What Should I Do If My Blood Sugar Gets Too High
High blood sugar is also called hyperglycemia . It means that your blood sugar level is higher than your target level or over 180. Having high blood sugar levels over time can lead to long-term, serious health problems.
If you feel very tired, thirsty, have blurry vision, or need to pee more often, your blood sugar may be high.
Check your blood sugar and see if it is above your target level or over 180. If it is too high, one way to lower it is to drink a large glass of water and exercise by taking a brisk walk. Call your health care team if your blood sugar is high more than 3 times in 2 weeks and you dont know why.
Establish A Routine For How Often And When You Should Test Your Blood Sugar
Work with your doctor to plan your routine. They may suggest checking it while youre fasting, before and after meals, or before bedtime. Each persons situation is different, so its important to decide on an arrangement that will work for you.
When youve set that schedule, make checking your blood part of your daily routine. Build it into your day. Many meters have alarms you can set to help you to remember to test. When testing becomes a part of your day, youll be less likely to forget.
What Time Of Day Should I Test
Recommendations for the best time of day to test your blood sugar depend on your medicine, mealtimes, and blood sugar control. Your doctor may provide a chart that outlines when to check your blood sugar and what level you should target. Your doctor may also suggest different goals, depending on your situation.
The chart may look something like this:
|Time to Test|
|Adjust diet or medicine|
*Depends on the size of the meal and the amount of insulin in your medicine
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/8the Right Time To Check Your Blood Sugar Levels
The perfect time to check the fasting glucose levels is right after your wakeup. And the right time to check postprandial glucose levels is two hours after you have your meals.
A gap of two hours after a meal must be maintained to get the correct reading.
This helps you choose the right foods and medication. When you test before your meal, it tells you how much medication you need and when you test two hours after eating, you know if your medicines are working fine for you.
How To Stabilize Your Blood Sugar Overnight
The most important thing you can do to stabilize your blood sugar is monitor your glucose levels at bedtime, during the night, and when you wake up to look for patterns. This will help you determine whats going on in your body and how you can fix it. While there are many strategies people use to stabilize blood sugar at night, every person is different youll have to look for trends in your body, experiment with ways to lower glucose levels over a period of time, and learn what works best for your body.
Check your blood sugar before bed. If its already high, your blood sugar levels may remain high throughout the night. To address this, youll want to start by adjusting when you eat your evening meal and what it consists of, and how much mealtime insulin you take to cover it.
Avoid eating lots of food close to bedtime. For diaTribe writer Adam Brown, the key to staying in range overnight is low-carb, early dinners, with no snacking after dinner.
Consider eating less food at night and taking more basal insulin to cover your evening meal.
Check your blood sugar during the night, between midnight and 3am. If you were in range before bed but have high glucose levels between midnight and 3am, you may need to adjust your basal insulin dosage and timing. If you are low during that time, you may experience a rebound high blood sugar later on this is usually associated with overcorrecting the low.
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How Often Is Enough
There are two sides to this, said Lisa Harris, CDE, RN at Rush University Medical Center in Chicago, Illinois. Sure, some patients test just to test because their doctor said to do it, but if no one is actually looking at the blood sugar logs, and the patients themselves dont know how to interpret them, then yes, thats a waste.
But Harris says many patients with type 2 diabetes and even those with prediabetes would likely benefit from testing more frequently, not less.
Along with better diabetes education and support.
She also hopes to see continuous glucose monitors given to patients for a few days at a time shortly after a diagnosis of prediabetes or type 2 diabetes so they can see the fluctuations in their blood sugar levels for themselves.
Testing your blood sugar can be extremely informative for people when theyre trying to prevent the need for further medication, like insulin, Harris told Healthline. Even if theyre only taking metformin, seeing for themselves how certain types of foods affect their blood sugar can have the biggest impact on motivating them to make changes in their diet.
Harris says, on the other hand, if a patient is showing consistently healthy blood sugar levels over a period of a few months, its appropriate to take a break from frequent testing.
