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How Can I Prevent Insulin
- Check your blood sugar regularly.
- Know what causes low blood sugar.
- Eat at regular mealtimes. Do not delay or skip meals and do not eat partial meals.
- Take all medicines exactly as prescribed.
- Check your blood sugar more often when you are exercising more or eating less, or when you are sick, according to your healthcare provider’s recommendations.
- Keep your follow-up appointments with your provider.
Do You Ignore Your Mental Health
Mental health care should be a part of your diabetes care plan. Depression or stress can affect your blood sugar in several ways. For one thing, you may not remember to take your medicine, Moreno says.
Stress hormones also prep your body for action. When stressful situations pop up, your body sends out extra energy so you can fight or run. It says ‘lets get all of our resources together here,’ and that means sugar, Morton says.
You cant get rid of stress. But you can learn to handle it better. If youre not sure where to start, ask your doctor to refer you to a mental health counselor.
Some do-it-yourself techniques Morton suggests include:
- Learn yoga.
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What Are The Complications Of Low Blood Glucose
Mild-to-moderate low blood glucose can be easily treated. But severely low blood glucose can cause serious complications, including passing out, coma, or death.
Repeated episodes of low blood glucose can lead to
- high blood glucose levels, if worry or fear of low blood glucose keeps you from taking the medicines you need to manage your diabetes8
- hypoglycemia unawareness, a condition in which you dont notice any symptoms of low blood glucose until your blood glucose level has dropped very low
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Why Am I Having Lows
If you are experiencing low blood sugar and youre not sure why, bring a record of blood sugar, insulin, exercise and food data to a health care provider. Together, you can review all your data to figure out the cause of the lows.
The more information you can give your health care provider, the better they can work with you to understand what’s causing the lows. Your provider may be able to help prevent low blood sugar by adjusting the timing of insulin dosing, exercise and meals or snacks. Changing insulin doses or the types of food you eat may also do the trick.
Blood Sugar Levels During Pregnancy
The NIDDK states that gestational diabetes is high blood sugar that occurs during pregnancy if you were not diabetic before getting pregnant. Healthy blood sugar during pregnancy can help lower your risk of developing type 2 diabetes later. It can also lower the risk of your baby being born prematurely, at a high birth weight, and having respiratory problems.
Blood sugar and insulin levels during the first trimester of pregnancy tend to be lower than usual, but they rise during the late second and early third trimesters. You can be diagnosed with an oral glucose tolerance test .
These are the steps for the 2-step strategy.
- Drink a solution with 50 grams of glucose about the amount in 1 16-oz. bottle of a soft drink
- Get your blood drawn after 1 hour. IF the value is high, retest
- Fast overnight
- Drink a solution with 100 grams of glucose about the amount in 12 peanut butter cups
- Get your blood drawn immediately and after 1, 2, and 3 hours
Or, your doctor might use the 1-step strategy with a 2-hour OGTT:
- Fast overnight
- Drink a solution with 75 grams of glucose
- Get your blood drawn immediately and after 1 and 2 hours
These are some values to know from NIDKK related to gestational diabetes and healthy blood sugar in pregnancy.
|Time or Situation|
|Baseline: at least 105 mg/dl1 hour: at least 190 mg/dl2 hours: at least 165 mg/dl3 hours: at least 145 mg/dl|
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Fasting Glucose Goal: 72
Why? Previously we discussed that the ADA considers normal fasting glucose as anything < 100 mg/dl. However, multiple research studies show that as fasting glucose increases, there is an increased risk of health problems like diabetes and heart disease even if it stays within the normal range. The highlights of some of the study results include:
- Men whose fasting blood glucose was greater than 85 mg/dl had a significantly higher mortality rate from cardiovascular diseases than men with blood sugars less than 85 mg/dl.
- People with fasting glucose levels in the high normal range had significantly increased cardiovascular disease risk than people whose levels remained below 80 mg/dl.
- Children with fasting glucose levels 86-99 mg/dl had more than double the risk of developing prediabetes and Type 2 diabetes as adults when compared with children whose levels were less than 86 mg/dl.
- People with fasting glucose levels between 91-99 mg/dl had a 3-fold increase in Type 2 diabetes risk compared to those with levels less than 83 mg/dl.
- Among young, healthy men, higher fasting plasma glucose levels within the normal range constitute an independent risk factor for Type 2 diabetes. This means that as fasting glucose increases, even if the level is still considered normal, it could indicate a significantly higher risk of developing diabetes, and this is particularly pronounced if BMI is greater than 30. .
How Common Is Low Blood Glucose
Low blood glucose is common among people with type 1 diabetes and among people with type 2 diabetes who take insulin or some other diabetes medicines. In a large global study of people with diabetes who take insulin, 4 in 5 people with type 1 diabetes and nearly half of those with type 2 diabetes reported a low blood sugar event at least once over a 4-week period.2
Severely low blood glucose, defined as when your blood glucose level drops so low you cant treat it yourself, is less common. Among U.S. adults with diabetes who take insulin or some diabetes medicines that help the pancreas release insulin into the blood, 2 in 100 may develop severely low blood glucose each year.3
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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
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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Best Foods For Low Blood Sugar
For patients with diabetes, monitoring blood sugar levels is a part of daily life.
Low blood sugar, or hypoglycemia, can occur for many people with diabetes who are on certain medications, including insulin. It can occur for a variety of reasons including skipping a meal, exercising strenuously, taking too much insulin or consuming alcohol, especially on an empty stomach.
Low blood sugar can be as minor as a slight inconvenience or as serious as a life-threatening emergency. Thats why it is important to boost blood sugar before it becomes problematic.
Angela Norton, a diabetes educator at Sharp Chula Vista Medical Center, has diabetes herself, so she knows firsthand the tips and tricks of keeping blood sugar on track. Although blood glucose is considered normal if above 70 mg/dL, Norton says patients with diabetes should not wait until they reach below that threshold to take action.
Treat when you feel the symptoms, even if your blood sugar is not below 70, because as long as it is less than 100, it may be dropping fast, she says.
When it comes to treatment, Norton shares these five foods to help boost low blood sugar.
1. CandyWhen hypoglycemia occurs, patients should follow the 15-15 rule. Consume 15 grams of carbohydrates to raise blood glucose and check your levels again after 15 minutes. When the numbers return to normal, eat a snack to stay on track.
Gummy candies contain carbohydrates, which have a large impact on blood sugar levels.
Nighttime Low Blood Sugars
You may experience a low blood sugar night. The low blood sugar might wake you up and your symptoms might be similar to those you have during the day. However, the symptoms may be different. You might have nightmares, sleep poorly, perspire, or feel hot and cold. In the morning you may have a headache, feel nauseated, or feel confused. Notify your doctor if this happens. Check your blood sugar at the time you have the symptoms.
Treatment for a low blood sugar that occurs at night is the same as described earlier.
Your doctor may request that you check a 3:00 a.m. blood sugar 1 to 2 times per week in order to detect any low blood sugars during the night.
Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a health care professional.
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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.