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.
Moderate To Severe High Blood Sugar
If your blood sugar levels are consistently high , you may have moderate to severe symptoms of high blood sugar. These symptoms include:
- Blurred vision.
- Flushed, hot, dry skin.
- Restlessness, drowsiness, or difficulty waking up.
If your body produces little or no insulin , you also may have:
- Rapid, deep breathing.
- A fast heart rate and a weak pulse.
- A strong, fruity breath odor.
- Loss of appetite, belly pain, and/or vomiting.
If your blood sugar levels continue to rise, you may become confused and lethargic. You also may become unconscious if your blood sugar levels are very high.
Current as of: August 31, 2020
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD – Internal Medicine& Adam Husney MD – Family Medicine& Rhonda O’Brien MS, RD, CDE – Certified Diabetes Educator
To learn more about Healthwise, visit Healthwise.org.
How Can I Pay For Tests And Diabetes Supplies
Medicareexternal icon, Medicaid, and most private insurance plans pay for the A1C test and fasting blood sugar test as well as some diabetes supplies. Check your plan or ask your health care team for help finding low-cost or free supplies, and see How to Save Money on Diabetes Care for more resources.
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When Should You See A Doctor
Your yearly doctorâs appointment is an excellent time to check in on your blood glucose levels. This is especially true if your age , weight, or family history put you at higher risk for developing diabetes in general.
If you suspect you may have high blood glucose already, Zanini says that any changes in your health count as cause to see your doctor. Make an appointment to undergo the diagnostic tests listed above and to discuss treatment options with your provider. If you have high blood glucose and experience trouble breathing, vomiting, confusion, extremely high thirst, or other symptoms of diabetic ketoacidosis, seek medical attention right away. This condition occurs when your body burns fat too quickly and converts it into ketones, which make your blood acidic. It can be life-threatening if left untreated.
Diabetes Medication That Can Help You Control Your Blood Sugar
If youve been diagnosed with diabetes, your doctor will likely discuss medication options to help bring your blood sugar down. If you have prediabetes, on the other hand, youll probably rely on diet and lifestyle changes to help stabilize your numbers, though in some cases, you may need medication, Dodell says.
Diabetic ketoacidosis is treated with emergency insulin and fluids administered intravenously. But the goal with blood sugar control is to prevent this type of medical emergency from happening in the first place. If your blood glucose readings are consistently higher than usual, you may not be getting enough insulin. Talk to your doctor about adjusting your dosage. You should also tell them about any other prescription or over-the-counter medication you take, as these could affect your blood sugar, too. Corticosteroids for inflammation are just one example.
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Why Do I Need To Know My Blood Sugar Numbers
Your blood sugar numbers show how well your diabetes is managed. And managing your diabetes means that you have less chance of having serious health problems, such as kidney disease and vision loss.
As you check your blood sugar, you can see what makes your numbers go up and down. For example, you may see that when you are stressed or eat certain foods, your numbers go up. And, you may see that when you take your medicine and are active, your numbers go down. This information lets you know what is working for you and what needs to change.
High Blood Sugar Level Causes
Several types of diabetes and medical conditions are the primary cause of high blood sugar levels. Most of which are unpreventable issues but are the reason for a spike in high blood sugar. The causes for high blood sugar levels are as follows:
Causes of low blood sugar levels are very different and are as important to be aware of, as they are in fact easier to control.
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Cut And Spread Out Carbs
Your first act should be to cut down on the carbohydrates you eat. Many dieters swear that keeping off carbs and eating a diet rich in dark greens, fruits and nuts help them to avoid hyperglycemia.
If you cannot avoid having the apple pie at that all-important party, eat it in small amounts. You can save some for later. Make the effort to spread your carbs out.
Normal Blood Glucose Chart By Age
As humans age, hormonal changes occur that affect glucose levels. These indicators often change during the day, which is related to the quality of food intake, physical activity, mental stress, stress, and the amount of sleep.
The upper limit value should not exceed 11.1 mmol / l. The glycogen synthesized by the liver is responsible for the stability of the indicators. After 10 hours, the reserves of this substance are depleted. If a person eats food that is slowly broken down in the intestines, the body gradually becomes enriched with sugar.
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Maintain An Active Lifestyle
Take breaks during a sedentary workday, add a walk around the block to your morning routine, or try a new form of exercise. These activities bring great benefit in both the short and long term while helping reduce your overall stress. Including regular strength training and aerobic exercise will help to lower glucose values, as well.
