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How Do I Keep My Blood Sugar Stable

What causes low blood sugar levels in Diabetic individuals? – Dr. Mahesh DM

Oh, the words blood sugar.

Does it conjure up visions of restrictive eating, diabetes medications, or insulin injections?

Blood sugar is the measure of the amount of sugar in your blood. You need the right balance of sugar in your blood to fuel your brain and muscles.

The thing is, it can fluctuate. A lot.

This fluctuation is the natural balance between things that increase it and things that decrease it. When you eat food with sugars or starches , then your digestive system absorbs sugar into your blood. When carbs are ingested and broken down into simple sugars, your body keeps blood sugar levels stable by secreting insulin. Insulin allows excess sugar to get out of your bloodstream and into your muscle cells and other tissues for energy

Why keep my blood sugar stable?

Your body wants your blood sugar to be at an optimal level. It should be high enough, so youre not light-headed, fatigued, and irritable. It should be low enough that your body isnt scrambling to remove excess from the blood.

When blood sugar is too low, this is referred to as hypoglycemia.

When blood sugar is too high, it is referred to as hyperglycemia. Prolonged periods of elevated blood sugar levels can lead to insulin resistance.

Insulin resistance is when your cells are just so fed up with the excess insulin that they start ignoring it, and that keeps your blood sugar levels too high.

Insulin resistance and chronic hyperglycemia can eventually lead to diabetes.

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Symptoms Signs Causes Of Levels Of High Blood Sugar In The Blood

High blood sugar or hyperglycemia is an abnormally high blood sugar level in the blood. Hyperglycemia is a hallmark sign of diabetes and prediabetes.

Signs and symptoms of hyperglycemia include blurred vision, headaches, hunger, and …

The normal ranges for blood sugar levels in adults who do not have diabetes before eating or fasting the range begins at 72-99mg/dL while fasting ranges for those being treated for type 1 or type 2 diabetes range from 80 -130 mg/dL. According to the American Diabetes Association normal blood sugar levels before and after eating should be 80-130 mg/dL before eating a meal , and less than 180 mg/dL about 1-2 hours after eating a meal

High blood sugar ranges for people who dont have diabetes begins at 140 mg/dL or greater while for those being treated for diabetes, the high range begins at 180 mg/dL , called hypoglycemia.

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:

  • pale
  • 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.

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Why Your Blood Sugar Level May Be Low

If blood sugar drops below 70 mg/dL, it is below normal levels. This can be caused by a variety of factors, such as:

  • Not eating enough or missing a meal or snack
  • Reducing the amount of carbohydrates you normally eat
  • Alcohol consumption especially if youre drinking on an empty stomach
  • Taking too much insulin or oral diabetes medication based on carbohydrates or activity levels
  • Increased physical activity
  • Side effects from medications

If you have diabetes, keep your blood glucose meter and sources of fast-acting glucose close by in case your blood sugar drops. This is especially important for people with hypoglycemia unawareness, which is a condition that causes symptoms of low blood sugar to go unnoticed.

Eating balanced meals and snacks at regular times throughout the day is a big part of maintaining normal blood glucose levels. Check out our article on meal planning for diabetes to better understand the three macronutrients where calories come from and which have the biggest effect on blood sugar.

Meal Planning for Diabetes: How to Optimize Your Diet >

Everyone will respond differently to certain factors, which is why its important to have individualized target glucose levels. To help you reach your target blood glucose goals, work with your healthcare provider to discuss modifications to your diet, physical activity, or medications, and alert them of other factors like a recent illness or stressful event.

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What are the normal blood sugar levels?

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How To Help Others Help You

Knowing the signs of low blood sugar, having an action plan, and being prepared with your glucose meter and glucose tablets are vital, but sometimes you might need to rely on other people to help when youre blood sugar drops too low. Take these additional steps so youre prepared and they are, too:

Teach your loved ones. If youre unable to help yourself, friends, family, or colleagues may need to treat you with an injection of glucagon, a hormone that tells your liver to release stored glucose, the American Diabetes Association says. For this reason, its a good idea to teach those close to you what to do. If they dont know how to give you the injection or if glucagon isnt available, they must call 911 and get you the help you need, Evans says. Low blood sugar thats sustained for a prolonged time can lead to irreversible brain damage, according to the University of Maryland Medical Center.

