If You Regularly Have High Blood Sugar Levels
Having high blood sugar levels regularly is not something you should live with. This is because in the long-term it can increase your risk of developing diabetes complications, such as neuropathy and retinopathy.
If you notice that your blood sugar levels are often high, you should contact your diabetes healthcare team. They will review your treatment and provide you with advice on how to get your blood sugar levels back within your target range. This advice may include increasing your medication.
In the video below, Lynsey talks to Khalida about feeling anxious after getting a high blood sugar level reading. If youre finding it hard to deal with similar feelings, weve got information on emotional health that you may find helpful.
Symptoms Signs Causes Of Levels Of High Blood Sugar In The Blood
High blood sugar or hyperglycemia is an abnormally high blood sugar level in the blood. Hyperglycemia is a hallmark sign of diabetes and prediabetes.
Signs and symptoms of hyperglycemia include blurred vision, headaches, hunger, and …
The normal ranges for blood sugar levels in adults who do not have diabetes while fasting are 72-99 mg/dL. These ranges may increase to 80-130 mg/dL for those being treated for diabetes.
According to the American Diabetes Association, people with diabetes should have
- blood sugar levels of 80-130 mg/dL before eating a meal , and
- less than 180 mg/dL about 1-2 hours after eating a meal
High blood sugar ranges for people who dont have diabetes begin at 140 mg/dL, while those being treated for diabetes have a high range beginning at 180 mg/dL.
How Do You Treat Hypoglycemia
Low blood sugar levels happen when theres too little glucose left in the bloodstream to continue supplying fuel to your organs, muscles, and tissues. It most often occurs when you dont eat enough food, especially carb-containing foods, given your blood-sugar-lowering medications and physical activity levels, ONeill says. Levels can decrease gradually or suddenly.
When the amount of glucose in the bloodstream drops to too-low levels, the body reacts by releasing epinephrine, also called adrenaline or the fight or flight hormone. Epinephrine revs your heart rate and can cause sweating, shaking, anxiety, and irritability. If not enough glucose is able to reach the brain, the result may be difficulty concentrating, confused thinking, and slurred speech. In extreme cases, a lack of glucose within the brain can lead to seizures, coma, and even death, she says.
People with low glucose levels can use the ADAs 15-15 Rule, which advises people consume 15 g of carbs, wait 15 minutes, and check their levels again. If the number is still low, repeat until reaching at least 70 mg/dL.
You can find 15 g of carbs in:
- 1 slice of bread
- 1 small piece of fresh fruit
- cup of yogurt
- Three to four hard candies
- Glucose tablets as indicated on the label
- Glucose gel as indicated on the label
Once your glucose levels are back to normal, the ADA suggests going ahead and eating your next scheduled meal or snack, which will help prevent levels from dropping again.
Work With Your Health Care Team
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
- an endocrinologist for more specialized diabetes care
- a registered dietitian, also called a nutritionist
- a nurse
Chronic Constipation Or Chronic Diarrhea
Both constipation and diarrhea can be caused by high blood glucose, acting on different sections of the bowel. When high blood glucose affects the small intestine, the result is often diarrhea when it affects the large intestine, the result is often constipation.
The two intestines have very different jobs, which helps to explain how high blood glucose can affect them differently. The job of the small intestine is to absorb nutrients from digested food, and the job of the large intestine is to absorb water from indigestible waste material.
When neuropathy from elevated blood glucose affects the enteric nerves the guts command and control system in the small intestine, the result can be dysfunctions in motility, leading to delayed emptying into the large intestine. This causes the stagnation of fluids in the small intestine, allowing bacterial overgrowth that causes bloating, abdominal pain, and diarrhea. Frequent diarrhea is seen in 22 percent of people with diabetes. Enteric neuropathy, in addition to laying the ground work for bacterial overgrowth, can in itself be a painful chronic condition similar to the foot pain suffered by people with peripheral neuropathy.
In a similar way, nerve damage can slow the movement of waste through the large intestine. Slow-moving waste is essentially dehydrated or dried out too much by the large intestine, resulting in constipation.
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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:
Are High Levels Of Blood Sugar Dangerous
Low blood sugar levels begin at 70 mg/dL or less.
- People with diabetes who take too much medication or take their usual amount but then eat less or exercise more than usual can develop hypoglycemia. Although much rarer, hypoglycemia may develop in some people without diabetes when they take someone elses medication, have excessive alcohol consumption, or have hepatitis or a rare tumor of the pancreas .
