Beware Of Low Blood Sugars
Remember, above all else, its very easy to over-treat a high blood sugar and wind up low. Then youll be tempted to binge-eat and wind up high again. This blood sugar roller coaster is exhausting and dangerous, too.
Frequently finding yourself on the blood sugar roller coaster means your approach to taking insulin and/or how you treat low blood sugars isnt working and needs some fine-tuning. Work with your healthcare team to reduce and prevent these wild swings to ensure your overall safety and quality of life!
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.
Treatment For High Blood Sugar Levels
For those with high blood sugar levels, it is vital to keep track of your blood sugars at home on a daily basis. This can be done with a glucose meter. These test monitors are often provided to diabetic patients so that they can manage their blood sugar levels at home everyday. They are available to purchase online if you are non-diabetic but wish to check on your levels regularly for safety.
Diabetic patients can be prescribed medications to help with insulin levels when their blood sugar is high. Those with type 1 diabetes will be prescribed medication which needs to be taken several times daily. This type of diabetes has no cure but can be managed with the right medication.
Those with type 2 diabetes or gestational diabetes can treat their high blood sugar with a change in diet or exercise. A healthier balanced diet is usually advised and sometimes, insulin medication is also prescribed if the blood sugar level becomes abnormally higher than the high reading for diabetic patients.
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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
Make Some Small Changes
You might try to get more exercise, or limit carbs at your next meal, but don’t go crazy. “One blood sugar that’s high doesn’t indicate a need for major changesthat should only be done on a pattern,” says Rice, such as “continuing highs despite following a doctor’s instructions.” If a pattern continues for two to three days or more, then you might want to let your health-care provider know.
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What Are The Recommended Targets For Blood Glucose Levels
Many people with diabetes aim to keep their blood glucose at these normal levels:
- Before a meal: 80 to 130 mg/dL
- About 2 hours after a meal starts: less than 180 mg/dL
Talk with your health care team about the best target range for you. Be sure to tell your health care professional if your glucose levels often go above or below your target range.
Do Seek Medical Attention If Your Glucose Is Over 400
Your glucose should not register above 400 unless your physician has advised you otherwise or has not specified. Above this level you are in a serious danger zone.
Once blood glucose values climb this high, a cascade of metabolic events leading to higher and higher sugars may not be within your control. You may be very ill or have an underlying infection both can and do raise blood glucose. This requires immediate medical attention.
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Easy Ways To Lower Blood Sugar Levels Naturally
High blood sugar occurs when your body doesnt make enough or effectively use insulin, a hormone that regulates blood glucose and helps it enter your cells for energy.
High blood sugar is associated with diabetes.
The Centers for Disease Control and Prevention reports that 13% of U.S. adults live with diabetes, and 34.5% have prediabetes (
This means close to 50% of all U.S. adults have diabetes or prediabetes.
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What If I Have Trouble Getting To My Blood Sugar Goals
There may be times when you have trouble reaching your blood sugar goals. This does not mean that you have failed. It means that you and your health care team should see if changes are needed. Call your health care team if your blood sugar is often too high or too low. Taking action will help you be healthy today and in the future.
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Keep A Healthy Weight
At present, two out of three adults in the US are considered to be overweight or obese .
Being overweight or obese can make it more difficult for your body to use insulin and control blood sugar levels.
This can lead to blood sugar spikes and a corresponding higher risk of developing type 2 diabetes.
The precise ways it works are still unclear, but theres lots of evidence linking obesity to insulin resistance and the development of type 2 diabetes .
Weight loss, on the other hand, has been shown to improve blood sugar control.
In one study, 35 obese people lost an average of 14.5 pounds over 12 weeks while they were on a diet of 1,600 calories a day. Their blood sugar dropped by an average of 14% .
In another study of people without diabetes, weight loss was found to decrease the incidence of developing type 2 diabetes by 58% .
Summary
Being overweight makes it difficult for your body to control blood sugar levels. Even losing a little weight can improve your blood sugar control.
Stick To An Eating Schedule
Dr. Kara warns against skipping meals frequently to avoid the rollercoaster of high to low blood sugar surges and dips. Spreading your meals out throughout the day, rather than eating a large breakfast or large dinner can help to regulate blood sugar. Eating regularly from morning through evening is the best strategy.
