Deterrence And Patient Education
Patients diagnosed with diabetes need comprehensive care in the first few months of the diagnosis as management can be overwhelming and time-consuming. Patients and family members need to be educated about testing blood sugar, taking medications especially insulin, going to their medical appointments, and lifestyle modifications which include diet and exercise. Patients need to be given information for diabetes classes.
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:
Blood Sugar Spike Causes
Blood sugar levels fluctuate all day long. When you eat food, particularly those foods that are high in carbohydrates like bread, potatoes, or pasta, your blood sugar will immediately begin to rise.
If your blood sugar is consistently high, you need to talk to your doctor about improving your diabetes management. Blood sugar rises when:
- youre not taking enough insulin
- your insulin isnt lasting as long as you think it is
- youre not taking your oral diabetes medication
- your medication dosage needs adjusting
- youre using expired insulin
- youre not following your nutritional plan
- you have an illness or infection
- youre using certain medications, like steroids
- youre under physical stress, such as an injury or surgery
- youre under emotional stress, such as trouble at work or home or with money problems
If your blood sugar is usually well-controlled, but youre experiencing unexplained blood sugar spikes, there might be a more acute cause.
Try keeping a record of all the food and drinks you consume. Check your blood sugar levels according to your doctors recommendations.
Its common to record your blood sugar reading first thing in the morning, before youve eaten, and then again two hours after eating. Even a few days of recorded information can help you and your doctor discover whats causing your blood sugar spikes.
Common culprits include:
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You Feel Tiredness And Fatigue Constantly
Fatigue and extreme tiredness are symptoms of uncontrolled blood sugar, the ADA says. Simply put, when your body is not processing insulin properly or it doesnt have sufficient amounts of insulin, the sugar is staying in our blood rather than getting into our cells to be used for energy, Zanini says. Also, frequent urination can lead to dehydration, which Bandukwala identifies as another contributing factor to fatigue.
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.
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What Are The Symptoms Of Eating Too Much Sugar
So how do you know youre eating too much sugar? What are the symptoms? Here are 16 signs youre eating too much sugar and exactly what to do if you think you are overdosing on the sweet stuff. And if youre looking to make more changes, be sure to check out these 21 Best Healthy Cooking Hacks of All Time.
Hyperosmolar Hyperglycemic Nonketotic Syndrome : When Hyperglycemia Becomes Severe For People With Type 2 Diabetes
Hyperosmolar hyperglycemic nonketotic syndrome is very rare, but you should be aware of it and know how to handle it if it occurs.
HHNS is when your blood glucose level goes way too highyou become extremely hyperglycemic. HHNS affects people with type 2 diabetes.
HHNS is most likely to occur when you’re sick, and elderly people are most likely to develop it.
It starts when your blood glucose level starts to climb: when that happens, your body will try to get rid of all the excess glucose through frequent urination. That dehydrates your body, and you’ll become very thirsty.
Unfortunately, when you’re sick, it’s sometimes more difficult to rehydrate your body. For example, it might be difficult to keep fluids down.
When you don’t rehydrate your body, the blood glucose level continues to climb, and it can eventually go so high that it could send you into a coma.
To avoid hyperosmolar hyperglycemic nonketotic syndrome, you should keep close watch on your blood glucose level when you’re sick .
Talk to your health care professional about having a sick-day plan to follow that will help you avoid HHNS.
You should also be able to quickly recognize the signs and symptoms of HHNS, which include:
-
Extremely high blood glucose level
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Different Levels And What They Mean
The ranges of safe levels of blood glucose depend on factors such as what time of day it is and when you last ate. Safe levels of blood sugar are high enough to supply your organs with the sugar they need, but low enough to prevent symptoms of hyperglycemia or complications of diabetes which follow the National Institute of Diabetes and Digestive and Kidney Diseases guides. Dangerous levels of blood glucose are outside of this range.
The target levels can also vary if you have diabetes. For example, if you are diabetic and are monitoring your blood sugar, you might get a reading of 65 mg/dl. That is considered to be mild hypoglycemia, and you would be wise to eat 15 grams of fast-acting carbohydrates and retest your blood sugar in 15 minutes.
If you were not diabetic, you probably would not know that your sugar was low because you would not test and because you would not symptoms, and you would not act.
That is fine because your body is capable, under normal circumstances, of raising your blood glucose to healthy levels when needed, even if you have not eaten. It is important to keep them in control to help prevent issues like heart disease or nerve damage.
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Avoiding High Blood Sugar And Dka
No matter how well they take care of themselves, people with diabetes will sometimes have high blood sugar levels. But the best way to avoid problems is to keep your blood sugar levels as close to your desired range as possible, which means following your diabetes management plan. Checking your blood sugar levels several times a day will let you know when your blood sugar level is high. Then you can treat it and help prevent DKA from happening.
High blood sugar levels don’t always cause symptoms, and a person who isn’t testing regularly might be having blood sugar levels high enough to damage the body without even realizing it. Doctors may use the HbA1c test to find out if someone has been having high blood sugar levels over time, even if the person has not had obvious symptoms.
Here are some other tips for avoiding high blood sugar levels and preventing DKA:
- Try to eat all your meals and snacks on time and not skip any.
- Take the right amount of insulin.
- Check your blood sugar levels regularly and your ketone levels when your diabetes management plan recommends it.
- Stick to your diabetes management plan.
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Will One High Blood Sugar Hurt My Baby
High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.
What happens if your blood sugar is high during pregnancy?
What Is Gestational Diabetes? Gestational diabetes is a condition in which your blood sugar levels become high during pregnancy. It affects up to 10% of women who are pregnant in the U.S. each year. It affects pregnant women who havent ever been diagnosed with diabetes.
What happens if you have gestational diabetes during pregnancy?
