How To Prevent Hyperglycaemia And Lower Your Blood Sugar Levels
Testing your blood sugar levels regularly can help you spot the signs of hyperglycaemia. But there are some steps you can take to either prevent a hyper from happening or to bring down your blood sugar levels.
You can start by making sure you are aware of your carbohydrate portions and how they may be affecting your blood sugar levels after eating. Carb countingis one of the ways you can manage this. Avoid foods that have a high glycemic index and choose low GI foods that can help manage your blood sugar levels more effectively. Increase the fibre in your diet. This can help slow down carbohydrate digestion, which can help limit the rise in your blood sugars.
Try to maintain a healthy weight as this promotes regular blood sugar levels in the body. Be as active as possible, regular exercise can help your body process more of the sugar.
Remember to take your insulin and other diabetes medication, and always take them correctly. Continue to take your diabetes medication even if you are ill and not eating.
Concentrate on your emotional wellbeing, get a quality nights sleep and find ways to manage your stress. Stress can cause hormones to be released, which keep your blood sugar levels high.
If your blood sugar levels continue to be high, or youre unsure of what to do, contact your doctor for further guidance.
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.
Check Blood Sugar Regularly
People who regularly check their blood sugar tend to have better-controlled blood sugar overall. Checking blood sugar levels at home helps people become aware of their blood sugar trends. It can also help people identify how their lifestyle habits affect their blood sugar and make adjustments to achieve better blood sugar control.
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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:
The Danger Of Low Blood Sugar
Low blood sugar, also known as hypoglycemia, can become a lot more dangerous more quickly. Hypoglycemia, if left untreated, can quickly result in diabetic coma and death.
Low blood sugars will not lead to permanent complications in most cases but cause frequent, short-term complications in the form of being physically unable to function when experiencing a low. They require fast-acting glucose as treatment.
Symptoms of low blood sugar can hit different people at different times, and some people may not feel their low blood sugars at all , which can be very dangerous.
Continuous glucose monitoring systems and diabetes alert dogs can help people detect their lows earlier, before they become extremely dangerous.
Hypo unawareness occurs in about 40% of people with type 1 diabetes, and less frequently in people with type 2 diabetes.
Additionally, one study showed that the average person with type 1 diabetes experiences two episodes of low blood sugar per week!
Low blood sugars can happen for many reasons, all of which result from too much insulin in the bloodstream and not enough glucose for the body to function properly.
Reasons can be anything from taking too much insulin for food, to accidentally over-bolusing with an insulin pump, to not finishing a meal, to drinking alcohol in excess, or even after physical exertion and exercise while not reducing basal insulin settings appropriately.
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How To Bring Down The Blood Sugar Level Quickly
When level of blood sugar is dangerous, you need to bring it down quickly, to avoid further complications. When trying to lower down the sugar level quickly, be very careful, as the level can drop down too low, which can also be dangerous. Extremely low blood sugar levels is termed as hypoglycemia, which is equally common in diabetics. Hence, maintaining the blood sugar levels within the normal range is essential.
Few ways to bring down the level of blood sugar quickly include,
- Drink lot of water: Excess water dilutes the blood sugar and help to pass it out through urine. This way the sugar level drops down.
- If suffering from kidney or heart problem avoid this solution and follow medical advice.
- Exercise: Vigorous exercise increases heart rate. Increased heart rate for more than 15 minutes can increase the insulin response. This can help to bring down the level of blood sugar quickly.
- High protein snack: Protein helps in stabilizing the sugar level. Always check the high protein snack is not high in sugar level. Cheese and almond can be a good option.
- Insulin administration: Insulin helps in lowering down the sugar level quickly. Therefore a doctors advised dose can be taken. Never miss checking the sugar level after insulin administration, to prevent hypoglycemia.
All the above solutions prove to be very helpful to quickly bring down the sugar level. Always keep a handy snack when trying these tips to help, in case the sugar level dips too low.
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:
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What Are The Symptoms Of Dangerous Levels Of Blood Sugar
A patient with high blood sugar presents the symptoms such as a dry mouth, fatigue, dry, and itchy skin and an increased appetite. Some people also experience being more thirsty and increased frequency of urination, especially at night.
If not corrected early it can lead to symptoms of dangerous levels of blood sugar like difficulty in breathing, dizziness, rapid weight loss and confusion of mind. Blood sugar level of 300 or above is dangerous and if not treated a condition known as diabetic ketoacidosis or diabetic coma can occur.
How To Reduce Blood Sugar
You can take steps to reach your blood sugar goals as soon as you find out that it is high. This is how to reduce blood sugar if you have a single high reading that may be dangerous:
- Ask your doctor what to do if you missed a dose of insulin or another diabetes medication
- Ask your doctor if your medication types and doses are still appropriate for you
- Drink water to dilute the sugar
- Exercise for 15 minutes
- Eat a small protein snack, such as a hard-boiled egg, ½ ounce of peanuts or pistachios or other nuts, ½ cup of beans, or ½ cup of plain yogurt or cottage cheese
If you have chronically high blood sugar in prediabetes or diabetes, you can follow this treatment plan:
- Exercise regularly, assuming your doctor approves it
- Lose weight if you are overweight or obese
- Eat a higher proportion of vegetables, whole grains, lean proteins, healthy fats, and fruit
- Limit sugary foods and beverages, fried foods, refined starches, and processed and fatty red meats
- Beware of starchy vegetables such as sweet potatoes, which can spike your blood sugar. Check out our guide of which veggies to avoid!
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What Causes Hyperglycemia In People With Diabetes
- The dose of insulin or oral diabetes medication that you are taking is not the most helpful dose for your needs.