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Things That Cause High Blood Sugar
High blood sugar can be caused by a variety of factors. The most common factors that contribute to high blood sugar include:
- Overeating/eating large portion sizes
- Using old, expired insulin
- Injecting insulin incorrectly
Most patients with high blood pressure dont have a known cause. This is called essential hypertension or primary hypertension, Dr. Raja adds.
When To Get Urgent Medical Attention
Contact your diabetes care team immediately if you have a high blood sugar level and experience the following symptoms:
- feeling or being sick
- a fever for more than 24 hours
- signs of dehydration, such as a headache, dry skin and a weak, rapid heartbeat
- difficulty staying awake
These symptoms could be a sign of a more serious complication of hyperglycaemia, such as diabetic ketoacidosis or a hyperosmolar hyperglycaemic state, and you may need to be looked after in hospital.
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Make Physical Activity Part Of Your Daily Routine
Set a goal to be more physically active. Try to work up to 30 minutes or more of physical activity on most days of the week.
Brisk walking and swimming are good ways to move more. If you are not active now, ask your health care team about the types and amounts of physical activity that are right for you. Learn more about being physically active with diabetes.
Following your meal plan and being more active can help you stay at or get to a healthy weight. If you are overweight or obese, work with your health care team to create a weight-loss plan that is right for you.
What Makes Blood Sugar Level Go Up Or Down
Food, diabetes medications, and exercise have the most result on blood sugar levels the majority of the time, however there are other things that can raise or lower blood glucose. Heres a list of a few of what can make your blood sugar increase, go down, or decrease too much leading to hypoglycemia.
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First Check Your Ketones
In people with type 1 diabetes, high blood sugars can put you at risk of developing ketones. Blood sugar levels over 250 mg/dL with too little insulin can quickly turn into diabetic ketoacidosis if it continues to rise.
Test your urine for ketones, and contact your doctor or visit an urgent care facility if you measure with moderate to large ketones. When large ketones are present, correcting a high blood sugar with insulin via pump or injection wont be effective. Instead, youll likely need intravenous fluids for a few hours to restabilize.
If you only have moderate ketones or less, you may be able to correct with insulin at home but youll likely need a larger dose than normal. Contact your healthcare team if you test positive for ketones and are unsure of how to safely manage the situation.
Take Your Insulin As Prescribed
High blood sugar occurs when your body has too little insulin, or your body cant use insulin properly. Administering insulin can bring your blood sugar levels down.
Talk to your doctor about how much rapid-acting insulin you should administer when your blood sugar is high.
You may want to check your blood sugar about 1530 minutes after taking insulin to make sure your blood sugar is going down and that its not dropping too low.
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How Long Is Medication Needed For
In most cases, medication is needed for life. However, in some people whose blood pressure has been well controlled for a period of time, medication may be able to be stopped. In particular, in people who have made significant changes to their lifestyle . Your doctor will be able to advise you if you can reduce any of your medication.
Causes Related To Personal Health
Insulin resistance
This condition occurs when the cells in your muscles, fat, and liver are unable to use the glucose in your bloodstream for energy. Your pancreas responds to this increase in glucose by producing more insulin to help your body process it. This excess amount of insulin in the bloodstream can eventually cause your body to lose insulin sensitivity or build resistance to it, leading to higher blood glucose levels.
Bodyweight and body fat
Research connects being overweight and having a higher body fat percentage with high blood glucose levels. In fact, a high body fat percentage might be a clearer indicator of high blood sugar and diabetes than weight or body mass index .
Other health conditions
Certain conditions could make you more likely to have high blood glucose. These include Cushingâs disease, polycystic ovarian syndrome , and gestational diabetes. Blood glucose may also rise as the result of common illnesses like a head cold or the flu.
Hormonal changes
It isnât just stress and sleep that can cause fluctuations in hormones. Illness, physical pain and trauma, menopause or menstruation can as well. In any of these instances, your blood glucose levels may rise due to the changes in your hormone levels.
Medications
Gut issues
A growingbody of research links imbalances in the microbiota living in our guts to an inability to regulate glucose levels in the blood. This is sometimes due to antibiotic use or infection.
