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When Should You Seek Medical Attention For High Blood Sugar

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Can Drinking A Lot Of Water Lower Your Blood Sugar Levels

Although feeling very thirsty is a symptom of a hyper, drinking a lot of water will not bring your blood sugar levels down. It will only help to reduce your risk of dehydration.

Its important that you take your diabetes medication to bring your blood sugar levels down. If you have consistently high blood sugar levels, you will need to follow the advice below and speak to your diabetes healthcare team.

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Blood Sugar Level Before And After Eating

It is not recommended that you eat before you get your blood sugar level checked. If it is necessary, then have just a small amount of something simple. Some examples are toast, crackers, or fruit juice. If you are checking your blood sugar level in the morning, do not check it right after you get up. Wait until at least two hours after waking up or until after breakfast, whichever comes last.

Blood sugar levels are different at bedtime than they are in the morning. To get accurate results be sure to take your glucose test when your body is ready for normal reading. This means fasting 8-12 hours before you take the test and dont have diabetes medicines or insulin shots taken right before you take the test. Its important to check your blood sugar level within 20 minutes of taking the test strip out of its vial because if bubbles form on the strip. This can give an inaccurate result. Also, be sure that all the air is out of the vial before you open it.

Before And After Meals And Snacks

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If you eat first thing in the morning, your first blood sugar check of the day can also count as your pre-meal check, but if you dont, youll need to check again before breakfast.

This can inform you as to how much insulin youll need for your meal . If youre running a little high, youll need to bolus extra, but if your blood sugar is on the lower end, you can take a little less insulin for any carbohydrates eaten.

Checking before every meal and snack can help curb postprandial glucose excursions, otherwise known as the stubborn high blood sugars you sometimes can experience after eating a meal and not adequately bolusing for said meal.

Ideally, you should also be checking 2 hours after all meals as well, to determine if your meal bolus was adequate, if you took too much insulin, or if you need to adjust and take more insulin.

Two hours is the recommended time frame, because by then most carbohydrates have been absorbed into the body and most fast-acting insulin has already peaked.

When checking before snacks , make sure youre calculating any active insulin on board so you dont overtreat a high and end up going low.

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Delayed Effects Of Fatty Foods

Blood sugar levels typically peak within an hour or so after eating. However, a high-fat dinner containing fried foods, pizza, or cheesy casseroles might delay this normal jump in blood sugar until the morning. Why? Large amounts of dietary fat can make it harder for insulin to do its job, explains Scheiner. Plus, fat slows down digestion and absorption, which could cause blood sugar to peak later than usual.

Possible solutions: Opt for fish, skinless poultry, beans, and vegetables sautéed in olive oil over foods high in saturated fat like fried foods and those covered in cheese. Filling up half your plate with vegetables can also help cut portion sizes of other foodsand your fat intake from those foods.

How To Create A Sick Day Plan

When you’re feeling ill, you’d like nothing more than to lie in bed with a good book or a bad movie. Yet that’s when you need to focus even more on diabetes self-care.

The key to sick days with diabetes is doing all of the thinking ahead of time. That way, when you don’t feel like concentrating, you can simply follow the plan.

Involve your diabetes care team in developing your sick day planask them when you should call for help, how often you should check your blood glucose and ketones, what medicines to take and what to eat.

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What Are Risk Factors For Hyperglycemia

Major risk factors for hyperglycemia are:

  • You have a family history of type 2 diabetes.
  • You are African American, Native American, Hispanic or Asian American.
  • You are overweight.
  • You have high blood pressure or cholesterol.
  • You have polycystic ovarian syndrome .
  • You have a history of gestational diabetes.

Recommended Target Blood Glucose Level Ranges

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The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.

In addition, the International Diabetes Federations target ranges for people without diabetes is stated.

The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.

NICE recommended target blood glucose level ranges

Target Levels

*The non-diabetic figures are provided for information but are not part of NICE guidelines.

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Watch How To Help Someone Who Is Having A Diabetic Emergency

What is diabetes?

Diabetes is a medical condition that affects blood sugar levels. Normally, peoples bodies maintain the ideal blood sugar levels automatically. When a person has diabetes, their body fails to maintain the blood sugar balance, so they need to manage it through diet, tablets or insulin injections.

Sometimes, a person who has diabetes can suffer diabetic emergencies, which require first aid.

What are the signs and symptoms of a diabetic emergency?

Signs and symptoms vary, but common ones include:

  • hunger

What happens in a diabetic emergency?

