What Does Eating Right Mean For You
If you have type 1 diabetes, carb counting is really important to keep your blood glucose levels steady. This is where you estimate how many carbs are in your meal and match it with how much insulin you need to take.
If you have type 2 and youre overweight, finding a way to lose weight is important as it really improves diabetes management. This is because it can help to lower your blood glucose and reduce your risk of other complications. There are different ways of doing this like the low-carb, Mediterranean or very low-calorie diets. Losing weight can help you lower your blood glucose levels, and we now know that substantial weight loss can even put some peoples type 2 diabetes into remission.
Whether you have type 1 or type 2 diabetes, you might need to lose, gain or maintain your current weight but its important to make healthier food choices while youre doing this.
Portion sizes are important to think about whether you have type 1 or type 2. It makes calculating nutritional facts when youre carb counting or managing your weight a lot easier. Remember, portion sizes are different for everyone, so whats right for someone else might not be right for you.
If you feel overwhelmed about your feelings about food and diabetes, we have plenty of information to help you.
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Knowing Your High And Low Blood Sugar Symptoms Allows You To Test
Once you understand symptoms of high and low blood sugar, it is possible to test quickly and avoid serious problems.
Keeping to a clear target range is one of the key goals of diabetes management, and knowing when you have the symptoms of high or low blood sugar levels allows you to test your blood sugar and make a correction.
Hypoglycemia In Children: Pediatric Ketotic Hypoglycemia
Some children experience pediatric ketotic hypoglycemia, a condition involving low blood sugar levels and high levels of ketones. If people do not have enough glucose to use as energy, the body begins to break down fat in the body instead. The body produces chemicals called ketones as a by-product of breaking down fat.
According to a 2019 study , pediatric ketotic hypoglycemia usually occurs due to poor intake of food, a gastrointestinal illness and vomiting, or a period of prolonged fasting. Severe metabolic and hormonal conditions may also cause pediatric ketotic hypoglycemia.
Pediatric ketotic hypoglycemia may affect children from 6 months old and often resolves after the age of 6 years.
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The Effects Of Low Blood Sugar On Your Body
Every cell in your body needs energy to function. The main source of energy might come as a surprise: Its sugar, also known as glucose. Blood sugar is essential to proper brain, heart, and digestive function. It even helps keep your skin and vision healthy.
When your blood sugar levels fall below the normal range, its called hypoglycemia. There are many identifiable symptoms of low blood sugar, but the only way to know if you have low blood sugar is by taking a blood glucose test.
Learn more about the symptoms of low blood sugar, as well as the long-term effects on the body.
most common reasons for low blood sugar are some medications used to treat diabetes, such as insulin.
In type 1 diabetes, the pancreas can no longer produce insulin. In type 2 diabetes, the pancreas doesnt make enough insulin, or your body cant use it properly. Too much insulin or oral diabetic medication can lower the blood sugar level, leading to hypoglycemia.
However, contrary to popular belief, low blood sugar isnt exclusive to diabetes, though it is rare. It can also happen if your body makes more insulin than it should.
Another possible cause of low blood sugar is drinking too much alcohol, especially over long periods of time. This can interfere with the livers ability to create a buildup of glucose and then release it into your bloodstream when you need it.
Other causes include:
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When Should I Test My Blood Sugar
You may need to check your blood sugar several times a day, such as before meals or exercise, at bedtime, before driving, and when you think your blood sugar levels are low.
Everyone is different, so ask your doctor when and how often you should check your blood sugar. If youâre sick, youâll probably need to test your blood sugar more often.
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Causes Of Low Blood Glucose
Low blood glucose is common for people with type 1 diabetes and can occur in people with type 2 diabetes taking insulin or certain medications. The average person with type 1 diabetes may experience up to two episodes of mild low blood glucose each week, and thats only counting episodes with symptoms. If you add in lows without symptoms and the ones that happen overnight, the number would likely be higher.
Reversing Hypoglycemia Unawareness Is Possible For Many
While it isnt remarkably common, it is an issue for some people with diabetes. There are a few things someone with clear hypoglycemia unawareness can do to keep themselves safe.
First, use a continuous glucose monitor . CGMs are ideal for people who dont experience normal symptoms of low blood sugar because they can alert you to oncoming lows, helping you prevent them from occurring or from dropping as severely. CGMs allow you to set low alerts to levels like 90 mg/dL or 110 mg/dL wherever you feel safest.
