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.
Exercise Food And Alcohol
For people with type 1 diabetes, maintaining the correct blood glucose level involves balancing;how much;insulin you inject, the amount of food you eat, and how much energy you burn during exercise.
Hypoglycaemia may occur if you’ve taken your dose of insulin as usual, but your carbohydrate intake is lower than normal or has been used up more quickly. This may happen if you delay or miss a meal or snack, don’t eat enough carbohydrate, or exercise more than usual.
People with diabetes who’ve;drunk too much alcohol, or drank alcohol on an empty stomach, can also get hypoglycaemia.
However, it’s not always possible to identify why a particular episode of hypoglycaemia has occurred, and sometimes it happens for no obvious reason.
Signs That Blood Sugar Levels Are Low
There are a bunch of symptoms that someone with low blood sugar might have. It’s not the same for everybody. The symptoms are as minor as feeling hungry and as serious as having seizures or passing out. Have you ever had low blood sugar? If so, do you remember how it felt? Noticing those problems early can help you if it happens again.
If you have diabetes and you have low blood sugar, you may:
- feel hungry or have “hunger pains” in your stomach
- feel shaky or like you’re trembling
- have a rapid heart rate
- feel sweaty or have cold, clammy skin
- have pale, gray skin color
- have a headache
- be unsteady or stagger when walking
- have blurred or double vision
- feel confused
- have seizures
- pass out
If you think your blood sugar level could be low, tell a parent, teacher, or whoever is taking care of you. An adult can help you test your blood and get you treatment so you start feeling better.
Also Check: What Helps To Curb Sugar Cravings
What Should I Do If I Experience A Hypoglycemia
Low blood sugar can be treated quickly with fast-acting glucose. If you are at risk for lows, you should always have something fast and sweet with you. Glucose tabs, for example, are available at any pharmacy, are relatively affordable, and are designed to digest quickly and raise blood glucose fast.
Other options are fruit juice, regular soda, candies , or other . It is important that whatever you use to treat the low does not contain a lot of fat or fiber, which slows digestion and takes longer to raise blood sugar.
The general guidelines are to eat 15-20 grams of glucose or simple carbohydrates then check your blood sugar again in 15 minutes. If you are still low, repeat.
If you experience low blood sugars often, talk to your doctor. Together, you’ll be able to figure out why they are happening and then make adjustments, so they don’t happen so often.
Effects Of Severe Hypoglycemia
Without emergency treatment, prolonged severe hypoglycemia results in permanent brain damage and irreversible cardiac problems, especially if you already have heart disease. Hypoglycemia causes weakness, tremors, rapid heartbeat and dizziness. Serious injuries can result from loss of consciousness while driving or falling down stairs, according to Joslin Diabetes Center. Drug-induced hypoglycemia is often responsible for falls that cause serious injuries in the elderly who take diabetes medications, such as chlorpropamide, reports the University of Illinois College of Pharmacy. Because many health conditions have similar symptoms, do not ignore recurring symptoms of hypoglycemia, whether mild or severe, as they can be a sign of a serious, undiagnosed medical condition.
Recommended Reading: How To Stop My Sugar Addiction
Checking For Low Blood Sugar Levels
The warning signs of hypoglycemia are the body’s 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:
- start shaking
- have an increased heart rate
If the hypoglycemia isn’t treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if you’re 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 can’t quickly check your blood sugar level, it’s 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 it’s also released when blood sugar levels fall quickly when they’re too high. If you’re 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 you’re having a false reaction.
