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.
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
Alarming Facts About Diabetes
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Low Blood Sugar Pregnancy What Should I Do If My Blood Sugar Is 170
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How To Avoid Hyperglycemia
One high blood sugar reading does not indicate failure. People with diabetes should expect that their blood sugar will fluctuate. Rather than viewing an episode of hyperglycemia as something bad, looking at it as a learning experience may give us some benefit for the future. What caused the episode? Did I eat something different? Did I move more or less than usual? Was I ill or stressed? Taking the time to problem solve to avoid these situations in the future is one way to take control of your health.
The main goal of managing diabetes is to maintain a blood sugar as close to normal as possible. Recommendations for avoiding hyperglycemia are the same as the general recommendations for treating diabetes:
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Postprandial Or Reactive Hyperglycemia
This type of hyperglycemia occurs after eating .
During this type of hyperglycemia, your liver doesn’t stop sugar production, as it normally would directly after a meal, and stores glucose as glycogen.
If your blood glucose level 1-2 hours after eating is above 180mg/dL, that signals postprandial or reactive hyperglycemia.
However, it’s not just people with diabetes who can develop hyperglycemia. Certain medications and illnesses can cause it, including beta blockers, steroids, and bulimia. This article will focus on hyperglycemia caused by diabetes.
What Is The Dawn Phenomenon
Your body uses glucose for energy and it is important to have enough extra energy to be able to wake up in the morning. So for a period of time in the early morning hours, usually between 3 a.m. and 8 a.m., your body starts churning out stored glucose to prepare for the upcoming day.
At the same time, your body releases hormones that reduce your sensitivity to insulin. In addition, these events may be happening while your diabetes medication doses taken the day before are wearing off.
These events cause your body’s blood sugar levels to rise in the morning .
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High levels ofRandom blood glucose in the blood indicate a variety of health problems. If your bloodRandom blood glucose level is between70 mg/dl and140 mg/dl, you probably do not have an underlying healthproblem. But ifRandom blood glucose levels are not in this range, you should see a doctor immediately.
What Is Blood Sugar
Blood sugar, or blood glucose, is a measurement of the amount of glucose in your blood.
When you eat carbohydrates, your body breaks down those carbs into glucose. This becomes your body’s main source of energy, and fuels the vital functions in your brain, heart, liver, and muscles, says Nestoras Mathioudakis, MD, a diabetes expert at Johns Hopkins Medicine.
For people without diabetes, the pancreas releases insulin to help your cells absorb glucose and fuel your body. But for people with diabetes, the body does not produce insulin or it doesn’t work properly, and as a result, blood sugar levels must be carefully regulated to prevent health complications.
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How To Lower Morning Blood Sugar
Trying to learn how to lower morning blood sugar? Heres why your glucose levels rise in the morning and a few things you can try to keep them in range.
Waking up with high glucose levels may feel like it doesn’t make sense. You spend several hours asleep, not consuming any carbs, and yet somehow your glucose levels are still high when you wake up in the morning.
Why does this happen? What can you do to make sure your glucose levels are safely in range in the morning? Learn more about some tips on avoiding high morning blood sugar levels so you can start your day off right.
What Are Blood Sugar Levels
Blood sugar levels, also known as blood glucose level, is the level of sugar/glucose present in the blood. Glucose is a simple version of sugar which comes from the food we eat. Therefore, the more food you consume with high sugar levels over a period of time, will typically increase your blood sugar level.
Glucose comes from the foods we eat and its sugar content. When a person consumes a food with high sugar content, that is turned into glucose. The glucose is then absorbed into the bloodstream with the support of insulin. This is then distributed between the bodys cells and used as energy.
Foods high in glucose include most carbohydrates and a handful of proteins and fats. Most foods contain glucose as it is simply a natural sugar that occurs in most dietary forms. However, it is carbohydrates that contain the most sugar and 100% of it turns into glucose, through the process mentioned above, once consumed. The concentration of glucose present in the blood will determine your blood sugar level.
Here is a quick video explaining Blood sugar levels chart :
Your blood sugar level can either be low, normal or high. Depending on what you eat and health conditions, it will vary from person to person. Here is a breakdown of how your blood sugar works and how low or high blood sugar levels happens:
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What Is The A1c Test
The A1C test is a simple blood test that measures your average blood sugar levels over the past 2 or 3 months. The test is done at a lab or your doctors office in addition tonot instead ofregular blood sugar testing you do yourself.
A1C testing is part of the ABCs of diabetesimportant steps you can take to prevent or delay health complications down the road:
- A: Get a regular A1C test.
- B: Try to keep your blood pressure below 140/90 mm Hg .
- C: Manage your cholesterol levels.
- s: Stop smoking or dont start.
The A1C goal for most adults with diabetes is between 7% and 8%, but your goal may be different depending on your age, other health conditions, medicines youre taking, and other factors. Work with your doctor to establish a personal A1C goal for you.
What Is Glucose
Glucose is a simple sugar your body makes from the foods you eat. Blood sugar is also known as glucose. Glucose is an essential part of how your body processes the food you eat into energy.
Its important to keep your blood glucose levels within a healthy range to avoid hyperglycemia and , which can both lead to dangerous complications.
The function of glucose is to provide fuel for the body. Your cells use glucose to make energy, which is the main function of sugar in the body.
You get glucose from the foods you eat. Carbohydrates, such as fruit, milk, potatoes, bread, and rice, are the biggest source of glucose in a typical diet. Your body breaks down carbohydrates into glucose sugar, and then transports the body sugars to the cells via the bloodstream.
