweaty. If hypoglycemia continues without treatment, it can lead to a loss of consciousness.

We define hypoglycemia as a blood sugar below 70 mg/dL regardless of symptoms. Many people experience blood sugars much lower than this without concern but for someone on insulin, it can be quite dangerous to keep your blood sugar that low.

Ideally, we would like to see blood glucose kept in a relatively normal range of 80 to 120 mg/dL. If you can do that safely, without hypoglycemia, then you are well controlled! If there are reasons your provider has counseled against this guideline, educate yourself about the reasons and follow their guidance.

When we are counseling someone on insulin usage and blood glucose, we try to focus on teaching the rhythm that insulin and blood glucose follow as it relates to time of day, when and what you last ate, or when you exercised. Managing your blood sugar is like playing soccer. You need to guess where the ball is going, so you can plan to meet it. When you check your blood sugar before a meal or an activity, or even at bedtime, youre measuring where the ball is now, which isnt helpful.

Symptoms Of Diabetes That May Prompt An A1c Test

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As mentioned by the , a doctor may recommend an A1C test if a person shows signs of poor glucose control, diabetes, or prediabetes.

Warning signs can include:

  • increased urination, especially at night
  • increased hunger
  • numbness or tingling in the hands or feet
  • slow healing sores
  • more than 45 years of age
  • family history of diabetes
  • long-term use of glucocorticoids, antipsychotics, and certain medications for HIV

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Nighttime Low Blood Sugar

While low blood sugar can happen at any time during the day, some people may experience low blood sugar while they sleep. Reasons this may happen include:

  • Having an active day.
  • Being physically active close to bedtime.
  • Taking too much insulin.
  • Drinking alcohol at night.

Eating regular meals and not skipping them can help you avoid nighttime low blood sugar. Eating when you drink alcohol can also help. If you think youre at risk for low blood sugar overnight, have a snack before bed.

You may wake up when you have low blood sugar, but you shouldnt rely on that. A continuous glucose monitor can alert you with an alarm if your blood sugar gets low while youre sleeping.

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