What Is Normal Blood Sugar
When we eat, glucose â which is our bodyâs main source of energy â enters our bloodstream from our food. Then our pancreas secretes a hormone called insulin in just the right amount to help the glucose go from the bloodstream to our bodyâs various cells to be used as energy. This process usually keeps the glucose in our bloodstream in a healthy range, being neither too high, nor too low.;
This range is measured in milligrams of blood glucose per deciliter, or mg/dL. Dr. Saleh Aldasouqi, Chief of Endocrinology at Michigan State University, explains to CNET: âNormal blood sugar is defined as anywhere from 70 to 110 mg/dL within a healthy physiology, as a person without diabetes or other related diagnosed condition. Sugar below 70 is generally considered low, and above 110 is considered high .â
Also Check: Can You Lose Weight With Diabetes
You May Like: How To Become Sugar Baby Online
What Are The Signs Of Hypoglycemia
An individual may frequently wake up in the middle of the night as a result of nighttime hypoglycemia. In other instances, though, people may know if they experienced hypoglycemia during their sleep if they notice the following symptoms:
- Waking up with a headache
- Waking up in a sweat
- Getting unusual feelings of tiredness throughout the day
- Experiencing anxiety or heart palpitations
- Feeling confused, dizzy or weak
The Effects Of Low Blood Sugar On Your Body
Every cell in your body needs energy to function. The main source of energy might come as a surprise: Its sugar, also known as glucose. Blood sugar is essential to proper brain, heart, and digestive function. It even helps keep your skin and vision healthy.
When your blood sugar levels fall below the normal range, its called hypoglycemia. There are many identifiable symptoms of low blood sugar, but the only way to know if you have low blood sugar is by taking a blood glucose test.
Learn more about the symptoms of low blood sugar, as well as the long-term effects on the body.
most common reasons for low blood sugar are some medications used to treat diabetes, such as insulin.
In type 1 diabetes, the pancreas can no longer produce insulin. In type 2 diabetes, the pancreas doesnt make enough insulin, or your body cant use it properly. Too much insulin or oral diabetic medication can lower the blood sugar level, leading to hypoglycemia.
However, contrary to popular belief, low blood sugar isnt exclusive to diabetes, though it is rare. It can also happen if your body makes more insulin than it should.
Another possible cause of low blood sugar is drinking too much alcohol, especially over long periods of time. This can interfere with the livers ability to create a buildup of glucose and then release it into your bloodstream when you need it.
Other causes include:
You May Like: Can You Have Low Blood Sugar Without Having Diabetes
What If The 15
If you dont feel better after three tries, or if your symptoms get worse, call your healthcare provider or 911. Healthcare providers can use a medication called glucagon. They inject it with a needle or squirt it up your nose. Glucagon is also available for home use. Your healthcare provider can prescribe it and teach a family member or friend how to use it in the event of severe hypoglycemia.
Dont Drive When You Have Low Blood Sugar
It’s dangerous. If you’re driving and you have hypoglycemia symptoms, pull off the road, check your blood sugar, and eat a sugary food. Wait at least 15 minutes, check your blood sugar, and repeat these steps if needed. Eat a protein and carbohydrate source before you drive on. Be prepared. Keep a sugar source, such as glucose tablets, in your car at all times for emergencies.
Allina Health: âNon-diabetic Hypoglycemia.”
Endotext: “Non-Diabetic Hypoglycemia.”
UW Health: âNutrition Management of Low Blood Sugar without Diabetes .â
Memorial Sloan Kettering Cancer Center: âHow to Give an Emergency Glucagon Injection to Treat Low Blood Sugar.â
American Diabetes Association: âHypoglycemia .â
Joslin Diabetes Center: âDriving with Diabetes,â âHow To Treat A Low Blood Glucose,â âIs Low Blood Glucose Dangerous?â âOral Diabetes Medications Summary Chart,â âPrandin âOral Hypoglycemic Agent.â”
Journal of the American Medical Association: âFactitious Hypoglycemia Due to Chlorpropamide: Report of a Case, with Clinical Similarity to an Islet Cell Tumor of the Pancreas.â
AMN Healthcare: âAdvances in Diabetes, Part II: Oral Medications.â
Physiciansâ Desk Reference: âAllopurinol,â âCoumadin,â âProbenecid.â
National Institute of Diabetes and Digestive and Kidney Diseases: âLow Blood Glucose .â
Hormone Health Network: âNon Diabetic Hypoglycemia.â
University of Iowa Hospitals & Clinics: âHypoglycemia .â
Read Also: Is There Sugar In Smirnoff Ice
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.
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.
Recommended Reading: What Is High Blood Sugar Levels Chart
What Are The Signs And Symptoms Of Hypoglycemia
Hypoglycemia tends to present as a cluster of symptoms, and they often occur together. The most common signs of dangerously low blood sugar include:
- Dizziness, disorientation, light-headedness, and an inability to think clearly
- Hunger, especially if youve just eaten
- Heightened irritability, confusion, and anxiety
- Clamminess and sweating, with cold hands and feet
- Drastic mood swings
If you have one or more of these symptoms contact your doctor.