Wear an ID bracelet. Evan suggests that everyone with diabetes should get a tattoo or wear a medical ID bracelet. The bracelet should say diabetes and whether youre on insulin or take other medications, the Joslin Diabetes Center in Boston recommends.

Talk to your doctor about your low blood sugar risk. If you have frequent bouts of hypoglycemia, be sure to talk with your doctor. The solution may be as simple as changing how much or the kind of diabetes medicine you take. However, never make any changes to your medication regimen without your doctors approval.

Low Blood Sugar: What To Watch Out For

Hypoglycemia can occur in people with diabetes who:

  • Take too much medication or insulin
  • Are late eating a meal or snack
  • Have increased physical activity
  • Drink too much alcohol

Symptoms of low blood sugar include feeling weak, sweaty or clammy, confused, hungry and/or irritable. Sometimes people experience a fast heartbeat and some symptoms may make a person appear to be drunk. A severely low blood sugar can result in unconsciousness, seizures, coma or death especially when a low occurs during the night.

Low blood sugar affects many parts of the body, but the most frustrating part can be that hypoglycemia can happen anytime and anywhere even when you think you are closely following the plan for your diabetes care. If low blood sugar is severe, people may need to go to the hospital to help raise their glucose level or miss work due to the side effects.

It can happen during a date, during a business meeting, or even while driving, which is the most dangerous scenario if there is confusion or loss of consciousness while behind the wheel. Its important to use your blood glucose meter to check your blood sugar before you drive to keep yourself and others safe. Frequent testing with your blood sugar meter and taking action when blood sugar is trending low can prevent a severe low and keep your life on track.

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Normal Blood Sugar Levels Chart For Diabetic Adults Age Wise

Chart of Normal Blood Sugar Levels for Diabetic Adults
Age
100 to 140 mg/dL

Healthy blood sugar levels in diabetic adults age wise:

  • In diabetic patients above 20 years of age, blood sugar level remains between 100 to 180 mg/dL throughout the day.
  • Fasting glucose levels should be between 70 to 100 mg/dL to avoid diabetic complications.
  • At bedtime blood, sugar levels should be between 100 to140 mg/dL to avoid any diabetic complications.
  • Blood Sugar Levels Chart for Women shows the normal blood sugar levels should be between 100 to 140 mg/dL at bedtime. It should be > 70 and < 100mg/dL after fasting.
  • In diabetic pregnant women, the blood sugar levels should be a little tighter, between 70 to 89 mg/dL after fasting. They should regularly monitor their blood sugar levels to avoid delivery-related complications.
  • Summary

    Healthy diabetic adults should maintain a blood sugar level of 70 to 130 mg/dL before meals and less than 180 mg/dL after 2 hours of meals. Pregnant women should maintain a blood sugar level of 95-140 mg/dL to avoid complications. This can be done with the right habits in place that help you maintain your sugar level without getting stressed about it.

    Different Levels And What They Mean

    WHAT IS LOW BLOOD SUGAR LEVEL?LOW BLOOD SUGAR EXPLAINED

    The ranges of safe levels of blood glucose depend on factors such as what time of day it is and when you last ate. Safe levels of blood sugar are high enough to supply your organs with the sugar they need, but low enough to prevent symptoms of hyperglycemia or complications of diabetes which follow the National Institute of Diabetes and Digestive and Kidney Diseases guides. Dangerous levels of blood glucose are outside of this range.

    The target levels can also vary if you have diabetes. For example, if you are diabetic and are monitoring your blood sugar, you might get a reading of 65 mg/dl. That is considered to be mild hypoglycemia, and you would be wise to eat 15 grams of fast-acting carbohydrates and retest your blood sugar in 15 minutes.

