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.
Symptoms Of High Sugar Levels
One or more of the following symptoms are common when blood glucose levels are too high:
- Increased urination
- Dry eyes
- Blurred vision
If sugar levels are regularly too high for a number of days or weeks, the following symptoms may also berecognised:
- Loss of weight, particularly muscle mass
- Regular urinary tract infections
- Regular episodes of thrush
Note that in people that are overweight, loss of weight may sometimes be more recognisable as a loss of muscle mass.
High blood sugar can be uncomfortable and can increase the risk of developing long term complications if extended periods of hyperglycemia become a regular occurrence.
- Read more about hyperglycemia.
What About A Low Carb Diet For Prediabetes
A low-carb diet is a great option for prediabetes because it will improve blood sugar, help you lose weight, and help you feel more energetic. Carbohydrates are digested into glucose very easily. A person with prediabetes already has too much sugar in the blood so you donât want to add any more.
To feel satisfied on a low carb diet you have to eat healthy amounts of protein and fat. Many people continue to try to follow a low-fat or fat-free diet while also trying to make low carb choices, and understandably, feel hungry and frustrated because there is nothing tasty to eat. Recent research published in the British Medical Journal debunked the low fat hypothesis .2 People actually are not at a lower risk of prediabetes.
What is the glycemic index?
The easiest way to choose quality carbohydrates by following a low glycemic index diet. With a low glycemic index diet you balance the carbohydrate/sugar content of a meal with enough fiber, fat, and protein so that the meal is digested and absorbed slowly. This gradually releases glucose into the bloodstream, and thus the body does not require a large amount of insulin. It also provides the body with good, steady energy over many hours.
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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.
How Can I Prevent Hypoglycemia
You may need to change what and when you eat to prevent low blood sugar levels. Follow the meal plan that you and the dietitian have planned. The following guidelines may help you keep your blood sugar levels under control.
- Eat 5 to 6 small meals each day instead of 3 large meals. Eat the same amount of carbohydrate at meals and snacks each day. Most people need about 3 to 4 servings of carbohydrate at meals and 1 to 2 servings for snacks. Do not skip meals. Carbohydrate counting can be used plan your meals. Ask your healthcare provider or dietitian for information about carbohydrate counting.
- Limit refined carbohydrates. Examples are white bread, pastries , regular sodas, syrups, and candy.
- Do not have drinks or foods that contain caffeine. Examples are coffee, tea, and certain types of sodas. Caffeine may cause you to have the same symptoms as hypoglycemia, and may cause you to feel worse.
- Limit or do not drink alcohol. Women should limit alcohol to 1 drink a day. Men should limit alcohol to 2 drinks a day. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1Â½ ounces of liquor. Do not drink alcohol on an empty stomach. Drink alcohol with meals to avoid hypoglycemia.
- Include protein foods and vegetables in your meals. Some foods that are high in protein include beef, pork, fish, poultry , beans, and nuts. Eat a variety of vegetables with your meals.
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What Are The Complications Associated With Hypoglycemia
Its important to manage your hypoglycemia because it can cause long-term health problems. Your body needs glucose to function. Without the right level of glucose, your body will struggle to perform its normal functions. As a result, you may have difficulty thinking clearly and performing even simple tasks.
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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Symptoms Of Low Blood Sugar When You Arent Actually Low
For people with diabetes whose blood sugar levels have been consistently high for an extended period of time, including those with A1cs above 8 percent and those struggling with diabulimia, it is possible for your body to acclimate to high blood sugar levels.
This means that when your blood sugar does come down, your body might show symptoms of being low even when its just in a healthier range.
Reversing this issue is possible.
First, if you are currently struggling with diabulimia, please reach out to WeAreDiabetes or your healthcare team for support and guidance on working towards recovery.
Secondly, explain to your CDE whats going on that youre experiencing symptoms a low when youre not low and that youre fully committed to improving your blood sugar levels so you can feel good at healthier blood sugar ranges.
