Traveling Can Disrupt Routines And Thus Sugars
Skipping a few time zones during a long flight throws almost everyone off, but it’s an even bigger concern for people with diabetes. The time change can disrupt your medication schedule and cause unusual eating and sleeping habits, which interfere with blood sugar control, McDermott says.
Plus, when youre on vacation or traveling, you may eat more, drink more alcohol, or be more active all of which can cause blood sugar swings. She advises checking your blood sugar more frequently while traveling to catch any concerning trends before they become serious problems.
McDermott also recommends packing healthy carb-balanced snacks as well as a refillable water bottle to help you stay hydrated. Try to eat something every four hours throughout the day, even if it cant be at the exact same times you usually eat. If you take insulin and you’re shifting time zones, be sure to work out a medication schedule with your diabetes care team before your trip so you don’t mistime any doses, she says.
Low Blood Sugar Level Causes
Most low blood sugar level causes are preventable and are caused due to a persons lifestyle and diet habits. Low blood sugar is common among diabetic patients who take medications to increase insulin levels.
All of the above causes are risk factors that may or may not be able to be inhibited. They are important to be aware of and act accordingly to keep yourself from getting a too high or too low blood sugar level.
If a person has medical, lifestyle or diet habits that cause irregular blood sugar levels, symptoms will begin to develop along with the drop or spike in blood sugar, and are as follows:
What Are The Treatments For Hypoglycemia
Make an appointment with an endocrinologist if you feel like youre having episodes of hypoglycemia, even if youre not diabetic. Theyll talk you through treatment strategies, including:
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Adjusting your medications. You may need to change how often you take insulin or other medications, which medications youre on, how much you take, and when you take them.
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Working with a registered dietitian on a personalized meal plan that stabilizes blood sugar levels. Theres no one-size-fits-all hypoglycemia diet, but a nutritionist can help you figure out a consistent meal plan tailored to you, and teach you how to count carbohydrate grams to go along with your health and routine.
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Increasing and improving self-monitoring of your blood glucose levels. Knowing your blood glucose level throughout the daywhen you get up, before meals, and after meals etc.can help you keep it from getting too low.
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Limiting consumption of alcoholic beverages. Alcohol interferes with the way your body metabolizes glucose. If you’re prone to hypoglycemia, consider decreasing how much alcohol you consume.
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Glucose tablets . Make sure you always have glucose tablets on hand, whether at home, school, the office, or the gym. After taking the tablet, check your blood sugar. If its still low, take another tablet. If that doesnt help, check with your doctor.
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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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What Are The Symptoms Of Hypoglycemia
Symptoms of hypoglycemia can start quickly, with people experiencing them in different ways. The signs of hypoglycemia are unpleasant. But they provide good warnings that you should take action before blood sugar drops more. The signs include:
- Shaking or trembling.
- Tingling or numbness in the face or mouth.
During a severe hypoglycemic event, a person may:
- Be unable to eat or drink.
- Have a seizure or convulsions .
- Lose consciousness.
- Slip into a coma or die .
Blood Sugar Level Rises Every Time You Eat
Your blood sugar level rises immediately after eating a meal or snack . In a healthy person, insulin then starts working, and the blood sugar level returns to the pre-meal level 2 hours after eating. In untreated diabetes patients, the blood sugar level does not return to the pre-meal level of its own accord. Some people’s blood sugar level remains high two hours after eating, even though on an empty stomach it would be at a normal level. As a result, the risk of developing diabetes increases as insulin is not properly secreted, or does not work properly in the body. In order to make sure insulin works properly, it is important not to overeat and to avoid becoming obese. Knowing which foods will not cause a sudden and extreme spike in blood sugar level and using this knowledge in your daily life will help you to prevent obesity and diabetes, and maintain good health.
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Whats The Link Between Diabetes And Hypoglycemia
Hypoglycemia is most common, by far, in people with diabetes. Treatment for the diseaseoften involves taking medication to increase insulin. Hypoglycemia can develop if things like food, exercise and diabetes medications are out of balance.
Common pitfalls for people with diabetes include:
- Being more active than usual.
- Drinking alcohol without eating.
- Eating late or skipping meals.
- Not balancing meals by including fat, protein and fiber.
- Not eating enough carbohydrates.
- Not timing insulin and carb intake correctly .
Also, if someone with diabetes uses the wrong insulin, takes too much or injects it incorrectly, that can cause hypoglycemia.
