Thursday, September 28, 2023

What Is Considered Uncontrolled Diabetes

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Complications of uncontrolled diabetes

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Doctors And Patients Should Discuss Goals Of Treatment Together And Come Up With An Individual Plan

Blood sugar goals should take into account a patients life expectancy and general health, as well as personal preferences, and include a frank discussion of the risks, benefits, and costs of medications. This is a big deal because it reflects a change in how we think about blood sugar control. Its not a simply number to aim for its a discussion. Diabetes medications have many potential side effects, including dangerously low blood sugar and weight gain . Yes, uncontrolled blood sugars can lead to very bad things, but patients should get all the information they need to balance the risks and benefits of any blood sugar control plan.

No Matter Where You Are In Your Fight Heres Where You Need To Be

Whether youve been newly diagnosed, have been fighting against type 1 or type 2 diabetes for a while, or are helping a loved one, youve come to the right place. This is the start of gaining a deeper understanding of how you can live a healthier lifewith all the tools, health tips, and food ideas you need. Wherever youre at with your diabetes, know that you have options and that you dont have to be held back. You can still live your best life. All you have to do is take action and stick with it.

New to diabetes? Learn how diabetes is diagnosed.

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Causes Of Type 1 Diabetes

Type 1 diabetes is an autoimmune condition, where the immune system mistakes the cells in your pancreas as harmful and attacks them.

Without insulin, your body will break down its own fat and muscle, resulting in weight loss. This can lead to a serious short-term condition called diabetic ketoacidosis. This is when the bloodstream becomes acidic, you develop dangerous levels of ketones in your blood stream and become severely dehydrated.

This results in the body being unable to produce insulin, which is required to move glucose out of the blood and into your cells to be used for energy. This is called Type 1 diabetes.

Read more about the causes of type 1 diabetes

Treating High Blood Glucose

Diabetes Uncontrolled: What are the Health Implications ...

Hyperglycaemia can occur when your blood glucose levels become too high. It can happen for several reasons, such as eating too much, being unwell or not taking enough insulin.

If you develop hyperglycaemia, you may need to adjust your diet or your insulin dose to keep your glucose levels normal. Your diabetes care team can advise you about the best way to do this.

If hyperglycaemia isn’t treated, it can lead to a condition called diabetic ketoacidosis, where the body begins to break down fats for energy instead of glucose, resulting in a build-up of ketones in your blood.

Diabetic ketoacidosis is very serious and, if not addressed quickly, it can lead to unconsciousness and, eventually, death.

The signs of diabetic ketoacidosis include:

  • frequently passing urine

Read more about the symptoms of diabetic ketoacidosis

Your healthcare team will educate you on how to decrease your risk of ketoacidosis by testing your own blood for ketones using blood ketone sticks if you’re unwell.

If you develop diabetic ketoacidosis, you’ll need urgent hospital treatment. You’ll be given insulin directly into a vein . You may also need other fluids given by a drip if you’re dehydrated, including salt solution and potassium.

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How Can Parents Help

To prevent hyperglycemia, check blood sugars often and follow the care plan to keep them in the healthy range. Teach your child to do this, so they can take on this responsibility as they grow.

Make sure your child:

  • takes insulin and diabetes medicines as prescribed
  • eats and drinks according to their meal plan
  • gets plenty of exercise every day
  • checks their blood sugar levels throughout the day
  • follows instructions from their care team

Even when you follow the care plan and check blood sugars carefully, your child can still have a high level from time to time. But if you find that your child has high blood sugar levels often, talk to your diabetes health care team. They may suggest changes to the care plan to help bring sugar levels back into a healthy range.

Having Your Blood Glucose Levels Checked

You’ll be measuring your blood glucose yourself every day, to check your levels.

Your GP or diabetes care team will also carry out a different blood test every two to six months, called the HbA1c test.

This gives a clearer idea of how well your treatment plan is working, by measuring how stable your glucose levels have been over the past 6-12 weeks.

It measures the amount of haemoglobin, which is the oxygen-carrying substance in red blood cells that has glucose attached to it. A high HbA1c level may indicate that your blood glucose level is consistently high and that your diabetes treatment plan needs to be altered.

The ideal HbA1c target for people with diabetes is below 53 mmol/mol.