Id tell them, Just keep doing what youre doing, and periodically, well spot-check, testing frequently for a few days just to see that things are still on track, she said.
Can I Test My Blood Too Many Times
A situation in which you could be testing more often than you need is if the testing you are doing is not providing any help in managing your diabetes. Note that in type 1 diabetes, testing before each meal and before bed is a necessary part of diabetes control as it helps you to keep track of whether or when your blood sugar levels are going too high or too low. People with other types of diabetes, such as type 2 diabetes, may be testing too often if it is not understood how to make sense of or respond to the results. If you have type 2 diabetes and would like to have a better understanding of what your blood sugar levels mean, you can benefit from joining the Type 2 Testing Program
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Measuring Blood Sugar Levels Throughout The Day
January 3, 2020 by Diabetes Care
Should you be measuring blood sugar levels throughout the day? While its true that people with diabetes should measure their blood sugar at regular intervals, there are some distinctions regarding how often to test. This is dependent on whether you have type 1 diabetes or type 2 diabetes, and what medications you are taking.
The tables below summarize target blood sugar levels at different times of day, and how often you should be measuring your blood sugar dependent on factors such as what type of diabetes you have, how recently you were diagnosed, and what medications you take.
How Food Affects Blood Sugar Testing
Testing your blood sugar both right before and after meals will give you an idea of how food affects your sugar levels. Ideally, youre looking for numbers of 80-130mg/dL before and less than 180 mg/dL one to two hours after eating. According to Wolf, Someone should check blood sugar before meals when they are on a medication, such as insulin, that requires them to adjust their dose based on their blood sugar reading. This so-called correction dose is given if your blood sugar is above your target. It is helpful to check blood sugar one to two hours after eating as well because it tells you how your body responded to your meal.
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When Should I Be Measuring My Blood Sugar Levels Throughout The Day
According to the Diabetes Canada clinical practice guidelines, the schedules for testing blood sugar should be as follows:
|Situation||How often to check blood sugar|
|Type 1 diabetes using multiple daily insulin injections or using an insulin pump||Check four or more times per day|
|Type 2 diabetes, taking diabetes medication known to cause hypoglycemia||Check at times when symptoms of hypoglycemia occur, or at times when hypoglycemia has occurred previously|
|Type 2 diabetes, and meeting your blood sugar targets||Check once or twice per week, to ensure that your blood sugar targets are being met between A1C tests|
|Type 2 diabetes and not meeting your blood sugar targets|
How To Use A Blood Sugar Meter
There are different kinds of meters, but most of them work the same way. Ask your health care team to show you the benefits of each. In addition to you, have someone else learn how to use your meter in case youre sick and cant check your blood sugar yourself.
Below are tips for how to use a blood sugar meter.
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Who Should Check
Talk to your doctor about whether you should be checking your blood glucose. People who may benefit from checking blood glucose regularly include those:
- taking insulin.
- having a hard time controlling blood sugar levels.
- having low blood sugar levels.
- having low blood sugar levels without the usual warning signs.
- have ketones from high blood sugar levels.
How Do I Check
People with diabetes check their blood sugar levels by poking their fingertips and using a blood glucose meter or a continuous glucose monitor to measure the blood glucose level at that moment. Read on to find out how to use a blood glucose meter. To find out more about CGMs, start by talking to your doctor.
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How Do I Pick A Glucose Meter
Your doctor will make a recommendation. Check with your health insurance plan to see if it will pay for your BGM, its supplies, or a CGM. If so, your plan may only pay for a certain meter.
Shop around and compare costs. Consider what features are important to you. For example, some meters are made for people who have poor eyesight. If you want to pay a little more money, you can get a BGM that stores the results in its memory. This allows you to compare results from several days at one time.
How Do Carbs Affect Blood Sugar
Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. You can still eat carbs if you have diabetes. The amount you can have and stay in your target blood sugar range depends on your age, weight, activity level, and other factors. Counting carbs in foods and drinks is an important tool for managing blood sugar levels. Make sure to talk to your health care team about the best carb goals for you.