Gestational diabetes develops during pregnancy . Like other types of diabetes, gestational diabetes affects how your cells use sugar . Gestational diabetes causes high blood sugar that can affect your pregnancy and your babys health. Any pregnancy complication is concerning, but theres good news.
Not Taking Enough Meal Time Insulin
This is the first thing to look into. Make sure that you correctly determine the number of carbohydrates in your last meal of the day and take the insulin to suit. Be sure to also look out for sources of hidden carbs as well. Our bodies react to food and insulin differently at different times of the day. Many individuals including myself have a different carb to insulin ratio at night. I normally have to take a bit more insulin at night especially if the meal is high in carbohydrates.
Try eating your last meal at least 2 hours before bed so that you can check the 2 hour post dinner blood sugar reading. This will indicate if you are indeed giving the correct amount of insulin. If you have a good reading before bed but its much higher in the morning, then there is definitely another issue.
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How Glucose Moves In Your Body
What happens next is that the glucose goes from your digestive system into your bloodstream. But, before it can enter your cells, it needs insulin to help it along. Insulin is the protein that enables the cells in your body to receive the glucose. Without insulin, your bodys cells would starve.
After youve eaten a meal or a snack, your blood sugar concentration will increase. Its the job of your pancreas to release the insulin to move glucose from your blood to the cells.
As each cell receives glucose your blood sugar levels return to normal.
Correcting High Blood Sugar Levels With Insulin
If you take insulin, one way to reduce blood sugar is to inject insulin.
However, be careful as insulin can take 4 hours or longer to be fully absorbed, so you need to make sure you take into account how much insulin you may already have in your body that is yet to be absorbed by the blood. Insulin that is yet to be absorbed by the blood is called active insulin.
If you decide to correct with insulin, watch you dont over correct as this can lead to hypoglycemia and can be dangerous, particularly so before bed.
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Youre Starting To Have Vision Problems
One of the early symptoms of high blood sugar is that you might start having issues with your eyesight, including blurred vision. This often happens when the membranes in the eye become dry and itchy, which can be caused by a high blood glucose level within the body. These membranes are moist, but the itching and irritation will occur if they get too dried out, making it difficult to see clearly.
People who have diabetes also tend to have a higher risk for glaucoma, so these problems could lead to blindness over time if left untreated because this disease affects how fluid moves through your eye, leading to loss of sight eventually.
When To Contact A Medical Professional
- Chest pain or pressure, shortness of breath, or other signs of angina
- Loss of consciousness
- Sores or infections on your feet
- Frequent feelings of depression or anxiety
- Symptoms that your blood sugar is getting too low
- Symptoms that your blood sugar is too high
- Blood sugar readings that are below 70 mg/dL
You can treat early signs of hypoglycemia at home by drinking orange juice, eating sugar or candy, or by taking glucose tablets. If signs of hypoglycemia continue or your blood glucose level stays below 60 mg/dL , go to the emergency room.
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Make Some Small Changes
You might try to get more exercise, or limit carbs at your next meal, but dont go crazy. One blood sugar thats high doesnt indicate a need for major changesthat should only be done on a pattern, says Rice, such as continuing highs despite following a doctors instructions. If a pattern continues for two to three days or more, then you might want to let your health-care provider know.
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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Diabetes And Healthy Weight
If you are overweight, even losing a small amount of weight, especially around the abdomen, helps to lower your blood pressure, blood glucose and cholesterol levels.
It can be difficult trying to lose weight, so to get started set yourself a short-term, achievable goal. Try thinking about the food you are eating, whether you really need it, if it’s a healthy choice, and consider the portion size. An accredited practicing dietitian can help you set a realistic meal plan and answer any food related questions you may have.
What Is Considered High Blood Sugar During Pregnancy
A blood sugar level of 190 milligrams per deciliter , or 10.6 millimoles per liter , indicates gestational diabetes. A blood sugar level below 140 mg/dL is usually considered within the standard range on a glucose challenge test, although this may vary by clinic or lab.
How do I lower my glucose level while pregnant?
Sweets and desserts should be avoided as they may lead to high blood sugar levels.
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Symptoms And Treatment Of Hyperglycemia
Hyperglycemia doesnt cause symptoms immediately. After blood sugar has been high for days or weeks, you may have symptoms including:
These symptoms can progress to mental confusion, seizures, problems with vision, and loss of consciousness.
Hypoglycemia requires immediate action. Most of those with diabetes know to take a high-calorie drink or snack if they have symptoms of hypoglycemia. If this doesnt work, its important to get medical help right away. If someone who doesnt have diabetes has these symptoms, quick treatment is also important.
You Have Bad Breath And Dry Mouth
An unusual smell when you breathe in through your mouth might indicate that something is wrong with the way glucose moves throughout your system. This can cause a buildup in ketone levels within your blood, giving off an unpleasant odor, much like nail polish remover or acetone.
Sometimes people mistake this for regular bad breath, but if it happens frequently and seems to have no other cause, it could be a sign that your insulin balance is out of whack, so make sure to see a doctor as soon as possible if you notice this happening.
Gum disease is also a frequent problem for people with diabetes, so if you notice that your gums are inflamed or swollen, it might be a sign that blood sugar is starting to rise. The dry mouth associated with this problem can lead to the development of cavities and other dental issues, so make sure youre drinking enough water throughout the day as well as brushing after meals if necessary.
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Your Collars Too Tight
Carotid sinus syncope, or tight-collar syndrome, happens when something pushes on nerves at a wide part of your carotid artery in your neck. This interferes with blood flow to the brain and makes you faint. It happens quickly and without other symptoms like nausea, paleness, and sweating. In some cases, if it hasnt happened before, it may be a sign of narrowed arteries that need treatment.
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- American Diabetes Association: Hypoglycemia .