Low Blood Sugar Levels In Diabetes
People with diabetes can have low blood sugar levels because of the medicines they have to take to manage their diabetes. They may need a hormone called 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 blood sugar level go down. But sometimes it’s a tricky balancing act and blood sugar levels can get too low.
People with diabetes need to keep their blood sugars from getting too highor too low. Keeping blood sugar levels in a healthy range means balancing when and what they eat, and when they exercise with when they take medicines.
What Is Continuous Glucose Monitoring
Continuous glucose monitoring is another way to check your glucose levels. Most CGM systems use a tiny sensor that you insert under your skin. The sensor measures glucose levels in the fluids between your bodys cells every few minutes and can show changes in your glucose level throughout the day and night. If the CGM system shows that your glucose is too high or too low, you should check your glucose with a blood glucose meter before making any changes to your eating plan, physical activity, or medicines. A CGM system is especially useful for people who use insulin and have problems with low blood glucose.
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Start With These Tips To Lower Blood Sugar Levels
To help you get started on filling your plate with more blood sugar friendly foods that will help lower your blood sugar, start by removing refined sugar, refined grains, and most processed foods from your diet. Processed foods all contain chemicals and refined ingredients that our bodies dont recognize as real nutrients, so our cells never really get what they need and we feel hungry all the time as a result. This also leads to blood sugar swings and spikes that cause insulin to work less efficiently.
What helps insulin work best so that blood sugar stays in a stable place are foods that pack dense amounts of nutrition and contain amino acids , fiber , and healthy fats from real food.
Lets check out some foods that can help lower blood sugar levels by offering us these nutritional benefits, shall we?
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How Does Food Affect My Blood Sugar
When you eat, your body breaks food down into carbohydrates, proteins, fats, vitamins, and minerals.
You need all of these parts for a healthy diet, but carbohydrates are really important when it comes to your blood glucose level. However, not all carbs change into blood sugar at the same rate.
Examples of foods that fit into each carb category include:
- Starches, or complex carbohydrates: Starchy vegetables, dried beans, and grains
- Sugars: Fruits, baked goods, beverages, and processed food items like cereals
- Fiber: Whole wheat products, chickpeas, lentils, berries, pears, and Brussels sprouts
The glycemic index is a carb ranking system that uses a scale ranging from zero to 100. You can use the GI to find out how different foods affect your blood sugar levels.
High GI foods are quickly processed and can cause a rapid spike in blood sugar levels. Low index foods are more slowly processed which leads to smaller blood glucose level changes.
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Check Your Blood Sugar
If you take medication that may cause low blood sugar , its highly advisable to check your blood sugar levels before you try to bring your sugar levels down.
This is just in case your blood sugar is normal or low, which can be the case in some situations.
Testing of blood sugar before bringing your levels down is particularly important if you take insulin.
Check Your Blood Glucose Levels
For many people with diabetes, checking their blood glucose level each day is an important way to manage their diabetes. Monitoring your blood glucose level is most important if you take insulin. The results of blood glucose monitoring can help you make decisions about food, physical activity, and medicines.
The most common way to check your blood glucose level at home is with a blood glucose meter. You get a drop of blood by pricking the side of your fingertip with a lancet. Then you apply the blood to a test strip. The meter will show you how much glucose is in your blood at the moment.
Ask your health care team how often you should check your blood glucose levels. Make sure to keep a record of your blood glucose self-checks. You can print copies of this glucose self-check chart. Take these records with you when you visit your health care team.
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How Exercise Impacts Glucose In The Moment
When you exercise, your body relies on two sources of fuel: glucose and fat. How your blood sugar changes during exercise depends on the intensity level of your workout and the fuel source your body is using.
Steady-state cardio exercises, like jogging or gentle swimming, donât rely on your body having to produce quick bursts of energy. In these cases, it gets more of its energy from fat, so your blood sugar will usually stay at the same level or decrease.
Higher-intensity exercises like HIIT, strength training, and sprinting cause your body to release a surge of adrenaline. To ensure that you have enough energy readily available for this, your body releases glucose from your liver, increasing your blood sugar levels.
Put more simply, your body works through exercise using supply and demand. During high-intensity exercises, it doesnt have the supply of energy on hand to fuel your workout. So, it releases glucose, immediately meeting the energy demand to fuel your workout while causing a short-term spike in blood sugar. During low-intensity exercise, your body has enough energy on hand to meet the demand, so blood glucose typically stays steady or decreases.
Short-term level changes like these are not harmful, just a standard part of our physiology.
What Should I Do If My Blood Sugar Gets Too High
High blood sugar is also called hyperglycemia . It means that your blood sugar level is higher than your target level or over 180. Having high blood sugar levels over time can lead to long-term, serious health problems.
If you feel very tired, thirsty, have blurry vision, or need to pee more often, your blood sugar may be high.
