When Do You Start Taking Medication For Diabetes
HomeWhen Do You Start Taking Medication For Diabetes
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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.
Treating A Low Blood Sugar Yourself
Follow these steps if your blood sugar is less than 4mmol/L or you have hypo symptoms:
You don’t usually need to get medical help once you’re feeling better if you only have a few hypos. But tell your diabetes team if you keep having them or if you stop having symptoms when your blood sugar goes low.
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The Dangers Of Low Blood Sugar And What You Can Do About It
Your blood sugar fluctuates throughout the day, going up or down depending on the food you eat, how much you exercise, the medications you take, and even your stress level.
Most of the time you probably wont notice these fluctuations because theyre within whats considered a target range. However, if your blood sugar gets too low below 70 mg/DL it can be dangerous, especially if you have diabetes.
This condition is called hypoglycemia and its especially common among patients with diabetes who take certain types of medications. A large global study found that 4 out of every 5 patients with type 1 diabetes, and nearly half of those with type 2 diabetes, reported low blood sugar at least once over a four-week period.1
As long as youre aware of the symptoms of hypoglycemia, there are plenty of things you can do to bring your blood sugar back to a healthy level. However, if left untreated, hypoglycemia can cause serious side effects and potentially land you in the hospital.
The hypoglycemia-diabetes connection
Your body converts carbohydrates in foods like fruits, vegetables, dairy, and bread products into glucose, and requires insulin to transport it into cells and tissues for energy. Normally, when your blood sugar levels drop too low, your body either produces more glucose or releases extra glucose that has been stored in the liver and muscles.
Know the warning signs of hypoglycemia
Treating low blood sugar
- numbness or tingling on your tongue or lips
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.
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What Causes Low Blood Glucose
- Symptoms occur when blood glucose levels fall below 70 mg/dl a condition known as hypoglycemia.
- In most cases, low blood glucose results from overtreatment: Either taking too much diabetes medication or not eating enough food. Higher doses of medicine than the person actually requires can also lead to hypoglycemia.
- People who aim for too-low values on their A1C test tend to experience more frequent drops in blood glucose.
- Vigorous exercise doesnt just burn calories, it also burns blood glucose! Hypoglycemia can occur unless blood glucose levels are carefully monitored during and after exercise.
- Not eating on a regular basis can deprive the body of glucose and make it difficult to prevent hypoglycemia. Eat balanced meals throughout the day and always keep a snack on hand.
Other Causes Of Low Blood Sugar
While low blood sugar is often associated with diabetes, it can also be affected by other factors. According to Dr. Danine Fruge,Medical Director of the Pritikin Longevity Center in Miami, Florida, the causes of blood sugar problems can include not only “diabetes, prediabetes , reactive hypoglycemia or other health issues, but also by not eating enough, taking too much insulin or even taking certain diabetes medications.”
Other medications can also cause hypoglycemia, like quinine, or Qualaquin, which is used to treat malaria, or various medications for kidney failure. Exercising more than usual can also cause it, especially while taking such medications.
Some other potential causes for low blood sugar include:
- Heavy drinking without eating
- Eating without ingesting enough carbohydrates
- Eating fewer carbs than usual without reducing insulin amounts, or improper balancing of liquid/solid carbs and timing of insulin
- Hormone deficiencies due to adrenal or pituitary tumor disorders, or in children without sufficient growth hormone
- Long-term starvation, such as that which can occur with anorexia nervosa
- Serious illness like hepatitis, kidney disorders and liver disease
- Pancreatic tumors that make the body secrete too much insulin
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How Can I Prevent Low Blood Glucose
Your best bet is to practice good diabetes management and learn to detect hypoglycemia so you can treat it earlybefore it gets worse.
Monitoring blood glucose, with either a meter or a CGM, is the tried and true method for preventing hypoglycemia. Studies consistently show that the more a person checks blood glucose, the lower his or her risk of hypoglycemia. This is because you can see when blood glucose levels are dropping and can treat it before it gets too low.
If you can, check often!
- Check before and after meals.
- Check before and after exercise .
- Check before bed.
- After intense exercise, also check in the middle of the night.
- Check more if things around you change such as, a new insulin routine, a different work schedule, an increase in physical activity, or travel across time zones.
How To Treat Low Blood Sugar
If you think you have low blood sugar, be sure to check it.
Keeping your blood sugar levels on target as much as possible can help prevent or delay long-term, serious health problems. While this is important, closely managing your blood sugar levels also increases your chance for low blood sugar . Blood sugar below 70 mg/dL is considered low. If you think you have low blood sugar, check it. If you arent able to check it, go ahead and treat it.
Untreated low blood sugar can be dangerous, so its important to know what to do about it and to treat it immediately.
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Your Hypoglycemia Action Plan
If you experience symptoms of hypoglycemia, its important to take action. Start with these steps:
Test your blood sugar. If you recognize any of these symptoms and believe your blood sugar may be too low, the first step you should take is to test your blood sugar with your glucose meter, Tan says. Anything less than 70 milligrams per deciliter is considered low blood sugar, according to the National Library of Medicine . However, target levels are often individualized, so talk with your healthcare provider about your optimal numbers, Tan adds.