- The treatment for hypoglycemia is oral glucose intake (15.0 grams of sugar, for example, 1 tablespoon of sugar, honey, corn syrup, or IV fluids containing glucose. Rechecking your blood sugar levels in about 15 minutes after the treatment is advised.
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When To Go To The Er
High blood sugar can be very concerning because your body can start burning fat for energy instead of blood glucose.
This can cause conditions such as DKA and hyperglycemic hyperosmolar syndrome . These conditions are medical emergencies and can be fatal if left untreated.
DKA is a serious complication of type 1 diabetes. Its rare in people with type 2 diabetes, but can occur.
Symptoms that can indicate you should go to the emergency room include:
- ketones in your urine, as diagnosed using a urine dipstick test
- stomach pain
High blood sugar levels can cause a fluid imbalance in the body and can cause the blood to become acidic in a manner that doesnt support life.
Medical treatments for these conditions include administering intravenous insulin on a continuous basis and IV fluids to correct dehydration.
High blood sugar can become a medical emergency. Go to the ER if you suspect DKA or HHS.
What Are The Symptoms Of Hyperglycemia
Its especially important to know the early signs of hyperglycemia if you have type 1 diabetes. If hyperglycemia is left untreated in people with type 1 diabetes, it can develop into ketoacidosis, where ketones, which are toxic acids, build up in the blood. This condition is an emergency situation that can lead to coma or death.
Early symptoms of hyperglycemia include:
- High blood sugar.
- Unusual fruity smell on the breath.
- Deep labored breathing or hyperventilation.
- Rapid heartbeat.
How To Test For Ketones
You can use a urine test strip or blood ketone meter and ketone test strip to test for ketones at home. Testing either urine or blood is important, but when possible, a blood test is preferred because it gives you and your care team more precise information about your ketone levels. Because urine may have been in the bladder for some time, the results from these tests may show levels that are either higher or lower than the ketone levels that are actually circulating in your body. It is also very important to know that urine test trips degrade over time, so if you are using this method, you need to look at expiration dates carefully.
Your diabetes care team can give you specific directions about when you should check for ketones, but in general, you should check for them when your blood glucose is 240 mg/dL or higher. You should also check for ketones if you notice any of the DKA symptoms listed above or if you are sick it is possible to have ketones while your blood glucose levels are within range .
At-home urine test strips will change color to show the level of ketones in the urine. They typically report results as negative, trace, small, moderate or large. Blood ketone meters will provide a number that indicates the ketone levels. The following ranges are generally used:
Target Blood Sugar Levels For Children And Adolescents With Diabetes
Age 6-12 Bedtime 100-180
Kids aged 6 to 12 should have blood sugar levels that range between 80 to 180 mg/dL over the course of a day. Blood sugar levels go up after eating a meal because the body breaks down carbohydrates into glucose, which is then distributed throughout the bloodstream. Other macronutrientsprotein and fatturn into glucose as well, but at a slower rate. Many people learn how to use these factors to their advantage. For example, if a childs sugar is trending low, a bedtime snack that includes something with protein and fat, like chocolate milk or peanut butter, will help raise blood sugar levels and help keep blood sugar levels steady through the night.
When you wake up in the morning, your fasting blood sugar is generally at its lowest because you havent consumed food for about eight hours. However, many people experience an increase in blood sugar levels in the early morning hours. If youre an adult and struggling with glucose control, your healthcare provider can help you develop a treatment plan to manage your blood sugar better.
Blood glucose levels outside the ranges listed above are categorized as either high or low blood sugar. For example, according to this chart, blood sugar levels are considered high if theyre over 130 mg/dL before a meal or 180 mg/dL within one to two hours after a meal. Many people wont start to experience symptoms from high blood sugar until their levels are at 250 mg/dL or higher. .
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Why The Test Is Performed
Your doctor may order this test if you have signs of diabetes . More than likely, the doctor will order a fasting blood sugar test.
The blood glucose test is also used to monitor people who already have diabetes.
The test may also be done if you have:
- An increase in how often you need to urinate
- Recently gained a lot of weight
- Blurred vision
SCREENING FOR DIABETES
This test may also be used to screen a person for diabetes.
High blood sugar and diabetes may not cause symptoms in the early stages. A fasting blood sugar test is almost always done to screen for diabetes.
If you are over age 45, you should be tested every 3 years.
If you’re overweight and have any of the risk factors below, ask your health care provider about getting tested at an earlier age and more often:
- High blood sugar level on a previous test
- Blood pressure of 140/90 mm Hg or higher, or unhealthy cholesterol levels
- History of heart disease
- Member of a high-risk ethnic group
- Woman who has been diagnosed with gestational diabetes
- Polycystic ovary disease
- Close relative with diabetes
- Not physically active
Children age 10 and older who are overweight and have at least two of the risk factors listed above should be tested for type 2 diabetes every 3 years, even if they have no symptoms.
