How Can I Prevent Low Blood Sugar In The Morning
If you have diabetes, make sure you regularly check your glucose levels, especially before bed. If your blood sugar regularly dips while you sleep, consider using a continuous glucose monitoring device, which alerts you when your blood sugar goes too low or too high. Try to follow these guidelines for healthy glucose levels:
- before breakfast: 70130 mg/dL
- before lunch, dinner, or a snack: 70130 mg/dL
- two hours after meals: under 180 mg/dL
- bedtime: 90150 mg/dL
If you dont have diabetes but experience regular hypoglycemia, you may also want to periodically check your glucose levels. Try to keep your glucose level from dropping below 100 mg/dL throughout the day and before bed.
Whether or not you have diabetes, follow these tips to avoid waking up with low blood sugar:
- Eat balanced meals with healthy carbohydrates, proteins, and fats regularly throughout the day.
- Have a bedtime snack.
- If you drink alcohol, avoid excessive intake and have a snack with it.
- Avoid exercising too much at night.
For a bedtime snack, try these suggestions:
- 1 apple with 1 tablespoon of peanut butter
- 1 ounce of cheese and a small handful of whole-grain crackers
- one 8-ounce glass of milk
- 1/2 avocado spread on a piece of whole-grain toast
- handful of berries with a small handful of nuts and seeds
How We Care For Hypoglycemia
At Boston Childrens Hospital, we treat hypoglycemia in our General Endocrinology Program, a multi-disciplinary program dedicated to the treatment of a wide range of endocrinological disorders. Caring for more than 7,000 patients each year, our division is one of the largest pediatric endocrinology practices in the country. We provide state-of-the-art diagnosis, treatment, and clinical management for children with hypoglycemia and related disorders.
Why Do You Check Glucose In Stroke Patients
Blood glucose is often elevated in acute stroke, and higher admission glucose levels are associated with larger lesions, greater mortality and poorer functional outcome. In patients treated with thrombolysis, hyperglycemia is associated with an increased risk of hemorrhagic transformation of infarcts.
Why does glucose go up in stroke?
Diabetes means you have too much sugar in your blood, and this can make you more likely to have a stroke. This is because having too much sugar in your blood damages the blood vessels. It can make the blood vessels become stiff, and can also cause a build-up of fatty deposits.
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How Is Hypoglycemia Treated
When your blood sugar levels are too low, eating carbohydrates is key. If you have diabetes, try to keep high carbohydrate snacks on hand.
The American Diabetes Association recommends that your snack have at least 15 grams of carbohydrates. Some good snacks to keep on hand are:
- jelly beans or gumdrops
- fresh or dried fruit
You also can take glucose tablets to rapidly raise your blood sugar if its low. These are available without a prescription. Its important to check how many grams are in each tablet before taking them. Aim to get 15 to 20 grams of carbohydrates.
Wait 15 minutes after eating or taking a glucose tablet and test your blood sugar again. If your blood sugar is not going up, eat another 15 grams of carbohydrates or take another dose of glucose tablets. Repeat this until your blood sugar level starts to rise.
Be sure not to overeat. This could lead to blood sugar levels that are too high.
If your blood sugar remains unresponsive, contact your doctor or emergency services right away. When in doubt, treat.
Symptoms of low blood sugar usually get worse if theyre left untreated. Make an appointment to see your doctor if you have diabetes and experience low blood sugar levels often, or if you have symptoms, even if you dont have diabetes.
How Are Low Blood Sugar Levels Treated
Your diabetes health care team will give you guidelines for treating low blood sugar levels, depending on your symptoms. If you can, try to test your blood sugar levels to make sure that your symptoms are because of hypoglycemia. If you can’t test blood sugar immediately, don’t delay in treating your symptoms you can always check your blood sugar after you’ve taken steps to get your blood sugar back up into the normal range.
When blood sugar levels are low, the goal is to get them back up quickly. To do that, you should take in sugar or sugary foods, which raise the blood sugar level quickly. Your health care team might suggest that you:
- Eat, drink, or take something that contains sugar that can get into the blood quickly. Your doctor may tell you to have really sugary foods or drinks or might give you glucose tablets or gel to take all of these can help to raise your blood sugar level fast, which is what you need to do when it’s low.
- Wait about 10 minutes to let the sugar work.
- Recheck your blood sugar level with a glucose meter to see if blood sugar levels are back to normal.
- Get a glucagon shot , if your symptoms are severe or get worse after you eat, drink, or take glucose.
Sometimes, blood sugar levels can get so low that you may not be awake enough to eat or drink something to get them back up. When this happens, you may need a glucagon shot.
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Complications From Spells Of Hypoglycemia
Mildly low blood sugar levels are somewhat common for people with diabetes. However, severely low blood sugar levels can be life threatening. They may lead to seizures and nervous system damage if left untreated long enough. Immediate treatment is critical.