- Your body isnt using your natural insulin effectively .
- The amount of carbohydrates you are eating or drinking is not balanced with the amount of insulin your body is able to make or the amount of insulin you inject.
- You are less active than usual.
- Physical stress is affecting you.
- Emotional stress is affecting you.
- You are taking steroids for another condition.
- The dawn phenomenon is affecting you.
Other possible causes
- Gestational diabetes, which happens in 4% of pregnancies, and is due to decreased insulin sensitivity.
- Surgery or trauma.
What Is A Normal Blood Sugar Level
According to the American Diabetes Association, a normal fasting blood sugar is less than 100 mg/dL.
A fasting blood sugar reading of 100-125 mg/dL indicates prediabetes, and a reading above 125 indicates diabetes.
|Fasting Blood Sugar|
|100 mg/dl to 125 mg/dl||Prediabetes|
|126 mg/dl or higher||Diabetes|
If you test your blood sugar two hours after eating or drinking something containing sugar instead , the numbers to look for are:
|Oral Glucose Tolerance Test|
|140 mg/dl to 199 mg/dl||Prediabetes|
You can learn more in the in-depth article: What Are Normal Blood Sugar Levels?
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How Should You Treat Hypoglycaemia
The symptoms of low blood glucose include: weakness, dizziness or feeling light-headed, nervousness, sweating, pounding heartbeat, hunger and thirst, and confusion.
To tackle hypoglycaemia, follow the 15-15 rule: Have 15 grams of carbohydrate or fast-acting sugar, such as half a cup of regular fruit juice or 4 glucose tablets, to raise your blood glucose. Check your level after 15 minutes. If its still below 70 mg/dL , repeat the above step until your blood sugar reaches normal levels. Once your blood glucose is at least 70 mg/dL , have a snack or a meal to ensure it doesnt lower again.
Severely low blood sugarIf your hypoglycaemia is left untreated, or if your blood sugar level remains abnormally low and does not increase, you may pass out. In such cases, you need to be given emergency glucagon and require immediate medical attention.
The people around you, such as your family members, friends, or co-workers, should be taught how to administer glucagon in case of an emergency. They should also remember: NOT to give you insulin, as it will lower your blood sugar even more NOT to give you anything to eat or drink if you are unconscious, as it could cause you to choke.
Warning Signs Your Blood Sugar Is Dangerously High
Blood sugar is a vital part of our overall well-being and when there’s an imbalance your health is at risk for serious complications like heart disease, kidney disease and stroke. “Simply put, it’s your body’s main source of energy. You can’t survive without it,” Dr. Bayo Curry-Winchell, Urgent Care Medical Director and Physician, Carbon Health and Saint Mary’s Hospital tells us. The symptoms of high blood sugar can range from subtle to signs you can’t ignore and Dr. Curry-Winchell explains what to look out for and why. Read onand to ensure your health and the health of others, don’t miss these Sure Signs You’ve Already Had COVID.
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What Are The Risks Of Hyperglycemia
Hyperglycemia can be a sign that your body isnt getting enough insulin. It is normal for patients with T1D to get hyperglycemia, and most of the time this is simply treated with insulin. If the body does not have insulin for approximately 8 hours, you could develop a condition called diabetic ketoacidosis, or DKA.
In DKA, your body breaks down fat for energy because it doesnt have enough insulin to use the sugar in your blood. This produces chemicals called ketones, which make your blood more acidic.
DKA is dangerous. Too much acid in your blood can make you pass out or even cause death.
What Is The Best Thing To Eat When Your Blood Sugar Is Low
To avoid overtreating lows with too much simple carbohydrate or food and then facing a rebound high blood sugar, its best to have go-to automatic corrections for hypoglycemia that are quantity limited and unappealing to overeat. Glucose tablets and gels, and candies like Smarties, are predictable, relieve low symptoms quickly, and are hard to overeat. Some people with diabetes count out jelly beans, mini-Swedish Fish, gummies, or hard candy and eat the exact amount that will help their blood sugar. Others take a specific amount of juice or another sugar-containing drink.
How do you know how much of your correction to consume? Similar to the 15-15 rule, the only way to discover exactly how much of your go-to correction your body needs is by checking your glucose levels, eating a source of sugar that has been measured out, and then checking again in roughly 15 minutes. This can help you adjust the amount of your source of sugar to raise your blood sugar to your target , but not overshoot. This is a precision dose of carbs. To learn more, read Adam Browns Defeating the Hypoglycemia Binge.
Do not use a low as a reason to eat treats this can cause your blood sugar to spike later. Plus, it connects a food reward with something you want to avoid , which is an easy way to develop a bad habit.
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When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isnt enough insulin or the insulin doesnt work properly. Without the effect of insulin, the organs cant make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
What Levels Of Blood Sugar Are Dangerous
If you live with diabetes, you probably know that life with the condition is similar to walking on a tightrope.
Staying in range without too many high and low blood sugars is a constant balancing act.
But what levels of blood sugar are actually considered dangerous?
This article will explore the issue and provide advice for how you can help manage both the highs and lows of diabetes, literally!
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After You Have Low Blood Sugar
If your low blood sugar was mild , you can return to your normal activities once your blood sugar is back in its target range.
After you have low blood sugar, your early symptoms for low blood sugar are less noticeable for 48 to 72 hours. Be sure to check your blood sugar more often to keep it from getting too low again, especially before eating, physical activity, or driving a car.
If you used glucagon because of a severe low , immediately call your doctor for emergency medical treatment. If you have had lows several times close together , you should also tell you doctor. They may want to change your diabetes plan.