How To Know If Your Blood Sugar Is Low

How To Treat Someone Whos Having A Seizure Or Fit

Follow these steps if someone has a seizure or fit caused by a low blood sugar level:

Tell your diabetes care team if you ever have a severe hypo that caused you to have a seizure or fit.

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When To Call The Doctor

If signs of low blood sugar do not improve after you have eaten a snack that contains sugar, have someone drive you to the emergency room or call your local emergency number . DO NOT drive when your blood sugar is low.

Get medical help right away for a person with low blood sugar if the person is not alert or cannot be woken up.

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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Can You Have Hypoglycemia Without Having Diabetes

If you dont have diabetes, hypoglycemia can happen when you dont have enough sugar in your blood or if your body cant stabilize your blood sugar level. This occurs when your level drops below 70 milligrams per deciliter .

Low blood sugar means your body doesnt have enough energy to properly function or carry out its activities.

The underlying cause of nondiabetic hypoglycemia varies. Sometimes its due to an imbalanced or unhealthy diet.

You receive glucose from food. Therefore, you might experience a drop in blood sugar after going several hours without food or if you dont eat before a workout. In both cases, eating can help stabilize your blood sugar.

On the other hand, ongoing problems with nondiabetic hypoglycemia might indicate a decrease in insulin production. This may be related to issues with your:

Hypoglycemia in people who dont have diabetes is less common than hypoglycemia that occurs in people who have diabetes or related conditions.

Although rare, a tumor of the pancreas can cause the body to make too much insulin or an insulin-like substance, resulting in hypoglycemia. Hormone deficiencies can also cause hypoglycemia because hormones control blood sugar levels.

What Are The Treatment Options For Hypoglycemia

Children with hypoglycemia have different symptoms, and these vary from one child to another. But no matter what your childs symptoms, the overriding goal is the same to bring the blood sugar back up to normal as rapidly as possible and return your child to good health.

Most often, your childs blood sugar can be brought back up to normal by eating or drinking something that has sugar in it, such as fruit juice, regular soda, table sugar, maple syrup, candy, glucose tablets, glucose gel, or cake frosting. Consider encouraging your child to:

• eat regular meals throughout the day
• eat frequent snacks

For children with diabetes, the goal is to consistently maintain a blood sugar level that is in a healthy range. This involves testing blood sugar often, learning to recognize the earliest symptoms of low blood sugar, and treating the condition quickly, based on instructions given by your child’s healthcare providers.

If your child has recurrent or severe hypoglycemia, the first thing is to determine the cause, because different causes have different treatments. While the cause is determined, some children will receive glucose intravenously in the hospital to make sure their blood-sugar level stays normal.

Some causes of hypoglycemia can be treated with changes in your childs diet or medication. For some rare cases of severe hypoglycemia that dont respond to medical treatment, the doctor may recommend surgery to remove most of the pancreas.

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How We Care For Hypoglycemia

At Boston Childrens Hospital, we treat hypoglycemia in our General Endocrinology Program, a multi-disciplinary program dedicated to the treatment of a wide range of endocrinological disorders. Caring for more than 7,000 patients each year, our division is one of the largest pediatric endocrinology practices in the country. We provide state-of-the-art diagnosis, treatment, and clinical management for children with hypoglycemia and related disorders.

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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Signs Of Low Blood Sugar At Night

If your blood sugar drops while you are sleeping, your partner or other family members may notice that you are sweating and behaving differently. Signs of low blood sugar at night include:

• Attempting to get out of bed or accidentally rolling out of bed.

You may wake up with a headache in the morning if your blood sugar was low during the night.

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

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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:

Why Does Blood Sugar Go Up And Down

When we eat, carbohydrates break down into sugar molecules, including glucose. Glucose fuels our bodies, but it needs to get into the cells to do it. Insulin is a hormone that unlocks the cells so glucose can get in. When insulin doesn’t work as it should, glucose will stay in the blood. This creates high blood sugar, known as hyperglycemia.

Blood sugar can also go too low. This is a condition known as hypoglycemia. This usually happens when you go too long without eating. It can also happen when those with diabetes take too much medication. A few other conditions can cause hypoglycemia, but they are relatively rare. Hyperglycemia and diabetes are much greater problems than hypoglycemia.

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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.

When It’s Time To Call A Doctor

If any of the symptoms mentioned have begun to impact your life, such as fatigue so severe you can’t stay awake through the day, it’s a good idea to consult your physician. Dr. Fruge warns that “unstable blood sugar levels could put you at higher risk of heart disease and stroke and it is a red flag for serious health issues” — so blood sugar issues should be taken seriously.

You should also see a doctor if you’re experiencing symptoms of hypoglycemia and haven’t been diagnosed with diabetes or any other underlying condition.

If you do have diabetes and your hypoglycemia isn’t responding to the treatments described above, that’s another good cue to call your health care provider.

If testing reveals you have Type 1 diabetes, you’ll need to continue to test your blood sugar levels as often as instructed by your physician, take insulin regularly and participate in regular exercise. This may mean you will need a new glucose monitoring system, so ask your doctor what they recommend. If you’re diagnosed with Type 2 diabetes, you’ll most likely need to do the same as for Type 1, as well as working with health care professionals to make lifestyle changes such as improving nutrition and planning workouts. Medication may be necessary as well.