How Are Ketones Tested
Testing your blood or urine to measure your ketone levels can all be done at home. At-home testing kits are available for both types of tests, although urine testing continues to be more common. Urine tests are available without a prescription at most drugstores, or you can buy them online.
You should test your urine or blood for ketones when any of the following occurs:
- Your blood sugar is higher than 240 mg/dL.
- You have symptoms of DKA.
- You feel sick or nauseated, regardless of your blood sugar reading.
To perform a urine test, you urinate into a clean container and dip the test strip into the urine. For a child who isnt potty-trained, a parent can usually press the stick to their childs wet diaper to test for ketones.
Urine testing strips contain special chemicals that change colors when they react with ketones. You can interpret the test results by comparing the test strip to the color chart on the package. When you have ketones present in your urine, its called ketonuria.
An at-home meter is available to test for blood ketones. This is performed in a similar way to a finger-stick glucose test. You prick your finger with a needle and place a small drop of blood onto the testing area.
Doctors often recommend that people whove just received a diabetes diagnosis test their ketones twice daily.
While individual testing may vary, in general, results for ketone testing are labeled in the following way:
- swelling in your brain
- diabetic coma
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How Can High Blood Sugar Levels In The Morning Be Controlled
Once you and your doctor determine how your blood sugar levels are behaving at night, he or she can advise you about the changes you need to make to better control them. Options that your doctor may discuss depend on the cause of the morning high blood sugars.
For dawn phenomenon:
- Changing the timing or type of your diabetes medications
- Eating a lighter breakfast
- Increasing your morning dose of diabetes medication
- If you take insulin, switching to an insulin pump and programming it to release additional insulin in the morning
For Somogyi effect:
What Should Your Blood Sugar Be When You Wake Up
The goal of diabetes management is to keep your blood sugar levels as stable as possible. This means that when you wake up, you want your glucose to be in range and to stay in range throughout the day.
For many people with diabetes, the overall target glucose range is between 70 mg/dL to 180 mg/dL . To start the day strong, the American Diabetes Association recommends that you aim to wake up with glucose levels between 80 to 130 mg/dL. Talk with your healthcare team about your glucose targets.
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Factors That Can Affect Blood Sugar Levels
If you have prediabetes or diabetes, you may have insulin resistance or an inability to produce insulin. This means your body has difficulty regulating blood sugar levels on its own.
Its a delicate balance to maintain, so the following list can help you familiarize yourself with factors that can cause your blood glucose levels to go up or down.
Drink Water And Stay Hydrated
Drinking enough water may help you keep your blood sugar levels within healthy limits.
In addition to preventing dehydration, it helps your kidneys flush out the excess sugar through urine.
One observational study showed that those who drank more water had a lower risk for developing high blood sugar levels (
Its important to monitor your waistline, as its perhaps the most crucial weight-related factor for estimating your diabetes risk.
A measurement of more than 35 inches for women and more than 40 inches for men is associated with an increased risk of developing insulin resistance, high blood sugar levels, and type 2 diabetes .
Having a healthy waist measurement may even be more important than your overall weight .
Keeping a moderate weight and waistline will help you maintain normal blood sugar levels and decrease your risk for developing diabetes.
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Stick To Your Medication And Insulin Regimen
Skipping a dose of medication or insulin can be harmful to your body and increase your blood sugar levels.
Its important to stick to your treatment plan and follow your doctors instructions for taking your medication.
Healthful lifestyle habits can help people manage their blood sugar levels over the long term, such as eating a balanced diet, getting regular exercise, staying hydrated, and getting good sleep.
How Do I Pay For These Tests And Supplies
Medicare, Medicaid and most private insurance plans pay for the A1C test and some of the cost of supplies for checking your blood sugar. Check your plan or ask your health care team for help finding low cost or free supplies. Ask your health care team what to do if you run out of test strips. For more information about Medicare and diabetes, go to .
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Target Blood Sugar Levels For People With Diabetes
People with diabetes have difficulty creating or using enough insulin, which is the hormone that helps convert glucose into energy. Although there is no universal blood sugar chart for everyone with diabetes, clinical organizations like the ADA and American Association of Clinical Endocrinologists offer guidelines on target blood sugar levels as a starting point.
Healthcare providers typically tailor normal blood sugar target ranges to an individual diabetes care plan. This includes considering your:
What Is Hyperglycemia
Hyperglycemia is the medical word for high blood sugar levels. The hormone insulin is supposed to control the level of glucose in the blood. But someone with diabetes doesn’t make enough insulin or the insulin doesn’t work properly so too much sugar can get into the blood and make the person sick.