Secondly, aim for a higher target range. If you know you have hypoglycemia unawareness, its critical that you raise your target blood sugar range at least slightly. Instead of aiming for 90 mg/dL when dosing insulin for meals and correcting highs, talk to your diabetes healthcare team about aiming for 100 mg/dL or 110 mg/dL, etc. This will reduce the risk of low blood sugars by keeping your blood sugar slightly above that thin line between normal and low.
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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
Examples Of Appropriate Snacks May Be:
- 6 saltine crackers
- 1 slice toast and 1/2 cup milk
The food eaten for a reaction need not be subtracted from a meal plan.
Obtain a blood sugar when symptoms occur if you are able. If symptoms are severe, treat the reaction first and then obtain a blood sugar. Do not drive nor operate equipment if you feel your blood sugar is low.
If your blood sugar drops low enough for you to become unconscious, you must be taken to the hospital and/or treated with glucagon.
Glucagon is a hormone that causes the blood sugar to rise. It can only be given by injection. It is used to treat a low blood sugar if a person becomes semi-conscious or unconscious due to a severe low blood sugar. Please ask your nurse for instruction on glucagon. Your doctor will need to write a prescription for glucagon so you can have it available at home.
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Uncontrolled High Blood Sugar Can Damage Your Cardiovascular System
Blood sugar can be another important factor in preventing heart health issues like heart attack or stroke.
When you eat or drink, your body breaks down carbohydrates into glucose, a simple sugar which enters the bloodstream as the bodys main form of energy.
But sometimes, blood sugar levels can build up over time, particularly if you have issues with insulin, a hormone your body uses to control blood sugar levels.
Type 2 diabetes occurs when someone becomes less sensitive to insulin over time, resulting in chronically elevated blood sugar .
Exercise can also help lower blood sugar levels, including casual activity like walking and doing household chores.
Treating Low Blood Glucose If You Take Medicines That Slow Down Digestion
Some diabetes medicines slow down the digestion of carbohydrates to keep blood glucose levels from rising too high after you eat. If you develop low blood glucose while taking these medicines, you will need to take glucose tablets or glucose gel right away. Eating or drinking other sources of carbohydrates wont raise your blood glucose level quickly enough.
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What Causes Low Blood Glucose In People With Diabetes
Low blood glucose levels can be a side effect of insulin or some other medicines that help your pancreas release insulin into your blood. Taking these can lower your blood glucose level.
Two types of diabetes pills can cause low blood glucose
- sulfonylureas, usually taken once or twice per day, which increase insulin over several hours
- meglitinides, taken before meals to promote a short-term increase in insulin
The following may also lower your blood glucose level
How To Treat Someone Whos Unconscious Or Very Sleepy
Follow these steps:
They may need to go to hospital if theyâre 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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Signs And Symptoms Of Low Blood Glucose
Each person’s reaction to low blood glucose is different. Learn your own signs and symptoms of when your blood glucose is low. Taking time to write these symptoms down may help you learn your own symptoms of when your blood glucose is low. From milder, more common indicators to most severe, signs and symptoms of low blood glucose include:
- Color draining from the skin
- Feeling weak or having no energy
- Blurred/impaired vision
- Tingling or numbness in the lips, tongue, or cheeks
- Nightmares or crying out during sleep
The only sure way to know whether you are experiencing low blood glucose is to check your blood glucose levels, if possible. If you are experiencing symptoms and you are unable to check your blood glucose for any reason, treat the hypoglycemia.
A low blood glucose level triggers the release of epinephrine , the fight-or-flight hormone. Epinephrine is what can cause the symptoms of hypoglycemia such as thumping heart, sweating, tingling, and anxiety.
If the blood sugar glucose continues to drop, the brain does not get enough glucose and stops functioning as it should. This can lead to blurred vision, difficulty concentrating, confused thinking, slurred speech, numbness, and drowsiness. If blood glucose stays low for too long, starving the brain of glucose, it may lead to seizures, coma, and very rarely death.
Treating Severely Low Blood Sugar
Blood sugar below 55 mg/dL is considered severely low. You wont be able to treat it using the 15-15 rule. You also may not be able to check your own blood sugar or treat it by yourself, depending on your symptoms. Make sure your family members, friends, and caregivers know your signs of low blood sugar so they can help treat it if needed.
Injectable glucagon is the best way to treat severely low blood sugar. A glucagon kit is available by prescription. Speak with your doctor to see if you should have a kit. Be sure to learn how and when to use it. Let family members and others close to you know where you keep the glucagon kit and make sure theyve been trained in how to use it too.
