The Importance Of Raising Low Blood Sugar
At times, you may be unaware of the signs that you have low blood sugar. Being more cautious as well as paying attention to the variety of symptoms that may occur can help you know when it’s time to take action.
“Most of the time when people experience low blood sugar, it’s because of one of three things, or a combination of the three,” Amy Goodson MS, RD, CSSD, LD, a registered dietitian on our medical expert board, tells Eat This, Not That!
“In all cases, your blood sugar can drop, leaving you feeling lethargic and fatigued. Other symptoms can include headache, dizziness, lightheadedness, and even feeling shaky,” Goodson explains.
Aside from these symptoms, low blood sugar, or hypoglycemia, can also lead to more serious side effects. By being left untreated, you may suffer from problems like blurred vision, slurred speech, numbness, and drowsiness, along with difficulty concentrating and confused thinking. In worse cases, continuing to ignore your low levels may lead to your brain starving from not getting enough glucose. This can potentially lead to seizures and coma.
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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.
Listen To Your Doctor
If you follow a meal plan or take medications that increase insulin to manage low blood sugar, its important to stick to the plan your doctor prescribed to help prevent drops in your blood sugar level.
Not eating the right foods or taking the right medications at the correct times can cause your blood sugar to drop. Check in often with your doctor so they can adjust your treatment plan if and when necessary.
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Warning Signs Of Low Blood Sugar
Hypoglycemia can cause both short- and long-term complications. Know the signs so that you can treat the condition as soon as you’re aware of it.
As a person living with diabetes, you know how important it is to reduce blood sugar when it is too high, a phenomenon called hyperglycemia. But blood sugar that is too low, or hypoglycemia, is equally critical to avoid.
“Hypoglycemia happens when the amount of blood glucose drops to a level that’s too low to sustain normal functioning,” says Erin Palinski-Wade, RD, CDCES, who is based in Sparta, New Jersey. “In most people, this is defined as a blood sugar level at or below 70 milligrams per deciliter .”
Hypoglycemia is common among people with type 2 diabetes, according to a review published in June 2015 in the journal PLoS One. Individuals with the condition had an average of 19 mild or moderate episodes of hypoglycemia per year and nearly one severe episode per year on average, according to the researchers. Low blood sugar was particularly common among those taking insulin.
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This decrease in blood sugar levels can cause both short-term complications, like confusion and dizziness, as well as more serious issues, including seizures, coma, and, rarely, death, according to the American Diabetes Association .
Hypoglycemia is usually the result of a too-high dose of insulin or a change in diet or exercise habits, according to Harvard Health Publishing.
Signs You Have Low Blood Sugar And Don’t Know It
Low blood sugar happens when blood glucose levels drop below 70 mg/dL and while anyone can experience the condition, it’s more common with people who have diabetes. When your blood sugar is low, chances are you won’t feel like yourself, but you may not realize why. Eat This, Not That! Health spoke with experts who explain why it’s easy to miss the signs of low blood sugar, symptoms to watch out for and why it’s dangerous if left untreated. 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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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.
Preventing Low Blood Sugar
Preventing low blood sugar is better than having to treat it. Always have a source of fast-acting sugar with you.
- When you exercise, check your blood sugar levels. Make sure you have snacks with you.
- Talk to your provider about reducing insulin doses on days that you exercise.
- Ask your provider if you need a bedtime snack to prevent low blood sugar overnight. Protein snacks may be best.
Do not drink alcohol without eating food. Women should limit alcohol to 1 drink a day and men should limit alcohol to 2 drinks a day. Family and friends should know how to help. They should know:
- The symptoms of low blood sugar and how to tell if you have them.
- How much and what kind of food they should give you.
- When to call for emergency help.
- How to inject glucagon, a hormone that increases your blood sugar. Your provider will tell you when to use this medicine.
If you have diabetes, always wear a medical alert bracelet or necklace. This helps emergency medical workers know you have diabetes.
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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.
What Causes A Low Blood Sugar Level
In people with diabetes, the main causes of a low blood sugar level are:
- the effects of medicine especially taking too much insulin, medicines called sulfonylureas , medicines called glinides , or some antiviral medicines to treat hepatitis C
- skipping or delaying a meal
- not eating enough carbohydrate foods in your last meal, such as bread, cereals, pasta, potatoes and fruit
- exercise, especially if it’s intense or unplanned
- drinking alcohol
Sometimes there’s no obvious reason why a low blood sugar level happens.
Very occasionally, it can happen in people who do not have diabetes.
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What Is Normal Blood Sugar
When we eat, glucose — which is our body’s main source of energy — enters our bloodstream from our food. Then our pancreas secretes a hormone called insulin in just the right amount to help the glucose go from the bloodstream to our body’s various cells to be used as energy. This process usually keeps the glucose in our bloodstream in a healthy range, being neither too high, nor too low.
This range is measured in milligrams of blood glucose per deciliter, or mg/dL. Dr. Saleh Aldasouqi, Chief of Endocrinology at Michigan State University, explains to CNET: “Normal blood sugar is defined as anywhere from 70 to 110 mg/dL within a healthy physiology, as a person without diabetes or other related diagnosed condition. Sugar below 70 is generally considered low, and above 110 is considered high .”