In most cases, the persons blood sugar levels become too low. This is called hypoglycaemia. It can happen when the person has missed a meal or exercised too much. If left untreated, a diabetic emergency can become very serious.

What should I give them to eat or drink?

You can give them sugary drinks such as cola, lemonade, fruit juice and isotonic sports drinks, and sweet foods such as jelly beans, chocolate and sugar cubes. The person may also be carrying glucose gel or tablets. Avoid giving them a diet drink, as it wont have any sugar in it and will not help them.

But some people have high blood sugar levels, so wont giving them sugary drinks or food make their diabetic emergency worse?

Some people do have high blood sugar levels, but giving them sugary drinks or food is unlikely to do any harm.

How will I know if this is a long-term condition for the person?

Best Ways To Lower Blood Sugar Quickly

When treated early, you can bring high blood sugar levels down and prevent complications, including DKA.

Some sources suggest that drinking water or eating a high protein snack can quickly lower your blood sugar levels, though there isnt enough research to support this.

If you have high blood sugar and need to lower it fast, try the following methods:

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How A Continuous Glucose Monitor Can Help Control Morning Levels

Troubleshooting morning glucose levels can be tricky. As we have discussed, there are a lot of factors that influence overall glucose status in the body. Exercise, stress, circadian rhythm, macronutrient composition, nutrient timing, and more are continually affecting glucose management in your body.

If your morning glucose levels are higher than you would like, always start with the four fundamentals:

  • Sleep
  • Exercise
  • Stress management
  • Of course, it can be difficult to tease out which specific factor is causing your issue, which is why it is crucial to track the data.

    The gold standard for tracking glucose levels is with a continuous glucose monitor . When you use a CGM, you can see your glucose values in real time, 24/7. You donât have to wait for an annual blood test to determine whether the changes you made are working. Instead, you can troubleshoot solutions by trying different things out and seeing how they improve the numbers every single day.

    Finding a signal through the noise of online âhealth adviceâ is difficult. But with NutriSenseâs Continuous Glucose Monitoring program, you donât have to guess what works for you. You have continual access to your data plus the support of a world-class team that has analyzed thousands of non-diabetic CGM usersâ data. Weâve done the hard work so you donât have to.

    to learn how a NutriSense CGM works and see how it can help unlock your health potential today.

    Work With Your Health Care Team

    High Blood Sugar: 10 Signs of High Blood Sugar

    Most people with diabetes get health care from a primary care professional. Primary care professionals include internists, family physicians, and pediatricians. Sometimes physician assistants and nurses with extra training, called nurse practitioners, provide primary care. You also will need to see other care professionals from time to time. A team of health care professionals can help you improve your diabetes self-care. Remember, you are the most important member of your health care team.

    Besides a primary care professional, your health care team may include

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    Normal Vs Optimal Blood Sugar Ranges

    Ive written extensively about the difference between normal and optimal blood markers here, and the same applies to your blood sugar ranges.

    From the perspective of conventional medicine, a fasting blood sugar level of 100-125 mg/dL indicates prediabetes.

    Two consecutive fasting glucose levels of 126 mg/dL indicates diabetes, as well as a random glucose reading of 200 mg/dL , and a 2-hour post-meal reading of 200 mg/dL .

    But much of the data in conventional medicine comes from populations who are not enjoying optimal health.

    So what does a healthy daily glucose response look like from the perspective of preventative medicine?

    On waking: Research indicates that your optimal glucose after waking in the morning should be between 82-88 mg/dL . This level is associated with optimal aging, the lowest risk of chronic disease, and the lowest mortality risk.

    After meals: Blood sugar peaks between 1 and 2 hours after the meal and should be back down to fasting levels by 3 hours post-meal. From the perspective of optimal health, you should avoid regularly eating foods that raise your blood sugar over 100 mg/dl .

    One strategy to test the impact of your diet on your long-term health is to measure your blood sugar before and after meals.

    What Should My Blood Sugar Level Be

    When you’re first diagnosed with diabetes, your diabetes care team will usually tell you what your blood sugar level is and what you should aim to get it down to.

    You may be advised to use a testing device to monitor your blood sugar level regularly at home.

    Or you may have an appointment with a nurse or doctor every few months to see what your average blood sugar level is. This is known as your HbA1c level.