However, in order to use the glucose, your body needs insulin.
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What You Can Do
If the dawn phenomenon affects you, try to:
- Eat dinner earlier in the evening.
- Do something active after dinner, like going for a walk.
- Check with your health care provider about the medicine youâre taking.
- Eat breakfast. It helps bring your blood sugar back to normal, which tells your body that it’s time to rein in the anti-insulin hormones.
- Eat a snack with some carbohydrates and protein before bed.
You’ll also want to avoid all sugar-sweetened beverages, like soda, fruit punch, fruit drinks, and sweet tea. Just a single serving can raise your blood sugar — and, in some cases, give you hundreds of extra calories.
If you have diabetes, chances are your blood sugar will be higher in the morning from time to time. That may not be something to be overly concerned about. If it happens for several mornings in a row, check it once during the night — around 2 or 3 a.m. — for a few nights. Then, take those numbers to your doctor. They can figure out if you really have the dawn phenomenon, or if something else is causing those higher morning numbers.
Show Sources
Diabetes Stops Here: “Why All the Morning Highs?”
Mayo Clinic: “What is the dawn phenomenon that some people with diabetes experience? Can anything be done about it?”
American Diabetes Association: “Diabetes Myths.”
Diabetes Forecast: “Why Is My Blood Glucose So High in the Morning?”
diabetes.co.uk: “Glucagon.”
Symptoms Of High Blood Sugar In The Morning
If you wear a continuous glucose monitor , or if you routinely check your blood glucose every morning, you can see whether or not you are experiencing early morning hyperglycemia. In addition, you may also experience some of the signs and symptoms of hyperglycemia, which may include:
- Frequent and excessive urination
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How To Treat Hyperglycemia
Just as there are immediate complications of hyperglycemia and long-term complications of hyperglycemia, there are also immediate and long-term treatment recommendations.
If you or someone you know are showing signs of either DKA or HHS, emergency treatment is required either via the emergency room or admission into the hospital.
Most instances of hyperglycemia are not emergent, though and can be treated at home in a variety of ways.
- Fast-acting insulin: Individuals with type I diabetes and those with type II diabetes on sliding scale insulin can use a bolus of fast-acting insulin to correct hyperglycemia. Insulin injection is the only way to immediately treat high blood sugar. You should start to see the blood sugar drop within about one hour, but you will not see the full effect for about 3-4 hours after injection. If your blood sugar does not start to come down after 3 hours, consider checking your insulin vile to make sure that it has not passed the expiration date or that there is nothing floating in the bottle that might have contaminated the medication. Contact your doctor if thereâs no improvement in blood sugar. Oral medications work in a variety of ways, but none of them are used to treat high blood sugar in the moment.
A diagnosis of diabetes can be overwhelming and it can be difficult to know where to start. Take things one step at a time. Set SMART goals and check in with your progress frequently. Treating hyperglycemia is just one part of managing diabetes.
Diagnosing And Treating Hyperglycemia
Diagnosing hyperglycemia is done by assessing symptoms and performing a simple blood glucose test. Depending on the severity of the condition and which type of diabetes the patient is diagnosed with, insulin and a variety of medication may be prescribed to help the person keep their blood sugar under control. Insulin comes in short, long and fast-acting forms, and a person suffering from type 1 diabetes is likely to be prescribed some combination of these.
Individuals who are either diagnosed with type 2 diabetes or are considered at risk for the disease are recommended to make alterations to their diet, lifestyle habits and exercise routine in order to lower blood sugar and keep it under control. These changes generally help to improve blood glucose control, individuals with type 2 diabetes may require medication eventually. These can include glitazones, acarbose, glucophage or sulphonylureas.
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When Should I Check My Blood Sugar
How often you check your blood sugar depends on the type of diabetes you have and if you take any diabetes medicines.
Typical times to check your blood sugar include:
- When you first wake up, before you eat or drink anything.
- Two hours after a meal.
If you have type 1 diabetes, have type 2 diabetes and take insulin, or often have low blood sugar, your doctor may want you to check your blood sugar more often, such as before and after youre physically active.
How Can High Blood Sugar Levels In The Morning Be Controlled
Once you and your doctor determine how your blood sugar levels are behaving at night, he or she can advise you about the changes you need to make to better control them. Options that your doctor may discuss depend on the cause of the morning high blood sugars.
For dawn phenomenon:
- Changing the timing or type of your diabetes medications
- Eating a lighter breakfast
- Increasing your morning dose of diabetes medication
- If you take insulin, switching to an insulin pump and programming it to release additional insulin in the morning
For Somogyi effect:
- Diabetes Forecast. Why Is My Blood Glucose So High in the Morning? Accessed 8/8/2018.
- American Diabetes Association. Somogyi effect, also called rebound hyperglycemia Accessed 8/8/2018.
- National Center for Biotechnology Information. Dawn Phenomenon. Accessed 8/8/2018.
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Support Groups And Counseling For High Blood Sugar
You or family members may wish to join a support group with other people to share your experiences. The American Diabetes Association and the Juvenile Diabetes Research Foundation are both excellent resources. Your health care provider will have information about local groups in your area. The following groups also provide support:
American Association of Diabetes Educators100 W Monroe, Suite 400Chicago, IL 60603
When Should I Go To The Hospital For Blood Sugar
Certain symptoms of blood sugar levels signal when you should seek medical help. Typically, if you feel extremely fatigued, notice increased thirst and urination, or weight loss, you should seek help right away. These symptoms can signify an abnormal blood sugar level and/or other health conditions. A routine health check is also advised, even if you do not show any symptoms.
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