Healthy eating, regular exercise and other lifestyle changes can help alleviate symptoms and possibly even reverse prediabetes.

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What Should My Blood Sugar Levels Be

Your blood sugar level changes depending on what you’ve eaten, whether you’ve exercised and other factors but we have some general guidelines to determine what levels are healthy.

For generally healthy individuals who haven’t eaten for eight hours or more, a normal blood sugar level is between 70-99 mg/dL. When you’ve eaten in the past two hours, it should be no higher than 140 mg/dL. To refresh your chemistry knowledge, that unit is milligrams per deciliter and it’s measuring the amount of glucose present in your blood.

Only a medical professional can diagnose diabetes or another issue with your blood sugar, so if you’re concerned about your blood sugar levels, check with a doctor.

Slurred Speech And Clumsiness

Your sugar-starved brain may change the way you sound. Slurred speech is a common symptom associated with blood sugar levels that drop below 40 mg/dL, according to University of Michigan Health Systems. Combined with clumsiness another sign of low blood sugar you may seem as though you’ve had a few too many cocktails, even if you haven’t touched a drop, according to the National Health Service.

For more on managing low blood sugar, check out Diabetes Daily’s article “How to Treat Lows Without Sabotaging Your Diet!“

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Symptoms Of Blood Blood Sugar Levels

Symptoms of blood sugar levels differ depending on if it is high or low. To determine which way the blood sugar have moved, the symptoms for each are typically:

If symptoms are left untreated, more extreme circumstances can happen such as fainting, weakness, disorientation, vomiting and dehydration. When you notice symptoms, usually more than one at one time, it is advised to see a doctor right away.

It is important to get the right treatment so that you can return to a healthy normal blood sugar level and inhibit it from occurring again.

Treatment methods vary from the severity of the blood sugar level, whether it is high or low and if the patient has existing medical conditions, such as diabetes. Here are ways in which blood sugar levels can be treated:

How To Eat For Balanced Blood Sugar According To Nutritionists

Blood sugar is one of those things people typically think about in tandem with conditions like diabetes or pregnancy. But blood sugar is important for everyone to pay attention to, especially if you want to feel your best and have steady energy each day. So why pay attention to blood sugar? For one, if you feel hangry more often than not, then listen up: You’re most likely not eating foods that maintain healthy blood sugar levels.

Besides feeling hangry, another sign you’re not eating for balanced blood sugar is if you feel energized after a meal but then crash quickly within a few hours. “Balancing your blood sugar helps to keep your energy even, keeps you more focused, balances out your hormones, prevents excessive hunger, helps with weight loss and overall maintains optimal health and wellbeing,” says Amy Shapiro, a registered dietician and founder of Real Nutrition NYC.

Your blood sugar could be all over the place if you feel hungry all the time, even if you are eating frequently. Ideally, when you eat you feel steady energy for several hours and don’t get “hangry” easily. “When your blood sugar is balanced you find you think less about food and more about all the things that you can do,” says Shapiro.

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What Are The Complications Of Low Blood Glucose

Mild-to-moderate low blood glucose can be easily treated. But severely low blood glucose can cause serious complications, including passing out, coma, or death.

Repeated episodes of low blood glucose can lead to

• high blood glucose levels, if worry or fear of low blood glucose keeps you from taking the medicines you need to manage your diabetes8
• hypoglycemia unawareness, a condition in which you dont notice any symptoms of low blood glucose until your blood glucose level has dropped very low

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 doesn’t 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.

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What Are Clinical Trials For Low Blood Glucose

Clinical trialsand other types of clinical studiesare part of medical research and involve people like you. When you volunteer to take part in a clinical study, you help doctors and researchers learn more about disease and improve health care for people in the future.

Researchers are studying many aspects of low blood glucose levels in diabetes, such as

• how to diagnose and treat low blood glucose among people with diabetes
• medicines that can treat symptoms of low blood glucose in people with hypoglycemia unawareness
• educational approaches to reduce fear of low blood glucose, which can make it harder for you to control your diabetes

What Drinks And Foods Raise Blood Sugar Fast

• 4 teaspoons of sugar
• 1/2 can of regular soda or juice

Many people like the idea of treating low blood sugar with dietary treats such as cake, cookies, and brownies. However, sugar in the form of complex carbohydrates or sugar combined with fat and protein are much too slowly absorbed to be useful in acute treatment.

Once the acute episode has been treated, a healthy, long-acting carbohydrate to maintain blood sugars in the appropriate range should be consumed. Half a sandwich is a reasonable option.

If the hypoglycemic episode has progressed to the point at which the patient cannot or will not take anything by mouth, more drastic measures will be needed. In many cases, a family member or roommate can be trained in the use of glucagon. Glucagon is a hormone that causes a rapid release of glucose stores from the liver. It is an injection given intramuscularly to an individual who cannot take glucose by mouth. A response is usually seen in minutes and lasts for about 90 minutes. Again, a long-acting source of glucose should thereafter be consumed to maintain blood sugar levels in the safe range. If glucagon is not available and the patient is not able to take anything by mouth, emergency services should be called immediately. An intravenous route of glucose administration should be established as soon as possible.

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