    Target blood sugar levels differ for everyone, but generally speaking:

    • if you monitor yourself at home with a self-testing kit a normal target is 4 to 7mmol/l before eating and under 8.5 to 9mmol/l 2 hours after a meal
    • if your HbA1c level is tested every few months a normal HbA1c target is below 48mmol/mol

    The Diabetes UK website has more about blood sugar levels and testing.

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    What To Do If You’re Sick Or Injured

    If you’re ill, especially if the illness causes fever, nausea, vomiting, or diarrhea, or if your ability to eat or drink has been affected, call your doctor.

    You should also let your doctor or diabetes health care team know if you:

    • have had a significant injury
    • are going to be having surgery
    • have been prescribed new medications for another health problem

    If you think a situation is an emergency, tell someone to call 911 or help you get to the emergency department. If you are alone, don’t hesitate to call your doctor or 911.

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    Why Is My Morning Blood Sugar So High

    How to Manage High Blood Sugars

    A complex array of factors affects blood sugar levels, including hormones, diet, and lifestyle.

    Q: I have prediabetes and now eat minimal carbs and sugar. My doctor told me to monitor my sugar levels, morning and night. At night, two hours after eating, my sugar levels are between 112 and 130 mg/dL . But in the morning, my fasting sugar level is always higher than the night number. Why is that? What am I doing wrong?

    There are a few reasons why your blood sugar may be elevated in the morning. First, its important to understand that certain hormonal changes that occur overnight may lead to high blood sugar levels in the morning.

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    Official Fasting Blood Sugar Ada Recommendation For Someone With Diabetes

    The American Diabetes Association recommends a fasting blood sugar target of 80 to 130 mg/dl for most nonpregnant adults with diabetes. However, the fasting blood sugar target may need to be individualized for certain people based on such factors as duration of diabetes, age and life expectancy, cognitive status, other health conditions, cardiovascular complications, and hypoglycemia unawareness. Its important that people with diabetes discuss their target blood sugar goals with their healthcare provider.

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    Before And After Exercise

    This is crucial, because exercising with a low or even in-range blood sugar level can be dangerous, depending on the length and intensity of the exercise you plan to do.

    Make sure to work with your doctor to determine an appropriate pre-exercise blood sugar level, but people usually like to have their levels sit a little higher than normal before starting any vigorous cardiovascular exercise to prevent severe hypoglycemia.

    On the other hand, some peoples blood sugars tend to rise during exercise, especially if they are doing weightlifting or types of exercise that spike adrenaline levels in the body. Its important to make sure your blood sugar is at an appropriate level in case it will rise during your workout.

    You also dont want your blood sugar to be too high before exercise, either. The Mayo Clinic actually advises against people with diabetes exercising if their starting blood sugar is above 250 mg/dL.

    This is due to the fact that if a body is exercising without enough insulin in the bloodstream, the liver and kidneys will inadvertently release more sugar into the body, increasing your number even more and putting you at risk for dehydration, ketones, and even increased risk of spiraling into diabetic ketoacidosis .

    Always check your blood sugar after exercise as well, as some people require a post-exercise bolus to combat spikes due to temporary pump settings that had decreased their basal rates.

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    Getting Help For Diabetes Problems

    Your diabetes management plan may direct you to call your doctor or get emergency medical care if your child has diabetes problems such as hyperglycemia, ketoacidosis, or hypoglycemia.

    Hyperglycemia

    Hyperglycemia is when the blood glucose level is too high. Your child could have this for several reasons, such as not receiving enough insulin eating or drinking large amounts of sugar- or carbohydrate-containing foods or if ill, injured, or under physical or emotional stress.

    • blood sugar levels are staying higher than the target ranges set by the diabetes team, especially if your child has symptoms of very high blood sugar, like increased thirst and urination
    • in addition to high blood sugar levels, your child has ketones in the urine, a sign of possible diabetic ketoacidosis

    Diabetic Ketoacidosis

    High levels of ketones make the blood more acidic, a condition known as diabetic ketoacidosis . Ketoacidosis is a severe, life-threatening condition that needs immediate medical care.

    In most cases, DKA happens when a person with diabetes isn’t getting enough insulin or is stressed by illness or injury. When the body can’t use glucose for fuel, it breaks down fat for energy instead. When fat is broken down, the body produces chemicals called ketones, which appear in the blood and urine .

    Get medical care right away if your child has ketones in the pee and symptoms or signs of DKA like:

    • belly pain
    • drowsy
    • dizzy

    Contact the doctor or diabetes teamif:

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