About High Blood Sugar
High glucose levels occur when the body doesn’t have enough insulin or can’t properly use the insulin it has to shuttle glucose from the bloodstream to the bodys muscles, organs, and tissues for fuel, ONeill says. As a result, the amount of sugar in the blood builds up.
Hyperglycemia typically happens when you consume more carbohydrates or bigger portions of food than usual if you don’t take enough insulin or other diabetes medication as prescribed and if you decrease your levels of physical activity, she says. Heightened stress levels can also increase blood sugar levels. Non-diabetes-related medications that are known to raise blood sugar levels include steroids, beta-blockers, birth control pills, and many mental health medications, she explains.
Signs of high blood sugar include frequent urination, fatigue, dry or itchy skin, feeling thirsty, more frequent infections, and eating more food but not gaining as much weight as usual, says Athena Philis-Tsimikas, MD, the corporate vice president for the Scripps Whittier Diabetes Institute in La Jolla, California.
High blood sugar levels can cause these symptoms through various mechanisms, according to the Mayo Clinic. For example, high blood sugar levels damage blood vessels and nerves throughout the body. They can also deprive organs of energy and can cause fluid to accumulate in the eyes. And in an attempt to get your blood sugar to a healthier level, your body will often increase urine output.
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How To Calculate Your Blood Sugar Level: The Complete Guide
To get an accurate reading of your blood sugar level, the best and most effective method is using a glucose meter. This will involve a small prick in your finger so receive a blood sample. The strip is then inserted into the meter and tested.
You may be wondering what your reading should be. There is no normal reading, an ideal reading differs from person to person. Everyone will get different readings at different times of the day. However, there is a rough range to determining a low, normal and high blood sugar level. Blood sugar level is read in mmol/L, which stands for millimoles per liter. Here is a guide as to what an ideal reading is for each diabetic type and non-diabetic patients:
|4 5.9 mmol/L< 7.8 mmol/L||4 5.9 mmol/L< 7.8 mmol/L|
It is advised to check it regularly if you are concerned, show regular symptoms or have diabetes. You should check before meals, exercise, before bedtime and after driving. Everyone is different so it is best to ask your doctor if you are unsure how many times and when you should check your blood sugar levels.
Research shows that over 50% who try to estimate their blood sugar level reading are incorrect. This may be due to over underlying medical conditions that did not know they had or poor lack of judgement. Therefore, this suggests it is very important to test at home to check in on your levels regularly to avoid any unnecessary future complications.
Planning For Sick Days
Your body releases stress hormones when you are sick, which can cause hyperglycemia. Keep taking your insulin and other diabetes medications, even if you are throwing up. If you have ketones and your blood sugar is above 240 mg/dL, call your doctor. They might also want you to call if:
- You have diarrhea that lasts more than 6 hours
- You are throwing up
- You have a high fever or trouble breathing
- You feel very sleepy or confused
Continue checking your blood sugar levels and keep track of the results.
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What Are Normal Blood Sugar Levels In Healthy Individuals
Blood sugar levels can either be normal, high, or low, depending on how much glucose someone has in their bloodstream. Glucose is a simple sugar thats present in the bloodstream at all times. Blood glucose levels can be measured at any time, for example, when someone fasts , before they eat, or after theyve eaten. A normal blood glucose level for adults, without diabetes, who havent eaten for at least eight hours is less than 100 mg/dL. A normal blood glucose level for adults, without diabetes, two hours after eating, is 90 to 110 mg/dL.
Many factors affect blood sugar levels throughout the day:
- Type of food consumed, how much, and when
- Physical activity
- Menstrual periods
An ideal blood sugar level for anyone without diabetes or prediabetes, regardless of age, in the morning should be less than 100 mg/dL. Remember, blood sugar levels can fluctuate throughout the day as a result of the factors previously mentioned.
How Can I Treat And Manage Hyperglycemia
People with both type 1 and type 2 diabetes can manage hyperglycemia by eating healthy, being active, and managing stress. In addition, insulin is a critical part of managing hyperglycemia for people with type 1 diabetes, while people with type 2 diabetes may need oral medications and eventually insulin to help them manage hyperglycemia.
If you dont have diabetes and have any of the signs and symptoms of hyperglycemia, call your healthcare provider. Together you can work to manage your hyperglycemia.
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