Check your blood sugar and see if it is above your target level or over 180. If it is too high, one way to lower it is to drink a large glass of water and exercise by taking a brisk walk. Call your health care team if your blood sugar is high more than 3 times in 2 weeks and you dont know why.
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When To See A Doctor
According to the University of Michigan, blood sugar levels of 300 mg/dL or more can be dangerous. They recommend calling a doctor if you have two readings in a row of 300 or more.
See your doctor if you have consistently high blood sugar levels. Symptoms of this include:
- increased thirst
- high levels of sugar in urine
Ask your doctor how often to check your blood sugar and about your ideal blood sugar levels.
If you dont currently see a doctor who specializes in diabetes, known as an endocrinologist, you can find one by searching the American Association of Clinical Endocrinologists website.
You can find a certified diabetes educator by visiting the American Diabetes Associations website and searching by zip code.
Summary
Talk to your doctor if you have consistently high blood sugar readings or symptoms of chronic hyperglycemia.
Checking your blood sugar and then treating hyperglycemia early will help prevent any complications.
Health problems can arise when someone has high blood sugar regularly and without treatment.
Examples of complications include:
- nerve damage, called diabetic neuropathy, that may affect sensations in the feet and hands
- diabetic retinopathy, or damage to the blood vessels in the eyes that affects vision
- increased risks for kidney problems
- increased risks for heart problems
Taking steps to keep your blood sugar at target levels can help to minimize the likelihood that these complications will occur.
When To Call For Medical Advice
It is important to note that very high blood glucose levels can be dangerous and it is important to be aware of the symptoms and risk factors of the following conditions:
- Diabetic ketoacidosis a short term complication most commonly associated with type 1 diabetes
- Hyperosmolar Hyperglycaemic State a short term complication most commonly associated with type 2 diabetes
If you are struggling to keep your blood glucose levels under control, speak to your GP or consultant who can advise you or refer you onto a diabetes education course.
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Take Missed Diabetes Medication
I don’t generally recommend that you take it on an as-needed basis, says Dr. Hong. Typically, diabetes medications are meant to be taken on a daily basis or in a scheduled way. If you forget to take your medication, then absolutely, your blood sugars can go up, and then if you take it again, the sugars will certainly come back down, says Dr. Hong. Just keep in mind that medications wont work as quickly as insulin, especially if its been a while since you had your last dose or if you havent been taking it as often as you should.
How Can I Treat High Blood Sugar
Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:
- Be more active. Regular exercise can help keep your blood sugar levels on track. Important: dont exercise if ketones are present in your urine. This can make your blood sugar go even higher.
- Take medicine as instructed. If your blood sugar is often high, your doctor may change how much medicine you take or when you take it.
- Follow your diabetes meal plan. Ask your doctor or dietitian for help if youre having trouble sticking to it.
- Check your blood sugar as directed by your doctor. Check more often if youre sick or if youre concerned about high or low blood sugar.
- Talk to your doctor about adjusting how much insulin you take and what types of insulin to use.
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Can Oral Mediations Help A High Blood Sugar
While any oral medications you take to help manage your diabetes do improve your blood sugar levels, they are not something you would take an extra dose off to correct an occasional high blood sugar level.
However, if you realize that you forgot to take your dose of a daily medication, this should be part of the process of bringing your high blood sugar down.
Some medications can be taken late, and some medications may need to wait until your next normally scheduled dose. Contact your healthcare team to determine if the diabetes medication you take can be taken late after missing your usual dose.
If you have been skipping this medication altogether for days or weeks its very likely a significant contributor to the reason your blood sugar is high. These medications are designed to improve your blood sugar levels in a variety of different ways.
Talk to your healthcare team to better understand the medications youve been prescribed and the issues youre having in taking them as directed.
Check Blood Sugar Levels Regularly
Your doctor will recommend an ideal routine for regularly checking your blood sugar levels, but checks should typically be done 4 to 6 times per day. You should check your blood sugar more often in the following cases:
- Your blood sugar levels are getting higher.
- Youre having symptoms of high or low blood sugar.
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Preventing High Blood Sugars
Everyone with diabetes experiences high blood sugars sometimes there are simply too many variables in the human body out of your control to prevent them altogether.
That being said, there are a few guidelines we can all follow to minimize the frequency of high blood sugars:
- Avoid full-sugar beverages including soda, juice, coffee drinks, iced tea, etc.
- Choose your carbohydrates carefully starchy carbs from pasta, candy, bread, desserts, etc. will spike your blood sugar the most
- Take your medications as prescribed and contact your healthcare team if you miss a dose to determine if you can take it late
- Exercise daily even a 20-minute walk makes a big difference on a daily basis
- Drink plenty of water to prevent dehydration
And of course, if youre experiencing high blood sugars are a daily basis and youre unsure of the cause, talk to your healthcare team about making adjustments in your diabetes management regimen. A slight increase in your medications can have a big impact!
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