Treating Severely Low Blood Sugar
Blood sugar below 55 mg/dL is considered severely low. You wont be able to treat it using the 15-15 rule. You also may not be able to check your own blood sugar or treat it by yourself, depending on your symptoms. Make sure your family members, friends, and caregivers know your signs of low blood sugar so they can help treat it if needed.
Injectable glucagon is the best way to treat severely low blood sugar. A glucagon kit is available by prescription. Speak with your doctor to see if you should have a kit. Be sure to learn how and when to use it. Let family members and others close to you know where you keep the glucagon kit and make sure theyve been trained in how to use it too.
Its important to contact a doctor for emergency medical treatment immediately after receiving a glucagon injection. If a person faints due to severely low blood sugar, theyll usually wake up within 15 minutes after a glucagon injection. If they dont wake up within 15 minutes after the injection, they should receive one more dose. When the person is awake and able to swallow:
- Feed the person a fast-acting source of sugar .
- Then, have them eat a long-acting source of sugar .
Its also important that friends, family, co-workers, teachers, coaches, and other people you may be around often know how to test your blood sugar and treat severely low blood sugar before it happens.
If any of the following happens, your friend, relative, or helper should call 911:
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What Can Cause Low Blood Sugar Levels
Some things that can make low blood sugar levels more likely are:
- skipping meals and snacks
- not eating enough food during a meal or snack
- exercising longer or harder than usual without eating some extra food
- getting too much insulin
- not timing the insulin doses properly with meals, snacks, and exercise
Also, some things may increase how quickly insulin gets absorbed into the bloodstream and can make hypoglycemia more likely. These include:
- taking a hot shower or bath right after having an insulin injection increases blood flow through the blood vessels in the skin, which can make the insulin be absorbed more quickly than usual
- injecting the shot into a muscle instead of the fatty layer under the skin
- injecting the insulin into a part of the body used a lot in a particular sport .
All of these situations increase the chances that a person may get hypoglycemia.
Apple Cider Vinegar For Diabetes: Does It Help
Apple cider vinegar also known as ACV is a trendy ingredient these days. Personally, I love pouring a big splash of it into an ice-cold glass of fruit-flavored seltzer!
But recently, apple cider vinegar is also being touted as a home remedy for people living with diabetes, with claims that it can help control blood sugars and lower A1c levels.
In this article, well discuss the general benefits of apple cider vinegar, what research has determined about its impact on blood sugar levels, precautions to take when adding it to your diet, and who shouldnt consume apple cider vinegar regularly at all.
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How To Treat Severe Lows With Emergency Glucagon
Every emergency hypoglycemia kit should include glucose tablets or sugary snacks, glucagon, a glucose monitor , and emergency contact information. Emergency glucagon is available by prescription and can be injected or administered by nasal spray.
If you are a parent or caregiver for a child with diabetes, talk to their healthcare professional about the correct dose of emergency glucagon for children.
The recent development of ready-to-use and premixed glucagon has made it easier to administer rescue glucagon quickly and effectively in emergency situations. These next-generation glucagon options can save care-partners time, particularly if the person with severe hypoglycemia has lost consciousness.
To learn more about how to prepare for low blood sugar events, read Hypoglycemia Preparedness: How to Know Before You Go Low.” Read Lets Talk About the Lows for tips for communicating with loved ones about low blood sugar emergencies.
Treating Mild To Moderate Hypoglycemia
If you start feeling any of the symptoms listed above, check your blood sugar as soon as possible, then follow the chart below to treat low blood sugar. If you have any concerns, or cant test immediately, its best to treat first and check when possible.
If your blood sugar is
What to do next
51 to 70 mg/dL
10 to 15 grams of fast-acting carbs, such as 4 ounces of fruit juice, 6 to 8 hard candies, or 3 to 4 glucose tablets.
Test your blood sugar again in 15 minutes. Repeat the treatment if necessary.
Under 50 mg/dL
Eat 20 to 30 grams of fast-acting carbs, such as 8 ounces of fruit juice, 12 to 16 hard candies, or 6 to 8 glucose tablets.
Test your blood sugar again in 15 minutes. Repeat the treatment if necessary.
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Low Blood Sugar Avoid The Emergency Room
How to recognize and treat severe hypoglycemia quickly with emergency glucagon and avoid a trip to the hospital.
When you have diabetes, life can often feel like a juggling act to keep your glucose levels within your target range. Staying on top of your diabetes management is essential, but you may still face unpredictable and sudden swings in glucose levels due to medications, lifestyle , or illness. Hypoglycemia is when glucose values fall below 70 mg/dl as a result of too much insulin in the body for what your body needs at that time. When this occurs, your cells lack the glucose they need to produce energy.
There are three levels of hypoglycemia: level 1, glucose values fall below 70 mg/dL level 2, glucose levels drop below 54 mg/dL and level 3, referred to as severe hypoglycemia, which occurs when glucose levels are so low that you experience changes in thinking and reasoning and need support from others.
You should always treat lows right away, whether your blood sugar is below 70 mg/dL or trending toward that number. If your glucose levels drop below 54 mg/dl, you must act immediately to raise your blood sugar. If not treated quickly, severe hypoglycemia can occur and this can be very dangerous.
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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