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What Causes Blood Sugar To Be High

What is Diabetes

Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:

  • Feeling very tired.
  • Having blurry vision.
  • Needing to urinate more often.

If you get sick, your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. If youre ill and your blood sugar is 240 mg/dL or above, use an over-the-counter ketone test kit to check your urine for ketones and call your doctor if your ketones are high. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately.

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Diabetes Sick Day Rules

If you need to take insulin to control your diabetes, you should have received instructions about looking after yourself when you’re ill known as your “sick day rules”.

Contact your diabetes care team or GP for advice if you haven’t received these.

The advice you’re given will be specific to you, but some general measures that your sick day rules may include could be to:

  • keep taking your insulin it’s very important not to stop treatment when you’re ill your treatment plan may state whether you need to temporarily increase your dose
  • test your blood glucose level more often than usual most people are advised to check the level at least four times a day
  • keep yourself well hydrated make sure you drink plenty of sugar-free drinks
  • keep eating eat solid food if you feel well enough to, or liquid carbohydrates such as milk, soup and yoghurt if this is easier
  • check your ketone levels if your blood glucose level is high

Seek advice from your diabetes care team or GP if your blood glucose or ketone level remains high after taking insulin, if:

  • you’re not sure whether to make any changes to your treatment
  • you develop symptoms of diabetic ketoacidosis
  • you have any other concerns

Read more about sick day rules

How To Check Your Blood Sugar Levels

As Dr. Emanuele says, glucose monitoring can be an important tool to help you get your blood sugar under control. Typically, you would do it yourself using a glucose meter or glucometer, which analyzes a drop of blood that you draw by sticking your finger with a lancet and placing the blood on a disposable test strip that you insert into the meter. Your blood sugar goals are set by you and your doctor, but blood glucose for an adult without diabetes is below 100 mg/dl before meals and at fasting and less than 140 mg/dl two hours after a meal, notes the ADA.

Some people will check their blood sugar daily or multiple times a day, sometimes using a continuous monitor that is worn on the body particularly those who have type 1 diabetes or who have type 2 but take insulin. Yet how frequently a person should monitor their blood sugar is based on a number of factors, including but not limited to whether theyre on insulin, whether they’re taking oral medication, and how well their blood sugar is controlled and how old they are.

Meanwhile, keep an eye out for these nine key warning signs and symptoms that blood sugar is too high and talk to your doctor about whether you need to adjust your management plan.

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Cholesterol And Triglyceride Tests

Have a cholesterol and triglyceride test at least once a year. Aim for total cholesterol less than 4.0 mmol/L and triglycerides less than 2.0 mmol/L.

There are a number of causes of high cholesterol, including your family history and your diet. Too much saturated fat in your diet can increase the LDL cholesterol in your blood and result in the build-up of plaque in your blood vessels.

Foods high in saturated fats include full-fat dairy products, fatty meats, pastries, biscuits, cakes, coconut cream or coconut milk, palm oil and fatty take-away foods.

You Notice Tingling And Numbness In Your Hands Or Feet

Complications of Diabetes: How Uncontrolled Affects your ...

As mentioned, uncontrolled blood sugar can cause nerve damage, also known as diabetic neuropathy. What you may notice is a tingling sensation or even numbness in your hands and feet. Some people experience pain in their hands and feet as well. Though neuropathy is most common in people who have had diabetes for a long time, it can occur in anyone with poorly controlled diabetes.

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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.

Enhancing Healthcare Team Outcomes

Diabetes management is very complex and time-consuming. A newly diagnosed patient can easily become overwhelmed, leading to non-compliance with treatment which would further lead to irreversible complications. Patients and family members need to work closely with primary care providers, endocrinologists, dieticians, and diabetic educators to help achieve optimal therapeutic goals and prevent complications. Home health nursing services for disease management in the first few weeks have been shown to improve outcomes and should be utilized when available.

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You Have Noticeably Blurry Vision And Frequent Headaches

You may notice that your vision isnt as clear as it used to be and that things may appear a bit blurry. High blood sugar levels can lead to swollen lenses in your eye from fluid leaking in, according to the Joslin Diabetes Center in Boston. This changes the shape of the lens, which makes it unable to properly focus, causing blurred vision. You may also find yourself struggling at work, having difficulty driving, and suffering from frequent headaches, Emanuele notes.