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The Dangers Of Low Blood Glucose
At some time, most people with diabetes experience the sweating and shakiness that occurs when blood glucose levels fall below 70 mg/dl a condition known as hypoglycemia. The average person with type 1 diabetes may experience symptoms of low blood glucose up to two times a week. However, not all are aware that these symptoms can rapidly progress to seizures, coma and even death if hypoglycemia is severe. Though hypoglycemia can be common and occur repeatedly in some people with diabetes, symptoms of low blood glucose should always be taken seriously. People with diabetes and their families, friends or coworkers should be prepared to act quickly and responsibly at the earliest signs of low blood glucose.
Blood Sugar And Insulin Response
When you eat carbohydrates, your blood sugar, or blood glucose level, goes up. When your blood sugar level goes up, it sends signals to your pancreas to release the hormone insulin. Insulin then attaches to the sugar, or glucose, molecules and either carries them into your cells where theyre used for immediate energy or stored in the liver for use later. As insulin carries glucose out of your blood, your blood sugar levels go down. When your blood sugar levels go down, it signals your pancreas to release less insulin.
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Watch Out For The Infamous Dawn Phenomenon
It’s not uncommon to wake up to a high blood sugar reading, even if your number was in the green zone when you went to bed. You may be experiencing the “dawn phenomenon,” which occurs when the body preps for waking up by releasing cortisol and other hormones, between 2 and 8 a.m., according to the Mayo Clinic.
These hormones make the body less sensitive to insulin, and in people with diabetes, can contribute to a morning blood sugar spike. Alternatively, you may start the day with a low glucose level if, for example, you’re taking too much insulin or medication at night or not eating enough in the evening, McDermott says. She notes that eating a small, protein-rich, low-carb snack at bedtime can sometime help by shortening the fast .
If you see a trend in your morning readings or they’re highly erratic from day to day you’ll want to work with your doctor or diabetes educator to identify the problem so you can take steps to correct it, says Bonsignore.
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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What Symptoms To Watch For
Hypoglycemia can be a challenging diabetes compications, as you ask yourself, why does my sugar keep dropping? There are several common low blood sugar symptoms to look out for. These symptoms arise due to the adrenal glands releasing both epinephrine and cortisol in response to hypoglycemia.
However, not everyone will experience all of thesehypoglycemia symptoms , and low blood sugar reactions can change. If you suspect you have low blood sugar, the best thing to do is check your blood sugar to confirm.
People who have had diabetes for a long time or who have experienced hypoglycemia frequently may develop hypoglycemia unawareness.
Hypoglycemia unawareness is a diabetes complication where people dont experience the usual warning signs of low blood sugar before it occurs. Up to 40% of people with type 1 diabetes experience hypoglycemia unawareness.
How Can I Prevent Hypoglycemic Episodes
The key to preventing hypoglycemic events is managing diabetes:
- Follow your healthcare providers instructions about food and exercise.
- Track your blood sugar regularly, including before and after meals, before and after exercise and before bed.
- Take all your medications exactly as prescribed.
- When you do have a hypoglycemic event, write it down. Include details such as the time, what you ate recently, whether you exercised, the symptoms and your glucose level.
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Checking For Low Blood Sugar Levels
The warning signs of hypoglycemia are the bodys natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:
- have an increased heart rate
If the hypoglycemia isnt treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if youre having a low blood sugar level is to test. Blood sugar levels can be tested with a . This computerized device measures and displays the amount of glucose in a blood sample. But if you cant quickly check your blood sugar level, its important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.
Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline is not just released when blood sugar drops too low its also released when blood sugar levels fall quickly when theyre too high. If youre having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if youre having a false reaction.
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What Causes A Low Blood Sugar Level
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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How Do I Treat Low Blood Glucose
If you begin to feel one or more symptoms of low blood glucose, check your blood glucose level. If your blood glucose level is below your target or less than 70 mg/dL, follow these steps
Not Eating Enough Carbohydrates
Carbohydrates are a type of nutrient found in foods like grains, starchy vegetables, fruit, and some dairy products. Carbohydrates turn into blood sugar when digested, so they significantly impact blood glucose levels than proteins and fats.
Not eating enough carbohydrates, especially while also taking blood sugar-lowering medications, can cause hypoglycemia.
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High Calorie Foods May Or May Not Cause The Blood Sugar Level To Rise
Many people think that all high-calorie foods raise blood sugar level, but this is not always the case.
In general, foods that cause blood sugar level to rise the most are those that are high in carbohydrates, which are quickly converted into energy, such as rice, bread, fruits and sugar. Next are foods high in protein, such as meats, fish eggs, milk and dairy products, and oily foods. However, even though carbohydrates affect blood sugar levels, if you don’t eat them your diet will be unbalanced and you won’t feel satisfied after your meal, which can lead to excessive consumption of foods rich in protein and fat.
Food containing three major nutrients
| Carbohydrates |
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