Its important to recognize your symptoms and treat them quickly. For people at risk for low blood sugar, having a glucagon kit a medication that raises blood sugar levels is important. Talk with your doctor for more information.
You may also want to talk with friends, family members, exercise partners, and co-workers about how to care for you if your blood sugar drops too low.
Its important for them to recognize low blood sugar symptoms and to know how to use the glucagon kit, as well as understand the importance of calling 911 if you lose consciousness.
Wearing a medical identification bracelet is a good idea. It can help emergency responders care for you properly if you need urgent medical attention.
Treat low blood sugar as soon as possible. Avoid driving if you are experiencing low blood sugar, as it can increase your risk for having an accident.
There are several ways you can prevent low blood sugar. Well look at each of these prevention methods in more detail below.
When Your Blood Sugar Gets Low
Check your blood sugar whenever you have symptoms of low blood sugar. If your blood sugar is below 70 mg/dL, treat yourself right away.
1. Eat something that has about 15 grams of carbohydrates. Examples are:
- 3 glucose tablets
- One half cup of fruit juice or regular, non-diet soda
- 5 or 6 hard candies
- 1 tablespoon or 15 mL of sugar, plain or dissolved in water
- 1 tbsp of honey or syrup
2. Wait about 15 minutes before eating any more. Be careful not to eat too much. This can cause high blood sugar and weight gain.
3. Check your blood sugar again.
4. If you do not feel better in 15 minutes and your blood sugar is still lower than 70 mg/dL , eat another snack with 15 g of carbohydrates.
You may need to eat a snack with carbohydrates and protein if your blood sugar is in a safer range — over 70 mg/dL — and your next meal is more than an hour away.
Ask your provider how to manage this situation. If these steps for raising your blood sugar do not work, call your doctor right away.
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Overdose Of Diabetes Medication
A common cause of hypoglycaemia is taking too much insulin for your current needs. Insulin is a medication that helps control your blood glucose levels. It’s commonly used to treat type 1 diabetes and is also recommended for some people with type 2 diabetes.
A fall in blood glucose levels can also occur after taking too much oral hypoglycaemia medication, such as sulphonylurea, which causes a release of insulin. This medication is often used to lower blood glucose levels in people with type 2 diabetes.
How Is Hypoglycemia Diagnosed
If you suspect you have low blood sugar, its important to check your blood sugar right away. If you dont have a blood glucose meter and youre on diabetes medications that increase insulin, talk with your doctor about getting a meter.
If you experience low blood sugar often say, a few times a week see your doctor right away to find out why. Your doctor will begin your visit by requesting your medical history, asking questions about your eating habits, and learning more about the symptoms youre experiencing.
If you dont have diabetes but suspect you have hypoglycemia, talk with your doctor about your symptoms. Your doctor will use three criteria, sometimes referred to as Whipples triad, to diagnose low blood sugar:
- Signs and symptoms of low blood sugar. Your doctor may require you to fast, or abstain from drinking and eating for an extended period of time, so they can observe your low blood sugar signs and symptoms.
- Documentation of low blood sugar when your signs and symptoms occur. Your doctor will order a blood test to analyze your blood sugar levels in a laboratory.
- Disappearance of the signs and symptoms of low blood sugar. Your doctor will want to know whether the signs and symptoms go away when your blood sugar levels are raised.
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How To Treat Someone Who’s Having A Seizure Or Fit
Follow these steps if someone has a seizure or fit caused by a low blood sugar level:
Tell your diabetes care team if you ever have a severe hypo that caused you to have a seizure or fit.
What If The 15
If you dont feel better after three tries, or if your symptoms get worse, call your healthcare provider or 911. Healthcare providers can use a medication called glucagon. They inject it with a needle or squirt it up your nose. Glucagon is also available for home use. Your healthcare provider can prescribe it and teach a family member or friend how to use it in the event of severe hypoglycemia.
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Exercise Food And Alcohol
For people with type 1 diabetes, maintaining the correct blood glucose level involves balancing how much insulin you inject, the amount of food you eat, and how much energy you burn during exercise.
Hypoglycaemia may occur if you’ve taken your dose of insulin as usual, but your carbohydrate intake is lower than normal or has been used up more quickly. This may happen if you delay or miss a meal or snack, don’t eat enough carbohydrate, or exercise more than usual.
People with diabetes who’ve drunk too much alcohol, or drank alcohol on an empty stomach, can also get hypoglycaemia.
However, it’s not always possible to identify why a particular episode of hypoglycaemia has occurred, and sometimes it happens for no obvious reason.
Be A Glucose Detective
If youve been diagnosed with diabetes or prediabetes, monitoring your sugar levels can help you problem-solve when you have a blood sugar spike. It can also shine a light on your overall blood sugar trends and their causes.