But this means your body needs time to acclimate, too. Youd work with your CDE on aiming for a target blood sugar thats lower than the higher range youve been sitting at, but not as low as normal blood sugar targets.
This gives your body a chance to gradually over the course of weeks or months reacclimate to healthier blood sugar levels without triggering false symptoms of low blood sugar.
How To Treat Someone Who’s Unconscious Or Very Sleepy
Follow these steps:
They may need to go to hospital if they’re being sick , or their blood sugar level drops again.
Tell your diabetes care team if you ever have a severe hypo that caused you to lose consciousness.
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Treating Low Blood Sugar
You are at risk of having a low blood sugar reaction if you:
- Skip or delay a meal or snack
- Take too much insulin or eat too few carbohydrates
- Drink alcohol, especially without eating carbohydrates
Check your blood sugar if you have any of these symptoms:
- Weakness and/or fatigue
If your blood sugar is less than 70 milligrams per deciliter :
- Eat 15 to 30 grams of carbohydrate
- Wait 15 minutes and then recheck your blood sugar
- If your blood sugar is still less than 100 mg/dl, take another 15 grams of carbohydrate and retest your blood sugar in another 15 minutes. Repeat if necessary.
Important: If you have frequent low blood sugars speak to your doctor. You may need changes in your medication and/or meal plan.
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.
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What Else Should I Know About Jardiance
What preparations of Jardiance are available?
- Tablets: 10, 25 mg
How should I keep Jardiance stored?
- Store empagliflozin at room temperature, between 15 C and 30 C .
How does Jardiance work?
- SGLT2 is found in the kidney tubules and is responsible for reabsorbing the majority of glucose filtered out of the blood by the kidneys. By inhibiting SGLT2 empagliflozin reduces the reabsorption of filtered glucose and consequently increases excretion of glucose in the urine. Empagliflozin is not recommended for use in patients with moderate to severekidney disease.
When was Jardiance approved by the FDA?
- Empagliflozin was approved by the US FDA in August 2014.
How Do You Feel If Your Blood Sugar Is Low
If your blood sugar is low, you may feel out of it confused, annoyed, and without focus. You should treat lows immediately, whether your glucose is below 70 mg/dL or trending toward that number, and whether or not you are feeling symptoms.
Its important to take hypoglycemia seriously. Read on to learn what to do when your blood sugar is low.
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How To Test Your Blood Sugar At Home
To perform a blood sugar test, you will need to prick your finger with a lancet . Youll put a small sample of blood from this onto a strip inserted into the blood glucose meter.
Before you test your blood sugar at home, its important to find out from your doctor what a healthy blood sugar range is for you. Your doctor will determine this range based on factors such as:
- the type of diabetes you have
- how long youve had diabetes
- your age
- whether you have any other chronic health conditions
If you dont have a blood sugar testing machine on hand and are experiencing signs or symptoms of low blood sugar with diabetes, your symptoms may be enough to diagnose low blood sugar.
Reversing Hypoglycemia Unawareness Is Possible For Many
While it isnt remarkably common, it is an issue for some people with diabetes. There are a few things someone with clear hypoglycemia unawareness can do to keep themselves safe.
First, use a continuous glucose monitor . CGMs are ideal for people who dont experience normal symptoms of low blood sugar because they can alert you to oncoming lows, helping you prevent them from occurring or from dropping as severely. CGMs allow you to set low alerts to levels like 90 mg/dL or 110 mg/dL wherever you feel safest.
Secondly, aim for a higher target range. If you know you have hypoglycemia unawareness, its critical that you raise your target blood sugar range at least slightly. Instead of aiming for 90 mg/dL when dosing insulin for meals and correcting highs, talk to your diabetes healthcare team about aiming for 100 mg/dL or 110 mg/dL, etc. This will reduce the risk of low blood sugars by keeping your blood sugar slightly above that thin line between normal and low.