Its important to contact a doctor for emergency medical treatment immediately after receiving a glucagon injection. If a person faints due to severely low blood sugar, theyll usually wake up within 15 minutes after a glucagon injection. If they dont wake up within 15 minutes after the injection, they should receive one more dose. When the person is awake and able to swallow:
- Feed the person a fast-acting source of sugar .
- Then, have them eat a long-acting source of sugar .
Its also important that friends, family, co-workers, teachers, coaches, and other people you may be around often know how to test your blood sugar and treat severely low blood sugar before it happens.
If any of the following happens, your friend, relative, or helper should call 911:
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What Warning Signs And Symptoms Of Diabetes Are The Same In Men And Women
There are diabetes warning signs and symptoms that both women and men have in common, for example:
- Excessive thirst and hunger
Men who have type 2 diabetes are twice as likely to have low testosterone than men who do not have diabetes. Because of the low levels of the hormone testosterone, men with diabetes can have unhealthy symptoms that are not seen in women with diabetes.
Low testosterone can cause , depression, lack of energy, and reduced muscle mass. It can also cause male-specific sexual problems and urological problems.
Erectile dysfunction , or inability to get or maintain an erection, is a common symptom of diabetes in men. Diabetic men experience erectile dysfunction at earlier ages than men who do not have diabetes.
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Research And Statistics: How Common Is Hypoglycemia
Because hypoglycemia is largely a symptom of an underlying condition, its unclear exactly how common it is in the United States. However, heres what we do know:
- According to the Centers for Disease Control and Prevention , 34.2 million people in the United States have diabetes. This is roughly 10.5 percent of the population, and the majority of these cases are type 2 diabetes.
- In the type 2 diabetes sphere, elderly adults are at highest risk for hypoglycemia unawareness. Previous research reported in Diabetes Care found that only 1 in 13 older adults with type 2 diabetes were able to correctly identify their symptoms.
- According to CDC data, 235,000 people with diabetes were admitted to the emergency room in 2016 due to hypoglycemia.
- Overall, the CDC estimates that 57,000 people with diabetes were hospitalized for hypoglycemia.
- Insulin excess is responsible for between 4 and 10 percent of deaths in patients with type 1 diabetes, according to past research published in Diabetes Care.
- A previous study identified a higher rate of hypoglycemia-related hospital visits in African American men with type 2 diabetes.
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How Common Is Low Blood Glucose
Low blood glucose is common among people with type 1 diabetes and among people with type 2 diabetes who take insulin or some other diabetes medicines. In a large global study of people with diabetes who take insulin, 4 in 5 people with type 1 diabetes and nearly half of those with type 2 diabetes reported a low blood sugar event at least once over a 4-week period.2
Severely low blood glucose, defined as when your blood glucose level drops so low you cant treat it yourself, is less common. Among U.S. adults with diabetes who take insulin or some diabetes medicines that help the pancreas release insulin into the blood, 2 in 100 may develop severely low blood glucose each year.3
Exercise Food And Alcohol
For people with type 1 diabetes, maintaining the correct blood glucose level involves balancing how much insulin you inject, the amount of food you eat, and how much energy you burn during exercise.
Hypoglycaemia may occur if you’ve taken your dose of insulin as usual, but your carbohydrate intake is lower than normal or has been used up more quickly. This may happen if you delay or miss a meal or snack, don’t eat enough carbohydrate, or exercise more than usual.
People with diabetes who’ve drunk too much alcohol, or drank alcohol on an empty stomach, can also get hypoglycaemia.
However, it’s not always possible to identify why a particular episode of hypoglycaemia has occurred, and sometimes it happens for no obvious reason.
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Anxiety And Addiction To Sugar
This is no different for sugar and anxiety. However, this link is becoming more widely known for quite some time. A major cause for an increase in anxiety and panic disorders is weight gain, and part of what is driving this weight gain is excessive sugar intake. Beyond this, eating too much sugar will result in an individual becoming overstimulated, which can result in heightened anxiety.
For those individuals with a history of anxiety disorders, too much sugar can result in more panic or anxiety attacks. It also results in a vicious cycle of depression and anxiety, fluctuating with the amount of sugar that they eat.
Many physicians and psychiatrists suggest that you limit or avoid foods that are high in sugar if you want to get your depression and anxiety under control . Yet limiting your sugar intake can be difficult. It takes research and help in order to figure out just how much sugar you are currently eating and how you can best wean yourself off of this pervasive and tasty substance.
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