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Other Important Times To Check Your Blood Sugar
Some other important times in your life that you should pay special attention to your blood sugar and check more frequently may be:
- When theres a change to your medication regimen, including insulin
- When youre on vacation or traveling
- During pregnancy
- If theres been a change to your daily routine
- Youve been diagnosed with a new health condition
- Theres been a drastic change to your diet
- Youve been under a lot of stress
Continue Learning About Diabetes
Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
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How To Check Blood Sugar Levels
Blood glucose testing is easier, less painful, and more accurate than ever. Blood sugar levels can be tested with a blood glucose meter, a computerized device that measures and displays the amount of glucose in a blood sample.
To get a blood sample, a small needle called a lancet is used to prick the skin to draw a drop of blood. The drop of blood is placed on a testing strip that goes into the glucose meter, and the blood glucose reading appears on a screen within a few seconds.
Many types of glucose meters are available with different features. But most people choose the type of equipment covered by their insurance plans.
When choosing a glucose meter, consider:
What Is Causing My Blood Sugars To Be Out Of Range
Here are some common scenarios of blood sugars being out of range, possible reasons for them and what to do if you face these scenarios.
High glucose levels before breakfast
Morning glucose levels are often referred to as fasting glucose levels. If these levels are out of range, you may find that it is difficult to keep your levels down for the rest of the day. Possible reasons why your blood sugar is high in the morning include:
Consuming sweet drinks in the morning before measuring your sugar levels
Forgetting to take medication
What to do if your blood sugar is high in the morning:
If this is the first time you notice it happening or if it only happens occasionally, try taking note of what you had the night before and the duration of sleep you had
If your blood sugar has been high in the mornings continuously for a few days, speak to your healthcare team about it
High glucose levels before meals
If your levels are out of the target range before your meals, think about whether you had anything to eat or drink within the last two hours. If the answer is yes, your glucose levels may have been caused by this. Perhaps you had a chocolate bar on the way home, or a sweet drink before dinner? If you have not consumed any food or drink, and your glucose levels are high before your meals, speak with your healthcare team as you may need to adjust your medication.
High glucose levels after meals
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How Soon After I Wake Up Should I Check My Blood Sugar
Work with your doctor to come up with a schedule for testing your blood sugar. Factors for you and your doctor to consider in developing your schedule include the medicines you take, when you eat and how well-controlled your blood sugar is. Many people with diabetes find that it works well for them to check blood sugar first thing in the morning, but talk with your doctor to find out what’s best for you.
Check your blood glucose immediately on awakeningbefore any morning activities, such as showering, shaving or putting on makeup. The reason for this schedule is that if your blood glucose is low, you can drink some juice or milk. If it is high, you can take your insulin immediately and allow it to work at least one hour before breakfast. It is important to get into this habit, because if you start the day with a normal blood glucose level before breakfast, keeping your blood glucose under control throughout the day is much easier. Monitoring your sugar immediately on awakening does not take a major change in lifestyle, but it is very effective in improving your blood glucose control.
Do I Have To Monitor My Blood Glucose Levels If I Am On Metformin
Do I have to monitor my blood glucose levels if I am on metformin? Not everyone agrees with me on this, but I very strongly feel that everyone with diabetes should be checking their blood sugar. Diabetes is a progressive disease, it will get worse on its own, even when you do everything right. I dont believe in giving diabetes any foothold, handhold, or toehold in your body and as such, the meter is the first line of defense to see change for the worst when it starts to happen. The meter is the sentinel in the watch tower. Now many people feel that diabetics who take oral meds with little to no risk of low blood sugar, like your metformin, dont need to be testing blood sugar because there is nothing the patient can do if they find they are high. Again, I disagree, and this time because the fact that there is nothing you can do is false. First and foremost you can look at what you did to get yourself high in the first place and avoid doing it again. Testing before and several hours after various meals will help you learn what foods your body can tolerate and which ones it cant. If you numbers are always depressingly high, no matter what you eat, then your therapy needs adjusting.Continue reading > >
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