Use a glucometer to make sure youre in the targeted range your healthcare provider recommends. Asterino-McGeean says to check with your insurance to see if these monitors are covered. You can also buy inexpensive ones over the counter at most grocery stores and pharmacies, she adds.
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How Your Body Regulates Blood Sugar
If you don’t have diabetes, your body naturally regulates blood sugar levels. After you eat a meal, your body breaks down foods into their components, which are absorbed from your gut into your bloodstream. Any carb-based foods, like milk and dairy, starches and fruit, will be broken down into their componentsmuch of which is glucose. Once higher glucose levels are detected in your bloodtypically after a mealthe pancreas releases insulin, which causes the body to absorb glucose from the blood, thereby lowering blood sugar levels back to normal, per the Centers for Disease Control and Prevention. If your blood sugar levels get too low, the insulin level goes down and glucagon is released, which causes the liver to turn stored glycogen back into glucose and release it into the blood. This helps bring blood sugar levels back to normal.
No Symptoms Be Alarmed
Surprisingly, the most dangerous episodes of hypoglycemia occur with little or no warning. When low blood glucose occurs on a regular basis, the body can become used to the warning signs and the person may stop noticing symptoms. This is a particularly dangerous condition known as hypoglycemic unawareness. People with this condition might not realize they have low blood glucose until it’s dangerously low seizures and coma are sometimes the first indication of a problem. The good news is that this condition can often be reversed allowing people to once again notice the signs of low blood glucose if hypoglycemia is avoided for a few weeks through careful monitoring of blood glucose.
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A Low Blood Sugar Level Without Diabetes
A low blood sugar level is uncommon in people who do not have diabetes.
Possible causes include:
- a gastric bypass
- other medical conditions, such as problems with your hormone levels, pancreas, liver, kidneys, adrenal glands or heart
- some medicines, including quinine
See a GP if you think you keep getting symptoms of a low blood sugar level. They can arrange some simple tests to check if your blood sugar level is low and try to find out what’s causing it.
How To Treat Low Blood Sugar
If you think you have low blood sugar, be sure to check it.
Keeping your blood sugar levels on target as much as possible can help prevent or delay long-term, serious health problems. While this is important, closely managing your blood sugar levels also increases your chance for low blood sugar . Blood sugar below 70 mg/dL is considered low. If you think you have low blood sugar, check it. If you arent able to check it, go ahead and treat it.
Untreated low blood sugar can be dangerous, so its important to know what to do about it and to treat it immediately.
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Low Blood Sugar Risks With Insulin And Sulfonylureas
There are different types of drugs used to manage diabetes. They are put into different classes depending on how they work.
- Those who manage their blood sugar with diet and exercise dont have to worry much. The risk of hypoglycemia is the same as non-diabetics.
- Reassuringly, those who only take drugs that limit the amount of sugar released from the liver and slow down the absorption of carbohydrates in the intestines , also have a very low risk.
- Those using insulinotropic agents , which stimulate or affect the production of insulin, need to be especially careful, as does anyone using insulin.
- Shockingly, while insulin-dependent people with diabetes experience many more low blood sugars, it is the patient group using sulfonylureas who have more severe low blood sugars requiring emergency assistance. That may ultimately be because those using insulin understand the risks for lows and are often better prepared for them.
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Severe Low Blood Sugar
As your low blood sugar gets worse, you may experience more serious symptoms, including:
- Having difficulty walking or seeing clearly.
- Acting strange or feeling confused.
- Having seizures.
Severe low blood sugar is below 54 mg/dL. Blood sugar this low may make you faint . Often, youll need someone to help you treat severe low blood sugar.
People with diabetes may experience low blood sugar as often as once or twice a week, even when managing their blood sugar closely. Knowing how to identify and treat it is important for your health. Learn how to treat low blood sugar.
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What’s Considered Low Blood Sugar
Typically, blood sugar should be between 70 and 120 milligrams per deciliter . Below 70 mg/dL is considered hypoglycemia, or low blood sugar.
Blood sugar levels are a lot like temperatures, though. Whats too low for one person may not cause another person to have any adverse effects or symptoms. Its best to try to focus on how the person feels and responds more than focusing too much on the difference between 68 and 70 mg/dL.
How Do I Treat An Episode Of Hypoglycemia
The American Diabetes Association recommends the 15-15 rule for an episode of hypoglycemia:
- Eat or drink 15 grams of carbs to raise your blood sugar.
- After 15 minutes, check your blood sugar.
- If its still below 70 mg/dL, have another 15 grams of carbs.
- Repeat until your blood sugar is at least 70 mg/dL.
If you have symptoms of hypoglycemia but cant test your blood sugar, use the 15-15 rule until you feel better.
Note: Children need fewer grams of carbs. Check with your healthcare provider.
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