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What Are Clinical Trials For Low Blood Glucose
Clinical trialsand other types of clinical studiesare part of medical research and involve people like you. When you volunteer to take part in a clinical study, you help doctors and researchers learn more about disease and improve health care for people in the future.
Researchers are studying many aspects of low blood glucose levels in diabetes, such as
- how to diagnose and treat low blood glucose among people with diabetes
- medicines that can treat symptoms of low blood glucose in people with hypoglycemia unawareness
- educational approaches to reduce fear of low blood glucose, which can make it harder for you to control your diabetes
What Is The Outlook For People With Hypoglycemia
Hypoglycemia can be managed when you and your healthcare provider understand what causes your blood sugar to go down. Give your healthcare provider as much information as possible about any hypoglycemic episodes. Fixing the problem may be as simple as changing the times you take medication, eat and exercise. Minor changes to the types of food you eat may also help.
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After You Have Low Blood Sugar
If your low blood sugar was mild , you can return to your normal activities once your blood sugar is back in its target range.
After you have low blood sugar, your early symptoms for low blood sugar are less noticeable for 48 to 72 hours. Be sure to check your blood sugar more often to keep it from getting too low again, especially before eating, physical activity, or driving a car.
If you used glucagon because of a severe low , immediately call your doctor for emergency medical treatment. If you have had lows several times close together , you should also tell you doctor. They may want to change your diabetes plan.
Treating Low Blood Glucose If You Take Medicines That Slow Down Digestion
Some diabetes medicines slow down the digestion of carbohydrates to keep blood glucose levels from rising too high after you eat. If you develop low blood glucose while taking these medicines, you will need to take glucose tablets or glucose gel right away. Eating or drinking other sources of carbohydrates wont raise your blood glucose level quickly enough.
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What Is The Difference Between Prediabetes And Type 2 Diabetes
- Prediabetes occurs when there is too much sugar in the blood. It is an early warning sign that the body has more sugar in the blood then it can use.
- Type 2 diabetes is a condition that occurs slowly over time. The pancreas cannot produce enough insulin to keep up with the increased need to move sugar into the cells for energy. Medication and lifestyle changes are necessary to manage blood sugar levels and avoid diabetes complications.
- Type 1 diabetes is different, and results from auto-immune attacks on the pancreas.
What are the signs and symptoms of type 2 diabetes?
Without reversing prediabetes, blood sugar continues to rise and signs and symptoms of diabetes may develop. The most common symptoms and early signs are thirst and excess urination. Sometimes people will notice unexplained weight loss. Later signs of type 2 diabetes are
Unfortunately, there really are no symptoms or signs of prediabetes. It almost always is diagnosed by chance during a medical screening or routine bloodwork. This is why it is important to get screened, especially if you are overweight or have family members with diabetes or pre-diabetes. However, the most common sign associated with prediabetes is being overweight.
It is common for a person with prediabetes to only have slightly elevated blood sugar levels, but the body continues to require increased insulin to maintain it. Hyperinsulinemia or high insulin, has signs and symptoms of:
- Weight gain around the abdomen
What If I Have Severe Low Blood Glucose And Cant Treat Myself
Glucagona hormone that raises blood glucose levelsis the best way to treat severely low blood glucose. Available as an injection or a nasal spray, glucagon will quickly raise your blood glucose level. Your doctor can prescribe you a glucagon kit for use in case of an emergency.
If your blood glucose level drops very low, you wont be able to treat it by yourself. Be prepared to address severely low blood glucose by
- talking with your doctor or health care team about when and how to use a glucagon emergency kit. If you have an emergency kit, regularly check the date on the package to make sure it hasnt expired.
- teaching your family, friends, and coworkers when and how to give you glucagon. Tell them to call 911 right away after giving you glucagon or if you dont have a glucagon emergency kit with you.
- wearing a medical alert identification bracelet or pendant. A medical alert ID tells other people that you have diabetes and need care right away. Getting prompt care can help prevent the serious problems that low blood glucose levels can cause.
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