    If you were not diabetic, you probably would not know that your sugar was low because you would not test and because you would not symptoms, and you would not act.

    That is fine because your body is capable, under normal circumstances, of raising your blood glucose to healthy levels when needed, even if you have not eaten. It is important to keep them in control to help prevent issues like heart disease or nerve damage.

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    Complications From Spells Of Hypoglycemia

    Mildly low blood sugar levels are somewhat common for people with diabetes. However, severely low blood sugar levels can be life threatening. They may lead to seizures and nervous system damage if left untreated long enough. Immediate treatment is critical.

    Its important to recognize your symptoms and treat them quickly. For people at risk for low blood sugar, having a glucagon kit a medication that raises blood sugar levels is important. Talk with your doctor for more information.

    You may also want to talk with friends, family members, exercise partners, and co-workers about how to care for you if your blood sugar drops too low.

    Its important for them to recognize low blood sugar symptoms and to know how to use the glucagon kit, as well as understand the importance of calling 911 if you lose consciousness.

    Wearing a medical identification bracelet is a good idea. It can help emergency responders care for you properly if you need urgent medical attention.

    Treat low blood sugar as soon as possible. Avoid driving if you are experiencing low blood sugar, as it can increase your risk for having an accident.

    There are several ways you can prevent low blood sugar. Well look at each of these prevention methods in more detail below.

    How Can I Prevent Insulin

    • Check your blood sugar regularly.
    • Know what causes low blood sugar.
    • Eat at regular mealtimes. Do not delay or skip meals and do not eat partial meals.
    • Take all medicines exactly as prescribed.
    • Check your blood sugar more often when you are exercising more or eating less, or when you are sick, according to your healthcare provider’s recommendations.
    • Keep your follow-up appointments with your provider.

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    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.

    What If I Have Trouble Getting To My Blood Sugar Goals

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    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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    When Blood Sugar Is Too Low

    Glucose is a sugar that comes from the foods we eat, and it’s also formed and stored inside the body. It’s the main source of energy for the cells of our body, and is carried to each cell through the bloodstream. Our brains depend on glucose to function, even when we’re sleeping.

    The is the amount of glucose in the blood. When these levels drop too low, it’s called hypoglycemia . Very low blood sugar levels can cause serious symptoms that need to be treated right away.

    Why Am I Having Lows

    If you are experiencing low blood sugar and youre not sure why, bring a record of blood sugar, insulin, exercise and food data to a health care provider. Together, you can review all your data to figure out the cause of the lows.

    The more information you can give your health care provider, the better they can work with you to understand what’s causing the lows. Your provider may be able to help prevent low blood sugar by adjusting the timing of insulin dosing, exercise and meals or snacks. Changing insulin doses or the types of food you eat may also do the trick.

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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.

    What Causes Low Blood Sugar

    DIABETES HIGH & LOW BLOOD SUGAR

    Despite advances in the treatment of diabetes, low blood sugar episodes occur as a side effect of many treatments for diabetes. In fact, these episodes are often the limiting factor in achieving optimal blood sugar control, because many medications that are effective in treating diabetes carry the risk of lowering the blood sugar level too much, causing symptoms. In large scale studies looking at tight control in both type 1 and type 2 diabetes, low blood sugars occurred more often in the patients who were managed most intensively. This is important for patients and physicians to recognize, especially as the goal for treating patients with diabetes becomes tighter control of blood sugar.

    While people who do not have any metabolic problems can complain of symptoms that resemble low blood sugar, true hypoglycemia usually occurs in people with diabetes mellitus . People with pre-diabetes or insulin resistance also can have low blood sugars on occasion if their high circulating insulin levels are further challenged by a prolonged period of fasting. There are other rare causes for the condition, such as insulin-producing tumors and certain medications.

    These uncommon causes of hypoglycemia will not be discussed in this article, which will primarily focus on the condition occurring with type 1 or 2 diabetes and its treatment.

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