How Are Low Blood Sugar Levels Treated
Your diabetes health care team will give you guidelines for treating low blood sugar levels, depending on your symptoms. If you can, try to test your blood sugar levels to make sure that your symptoms are because of hypoglycemia. If you can’t test blood sugar immediately, don’t delay in treating your symptoms you can always check your blood sugar after you’ve taken steps to get your blood sugar back up into the normal range.
When blood sugar levels are low, the goal is to get them back up quickly. To do that, you should take in sugar or sugary foods, which raise the blood sugar level quickly. Your health care team might suggest that you:
- Eat, drink, or take something that contains sugar that can get into the blood quickly. Your doctor may tell you to have really sugary foods or drinks or might give you glucose tablets or gel to take all of these can help to raise your blood sugar level fast, which is what you need to do when it’s low.
- Wait about 10 minutes to let the sugar work.
- Recheck your blood sugar level with a glucose meter to see if blood sugar levels are back to normal.
- Get a glucagon shot , if your symptoms are severe or get worse after you eat, drink, or take glucose.
Sometimes, blood sugar levels can get so low that you may not be awake enough to eat or drink something to get them back;up. When this happens, you may need a glucagon shot.
Don’t Miss: What Can You Take To Lower Blood Sugar
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.
What Should I Do If This Happens
People and their partners or roommates should learn to recognize the signs of nighttime hypoglycemia. Be prepared! Ask your doctor for an emergency glucagon kit. This kit contains a fast-acting medication that can be injected if the person cant be woken up. Store the kit in a bedside drawer for easy access.
DO NOT PUT ANYTHING INTO A PERSON’S MOUTH IF THEY ARE ASLEEP OR CANNOT SIT UP.
If the person cannot be woken: If there is no emergency glucagon kit, call 911. If the person has a glucagon kit, the partner or roommate should follow the instructions to fill the syringe and inject the medicine. Once fully awake, he/she should eat a meal and check their blood glucose every few hours using a home test kit. After giving the injection, the persons doctor should be notified.
If the person can be woken up and sit without support: They should be given a fast-acting glucose source. Good options include hard candy, fruit juice or glucose paste or tablets, which can be purchased at most pharmacies. Once the person is fully awake, they should eat a meal and check their blood glucose every few hours using a home test kit.
Recommended Reading: How To Make French Toast With Cinnamon Sugar
How Is It Treated
If you often have symptoms of hypoglycemia, you should see your healthcare provider. Your provider can help you determine the cause. Your provider will also give you guidelines for treating low blood sugar when you are having symptoms.
When you see your provider, be sure to take your notebook or glucose meter with all of the results of your recent blood sugar checks. This helps your provider know whether you are on the right medicines and are taking the right dose at the right time of day. Without this record, it is harder for your provider to help you figure out the cause of your symptoms.
Here are some examples of guidelines your provider may give you:
- If you have diabetes and you think your blood sugar may be too low, check it with your home meter before treatment, if possible.
- Always carry some form of sugar you can eat as soon as you have any symptoms of hypoglycemia. The following amounts and types of foods will bring your blood sugar level up:
- 2 to 5 glucose tablets
- 1/2 cup fruit juice
- 1/2 cup regular soda
- 6 to 8 ounces of skim milk
- 1/4 to 1/3 cup of raisins
- 5 to 7 pieces of hard candy like Lifesavers
- a tube of glucose in gel form
- 1 tablespoon of molasses, corn syrup, or honey
Food Exercise And Medications Affect Blood
Too little food, strenuous exercise that burns large amounts of sugar, caffeine or excessive alcohol consumption can cause hypoglycemia. Medications prescribed to treat heart problems or high blood pressure, such as beta-blockers and angiotensin-converting enzyme agents, also called ACE inhibitors, may mask symptoms of low blood sugar, reports the University of Michigan Health System. Medications, such as quinolones, antibiotics prescribed to treat urinary tract infections, can cause hypoglycemia, according to the University of Maryland Medical Center.
Recommended Reading: Can Too Much Sugar Cause Seizures