Genetics
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Monitor Blood Sugar Levels Closely
High blood sugar levels often do not cause symptoms until they run well over 200 mg/dL. As such, it is essential for a person with diabetes to monitor their blood sugar several times a day. Doing so will mean that blood sugar levels never get that high.
A person with diabetes can use a home glucose monitor to check blood sugar levels. These are available for purchase online.
Recommendations for how frequently to check glucose levels during the day will vary from person to person. A doctor can make the best recommendations regarding blood sugar monitoring to a person with diabetes.
Raw Cooked Or Roasted Vegetables
Vegetables addcolor, flavor, and texture to a meal. Opt for delicious, low-carb veggies likeeggplant, tomatoes, mushrooms, onions, Brussels sprouts, and zucchini in yourdiet. These add fiber and keep you fuller for longer.
How to add it to your diet:
- Roast theveggies with seasonings like pepper, garlic, or rosemary
- Eat them raw
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What Are The Benefits Of Lowering Blood Pressure
There is now plenty of good evidence from studies that controlling blood pressure in people with diabetes reduces the risk of future complications.
A large research study called the UK Prospective Diabetes Study confirmed this. In this study, many people with diabetes were monitored over several years. The study found that those with well-controlled blood pressure had nearly a third less risk of dying from complications related to diabetes compared with those with poorly controlled blood pressure.
In fact, this study found that good control of blood pressure was even more beneficial than good control of the blood sugar level to reduce the risk of developing complications from diabetes.
Since this study, other studies have been undertaken which confirm these results.
Treating And Managing Hyperglycaemia
If your blood sugar level is slightly high for a short time, emergency treatment wont be necessary. But if it continues to rise you may need to act fast to avoid developing diabetic ketoacidosis .
If your blood sugar level is 15 mmol/l or more, you should check your blood or urine for ketones. If ketones are present, it is likely that you do not have enough insulin in your body. This means you may need to increase your dose or give yourself an extra dose. Talk to your diabetes team about how to do this if you are unsure.
You should also try to drink plenty of sugar-free fluids to prevent dehydration. And if you are feeling unwell, especially if you are vomiting, you should follow any sick day rules you have been given and contact your diabetes healthcare team for advice.
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Insulin And Blood Sugar
Insulin is an important hormone that helps regulate your blood sugar levels. The pancreas makes insulin. It helps control your blood sugar levels by assisting the cells that absorb sugar from the bloodstream.
If you have type 1 diabetes, your body doesnt make insulin. This means you have to inject insulin every day.
If diet and exercise arent enough to manage blood sugar, those with type 2 diabetes may be prescribed medications to help keep blood sugar levels within target ranges.
If you have type 2 diabetes, your body produces insulin, but may not use it properly or produce enough of it. Your cells dont respond to insulin, so more sugar keeps circulating in the blood.
Exercise can help the cells respond better and be more sensitive to insulin. The proper diet can also help you avoid spikes in blood sugar. This can help keep your pancreas functioning well since high blood sugar levels decrease pancreatic function.
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So Whats Making You High
As diabetics we are constantly striving to maintain a perfect blood glucose level. Having a high fasting reading constantly is a cause for major concern and can definitely affect your hbA1c and by extension your health if not corrected. For 3 or 4 days in a row, plan specific blood glucose testing times. You should also prepare your own meals during this testing period so that you are certain of the carbohydrate content. Try to have your last meal at least 2 hours before bedtime. Check your blood glucose at bedtime, wake up around 3 a.m to test again, and take the final reading at your usual wake-up time. Comparing these results can identify what is the underlying cause of your high blood glucose level in the morning. Sometimes it can also be a combination of issues. The table below is a guideline to follow to assist in identifying the problem. Always seek medical advice from your doctor pertaining to medication dosages and modifications.
| Find the Culprit of your Fasting High Blood Glucose Level |
| Bedtime |
| Day 3 |
| Day 4 |
If your 2 hour post dinner time is close to your bedtime there is no need to test again. If it is more than an hour apart include both tests. These are quite a lot of test which will be done over a couple day. Your fingers will be sore but it will lead to discovering your underlying problem.
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