If you have high blood sugar levels, you may need treatment to lower your blood sugar. Your parents and your diabetes health care team will tell you what your blood sugar levels should be and what to do if they get too high.
Managing diabetes is like a three-way balancing act because you have to watch:
All three need to be balanced. If any one of these is off, blood sugar levels can be, too. Your parents and doctor can help you with this balancing act.
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How Is It Treated
If you have diabetes and notice any of the early signs of high blood sugar, test your blood sugar and call the doctor. They may ask you for the results of several readings. They could recommend the following changes:
Drink more water. Water helps remove excess sugar from your blood through urine, and it helps you avoid dehydration.
Exercise more. Working out can help lower your blood sugar. But under certain conditions, it can make blood sugar go even higher. Ask your doctor what kind of exercise is right for you.
Caution: If you have type 1 diabetes and your blood sugar is high, you need to check your urine for ketones. When you have ketones, do NOT exercise. If you have type 2 diabetes and your blood sugar is high, you must also be sure that you have no ketones in your urine and that you are well-hydrated. Then your doctor might give you the OK to exercise with caution as long as you feel up to it.
Change your eating habits. You may need to meet with a dietitian to change the amount and types of foods you eat.
If you have type 1 diabetes and your blood sugar is more than 250 mg/dL, your doctor may want you to test your urine or blood for ketones.
What Is The Somogyi Effect
A second possible cause of high blood sugar levels in the morning is the Somogyi effect, sometimes also called rebound hyperglycemia. It was named after the doctor who first wrote about it.
If your blood sugar drops too low in the middle of the night while you are sleeping, your body will release hormones in an attempt to rescue you from the dangerously low blood sugar. The hormones do this by prompting your liver to release stored glucose in larger amounts than usual. But this system isnt perfect in a person with diabetes, so the liver releases more sugar than needed which leads to a high blood sugar level in the morning. This is the Somogyi effect.
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High Blood Sugar: What Does It Mean
The amount of glucose in the blood, which is higher than the generally accepted norms, usually means diabetes mellitus. The disease is confirmed by a clinical blood test. If the sample was taken from a finger, then the edge can increase to 7 mmol / L, if it is from a vein, more than 11.1 mmol / L.
Slightly exceeding the limits may be indicative of a prediabetic condition. In this situation, the morning capillary blood sample shows up to 6 mmol / l, venous about 7 mmol / l. This condition is not characterized by a clinical picture. So when urinating, no sugar is detected. Some women may have symptoms similar to prediabetes.
A higher amount of sugar in the blood indicates a stroke, a heart attack. This is due to vascular damage from an excessive amount of substance. Shifted glucose limits occur in epilepsy. Often the culprit for this condition is not just the pancreas, but other endocrine organs as well. An increase in performance is possible with a low hemoglobin level. Against this background, a decrease in immunity occurs.
Main Symptoms Of High Blood Glucose
While an individual can have no noticeable symptoms and still have high blood glucose, knowing what kinds of symptoms tend to accompany high blood glucose helps us take the right action before things get worse. If for no other reason, keeping these markers of high blood glucose in mind can help you identify it more quickly in yourself.
The most common symptoms to be aware of are:
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When To See A Doctor
According to the University of Michigan, blood sugar levels of 300 mg/dL or more can be dangerous. They recommend calling a doctor if you have two readings in a row of 300 or more.
See your doctor if you have consistently high blood sugar levels. Symptoms of this include:
- increased thirst
- high levels of sugar in urine
Ask your doctor how often to check your blood sugar and about your ideal blood sugar levels.
If you dont currently see a doctor who specializes in diabetes, known as an endocrinologist, you can find one by searching the American Association of Clinical Endocrinologists website.
You can find a certified diabetes educator by visiting the American Diabetes Associations website and searching by zip code.
Talk to your doctor if you have consistently high blood sugar readings or symptoms of chronic hyperglycemia.
Checking your blood sugar and then treating hyperglycemia early will help prevent any complications.
Health problems can arise when someone has high blood sugar regularly and without treatment.
Examples of complications include:
- nerve damage, called diabetic neuropathy, that may affect sensations in the feet and hands
- diabetic retinopathy, or damage to the blood vessels in the eyes that affects vision
- increased risks for kidney problems
- increased risks for heart problems
Taking steps to keep your blood sugar at target levels can help to minimize the likelihood that these complications will occur.