What Causes Low Blood Sugar

Diabetes: What Is It?

Low blood sugar has many causes, including missing a meal, taking too much insulin, taking other diabetes medicines, exercising more than normal, and drinking alcohol. Blood sugar below 70 mg/dL is considered low.

Signs of low blood sugar are different for everyone. Common symptoms include:

  • Shaking.
  • Dizziness.
  • Hunger.

Know what your individual symptoms are so you can catch low blood sugar early and treat it. If you think you may have low blood sugar, check it even if you dont have symptoms. Low blood sugar can be dangerous and should be treated as soon as possible.

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How Common Are Complications Of Diabetes

It is common for most people with diabetes to begin to develop complications after having diabetes for a number of years.

With good diabetes control and living a healthy, active lifestyle, it is possible for people to go a number of decades complication free.

However, if you have had less well controlled diabetes, have led a less healthy lifestyle, or had undiagnosed diabetes for a number of years, the complications of diabetes are more likely to develop earlier.

Answers: Investigating The Unstable Diabetic Dog

  • What are possible causes of poor diabetic control in this dog? Insulin overdose, inappropriate insulin type, insulin resistance caused by concurrent disease.
  • Are there problems with insulin handling and administration? Not in this case.
  • Is this dog receiving an appropriate insulin type and dose? Insulin dose is too high and does not provide good diabetic control the insulin type should be appropriate, but duration of action cannot be assessed currently.
  • What and when is the dog being fed, and does the dog receive any additional treats or table scraps? Appropriate caloric intake is provided twice daily, with no treats or table scraps.
  • What are possible causes of insulin resistance in this dog? Hyperadrenocorticism, hypertriglyceridemia, insulin antibodies, periodontal disease, or other concurrent disease.
  • What additional diagnostics would help in better assessing diabetic control? Blood glucose curve , fructosamine concentration further diagnostics can be based on findings and may include systemic evaluation for concurrent disease or continuous glucose monitoring, if available.
  • Ann Della Maggiore, DVM, DACVIM, serves as an assistant professor of clinical internal medicine at the University of California, Davis School of Veterinary Medicine, with a specific interest in small animal endocrinology. She received her veterinary degree from UC Davis, then completed a residency in small animal internal medicine at the same institution.

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    Signs Your Blood Sugar Is Out Of Control

    Thinkstock A Silent Danger When you have type 2 diabetes, your main goal should be controlling your blood sugar. Without adequate blood sugar control, your risk for serious health complications stroke, heart disease, nerve damage, blindness, and more skyrockets. But heres the tricky part: You might not even know your blood sugar levels are out of control. Not everyone will have the same symptoms, and some individuals have no symptoms at all, says Lori Zanini, RD, CDE, a spokesperson for the Academy of Nutrition and Dietetics. Because proper blood sugar maintenance is vital to your overall health with type 2 diabetes, you need to take action if you think your levels may be out of control. Since symptoms of uncontrolled diabetes may not appear until prolonged hyperglycemia has been present, its important for individuals with diabetes to monitor their glucose and adjust their medication based on the results, explains Mary Ann Emanuele, MD, an endocrinologist, professor, and medical director of Inpatient Diabetes at Loyola University Medical Center in Mayfield, Illinois. Here are signs of uncontrolled blood sugar to look for:Continue reading > >

    Swollen Or Bleeding Gums Which Increase Your Infection Risk

    Uncontrolled Diabetes &  its effect

    Gum disease is a complication of diabetes, notes the National Institute of Diabetes and Digestive and Kidney Disease. It can also make diabetes harder to control, because the bodys response to infection is to release more glucose into the bloodstream, according to the ADA.

    Your saliva contains glucose and the more it contains, the more there is to feed the bacteria that combine with food in your mouth to form plaque and cause gum disease. Symptoms can include red or inflamed gums at first. If they are unaddressed, they can progress to periodontitis, which can cause your gums to pull away from your teeth, the appearance of pus or ulcers, or even tooth loss, notes the Mayo Clinic. Get your blood sugar under control and see a dental professional to prevent damage to your gums and teeth.

    Additional reporting by Diana Rodriguez and Andrea Peirce.

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