Eat or drink fast-acting carbs. If you have low blood sugar, you need to take action right away. Your best bet is to consume about 15 grams of carbohydrates, the NLM says. Some options include:
- ½ cup or 4 ounces of orange juice
- ½ cup or 4 ounces of regular soda
- 1 tablespoon of sugar dissolved in water
- 1 tablespoon of honey or maple syrup
- 5 or 6 hard candies, jelly beans, or gumdrops
- 1 tablespoon of cake frosting
- 2 tablespoons of raisins
- ½ cup of applesauce
You can also take three to four glucose tablets or a tube of glucose gel. Everyone who takes medications for diabetes should always have glucose tablets with them, Galindo urges.
Wait, then retest. The next step is to wait 15 minutes, then test your blood sugar again. If blood sugar has reached 100 mg/dl or greater, youre fine. If not…
What Are The Symptoms Of Low Blood Sugar
Its important to recognize the signs and symptoms of blood sugar dropping quickly.
These symptoms could include:
- An accelerated heartbeat
When someone experiences a low blood sugar , their brain tells their body they need to eat. The tendency to eat until we feel well may fix the low blood sugar, but it may also be too much of a sugar intake that will require additional insulin later. This is why its important to be aware of carbohydrate intake.
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If A Person Is Unconscious
If a person loses consciousness because of severe hypoglycaemia, they need to be put into the recovery position and given an injection of the hormone glucagon . The injection will raise their blood glucose level.
The injection should be carried out by a friend or family member who knows what they’re doing, or by a trained healthcare professional.
You should dial 999 to request an ambulance if:
- a glucagon injection kit isn’t available
- there’s nobody available who’s trained to give the injection
- the injection is ineffective after 10 minutes
Never try to put food or drink into the mouth of someone who’s unconscious as they could choke.
If you’re able to give a glucagon injection and the person regains consciousness, they should eat some longer-acting carbohydrate food, such as a few biscuits, a cereal bar or a sandwich.
You should continue to monitor the person for signs of recurring symptoms in case they need to be treated again.
If Your Childs Blood Sugar Is Less Than :
- Give your child 5 to 10 grams of quick-acting carbohydrate right away, such as:
- Drink 2 to 3 ounces of juice
- Eat 2 to 3 ounces of applesauce
It is important to use quick-acting carbohydrate. Do not just eat a snack if your blood sugar is too low. Food does not bring the blood sugar up quickly.
If your childs blood sugar is low at bedtime, always recheck the blood sugar and make sure it is over 90 before falling asleep.
Do not take too much carbohydrate for a low blood sugar because your blood sugar will go too high later on.
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S For Treating A Person With Symptoms Keeping Them From Being Able To Treat Themselves
Dont hesitate to call 911. If someone is unconscious and glucagon is not available or someone does not know how to use it, call 911 immediately.
Do NOT:
- Provide food or fluids
How Do You Feel When Your Blood Sugar Is Low
When your blood sugar drops below normal levels, youre at risk of being in a diabetic state. Diabetes is an illness that causes blood glucose levels to rise abnormally. If you have this illness, you need to do several things to help control it, including keeping your blood glucose levels in check. However, its important to know that you cant prevent a diabetes diagnosis. However, you can take actions to help you manage it.
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What Are The Causes Of Hypoglycemia
Whilst medication is the main factor involved in hypoglycemia within people with diabetes, a number of other factors can increase the risk of hypos occurring.
Factors linked to a greater risk of hypos include:
- Too high a dose of medication
You can take steps to minimise the risk of these factors causing hypos.
Does Everyone Have Symptoms From Hypoglycemia
Some people dont have symptoms or dont notice them. Healthcare providers call that situation hypoglycemia unawareness. People with such a challenge arent aware when they need to do something about their blood sugar. Theyre then more likely to have severe episodes and need medical help. People with hypoglycemia unawareness should check their blood sugar more often.
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How Is It Treated
You can treat a sudden episode of low blood sugar by eating or drinking something with sugar in it. Some examples of “quick-sugar foods” are fruit juice, soda, milk, raisins, and hard candy. You may also take glucose tablets. This is usually all that’s needed to get your blood sugar level back up in the short term.
If your hypoglycemia is caused by a health condition, you may need treatment for that condition. There also may be steps you can take to avoid low blood sugar. For example, talk to your doctor about whether changes in your diet, medicines, or exercise habits might help.
Why Am I Having Lows
If you are experiencing low blood glucose and youre not sure why, bring a record of blood glucose, 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 glucose 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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Skittles Jelly Beans And Starburst
Candy may seem like an obvious choice for treating hypoglycemia, but if you choose this route, its crucial to opt for sugar-forward candies with no fat to slow down the absorption of glucose into the blood. Registered dietitian and certified diabetes care and education specialist Sherry Roberts specifically recommends 10-15 Skittles or jelly beans.
They quickly hit the blood stream and raise blood sugars, Roberts said. Those items offer about 15 grams of carbohydrates, which is a good starting point of sugar to have.
On a personal note, my blood-sugar-raising candies of choice are Starburst. Theyre easy to find, compactly packaged, and they start elevating glucose levels in the blood just as quickly as glucose tablets.
Listen To Your Doctor
If you follow a meal plan or take medications that increase insulin to manage low blood sugar, its important to stick to the plan your doctor prescribed to help prevent drops in your blood sugar level.
Not eating the right foods or taking the right medications at the correct times can cause your blood sugar to drop. Check in often with your doctor so they can adjust your treatment plan if and when necessary.
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