How Do I Treat Low Blood Glucose
If you begin to feel one or more symptoms of low blood glucose, check your blood glucose level. If your blood glucose level is below your target or less than 70 mg/dL, follow these steps
How To Test Your Blood Sugar At Home
To perform a blood sugar test, you will need to prick your finger with a lancet . Youll put a small sample of blood from this onto a strip inserted into the blood glucose meter.
Before you test your blood sugar at home, its important to find out from your doctor what a healthy blood sugar range is for you. Your doctor will determine this range based on factors such as:
- the type of diabetes you have
- how long youve had diabetes
- your age
- whether you have any other chronic health conditions
If you dont have a blood sugar testing machine on hand and are experiencing signs or symptoms of low blood sugar with diabetes, your symptoms may be enough to diagnose low blood sugar.
Can You Prevent Low Blood Sugar
Hypoglycemia might sound a little scary, so you might wonder if you can avoid it. No matter how well they take care of themselves, kids with diabetes will sometimes have low blood sugar levels. But taking these steps can help:
- Try to eat all your meals and snacks on time and don’t skip any.
- Take the right amount of insulin.
- If you exercise longer or harder than usual, have an extra snack.
- Don’t take a hot bath or shower right after an insulin shot.
- Stick to your diabetes management plan.
What else can you do? Wear a medical identification bracelet or necklace that says you have diabetes. Then, if you are not feeling well, whoever’s helping you even if the person doesn’t know you will know to call for medical help. Medical identification also can include your doctor’s phone number or a parent’s phone number. The quicker you get help, the quicker you’ll be feeling better.
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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:
Questions To Ask Your Doctor
- What is the most likely cause of my fainting?
- Is there something I can do to stop my fainting spells?
- Is there a medicine I can take that will help prevent fainting?
- Are there any steps I can take at home that will help me stop fainting?
- If I faint once, should I call the doctor immediately after I wake up?
- Is there a diet I should follow to help deal with my fainting?
- Are there any websites you recommend that I access? Do you have any educational materials I could read about fainting?
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How Does A Person Faint
The brain depends on oxygen transported in the blood to work appropriately. Blacking out can happen when the flow of blood to the brain is diminished.
Your body typically redresses lessened blood flow to the brain rapidly, however, it can influence you to feel sweaty, odd, and dizzy. In case that it lasts for a longer time period, you may pass out.
A lessened flow of blood to the brain is frequently caused by a temporary issue with the part of your brain that directs the bodys automated capabilities, including blood pressure and heartbeat.
The fainting or passing out can be initiated by:
- Emotional stress
- Physical procedures.
Start Your Session Sitting Down
We already mentioned that standing up may increase your chances of feeling lightheaded or fainting, so sitting down while smoking may make you feel more secure and comfortable, especially if youre still a newbie. You want to feel secure so that if you feel a fainting spell coming up, you can lie down. Or even if you dont feel dizzy, youll just be a lot more comfortable.
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Is It Possible To Prevent Fainting
Depending upon the cause, there may be opportunity to prevent fainting spells. For example:
- People who have had a vasovagal episode may be aware of the warning signs and be able to sit or lie down before passing out and prevent the fainting episode.
- Older people with orthostatic hypotension can be prevented by waiting a few seconds after changing positions, which may be all that is needed to allow the body’s reflexes to react.
- If the episodes are caused by medications, they may be adjusted if they are thought to be the potential cause of fainting.
- If dehydration is the cause, drinking plenty of fluids may be enough to prevent dehydration.
- There is an increased awareness of syncope and sudden death in younger athletes due to hypertrophic cardiomyopathy. A variety of screening tests are available to assess potential risk for sudden death, but no consensus yet as to who and when to screen athletes has emerged.
At What Sugar Level Is Diabetic Coma
A diabetic coma could happen when your blood sugar gets too high 600 milligrams per deciliter or more causing you to become very dehydrated. It usually affects people with type 2 diabetes that isnt well-controlled. Its common among those who are elderly, chronically ill, and disabled.
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What Are The Symptoms Of Hypoglycemia
Changes in blood sugar affect everyone differently. According to the American Diabetes Association , some common symptoms of hypoglycemia include:
- Shakiness or jitteriness
- Feeling sleepy, weak, or lethargic
- Tingling in lips or cheeks
In cases of severe hypoglycemia, these symptoms can lead to confusion, impaired vision, loss of consciousness, or seizures. If someone passes out, or has a seizure from low blood sugar, you should call 911 immediately.
Most people have felt the effects of low blood sugar from time to timewhen youre really really hungry, or if you exercised on an empty stomach. But, if you are experiencing symptoms of hypoglycemia several times a week, this signals that you should seek medical care, explains Soma Mandal, MD, an internist at Summit Medical Group in Berkeley Heights, New Jersey.
Symptoms Of Low Blood Sugar
How you react to low blood sugar may not be the same as how someone else with low blood sugar reacts. Its important to know your signs. Common symptoms may include:
- Fast heartbeat
If youve had low blood sugar without feeling or noticing symptoms , you may need to check your blood sugar more often to see if its low and treat it. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel.
You may not have any symptoms when your blood sugar is low . If you dont have symptoms, it will be harder to treat your low blood sugar early. This increases your risk of having severe lows and can be dangerous. This is more likely to happen if you:
- Have had diabetes for more than 5-10 years.
- Frequently have low blood sugar.
- Take certain medicines, such as beta blockers for high blood pressure.
If you meet one or more of the above and you have hypoglycemia unawareness, you may need to check your blood sugar more often to see if its low. This is very important to do before driving or being physically active.
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When Blood Sugar Is Too Low
Glucose is a sugar that comes from the foods we eat, and it’s also formed and stored inside the body. It’s the main source of energy for the cells of our body, and is carried to each cell through the bloodstream. Our brains depend on glucose to function, even when we’re sleeping.
The is the amount of glucose in the blood. When these levels drop too low, it’s called hypoglycemia . Very low blood sugar levels can cause serious symptoms that need to be treated right away.
Managing Your Diabetes Devices
If you are using an insulin pump, talk to your diabetes team about how to best manage hyperglycemia. In general, be sure to check your pump first. Make sure all parts are connected and working correctly. Check your bolus history and temporary basal rate. Also check your insulin to make sure it has not expired or gotten too warm.
If you use a CGM, try not to react to it too often. You might be tempted to give another dose of insulin too soon, before the first one finishes working, which is known as stacking insulin this can cause low blood sugar .
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The Causes Of Low Blood Sugar
Low blood sugar levels can happen to kids with diabetes because of the medicines they have to take. Kids with diabetes may need a hormone called insulin and/or diabetes pills to help their bodies use the sugar in their blood. These medicines help take the sugar out of the blood and get it into the body’s cells, which makes the level of sugar in the blood go down.
But sometimes it’s a tricky balancing act, and blood sugar levels can get too low. Kids with diabetes need to keep their blood sugar levels from getting too high or too low. How do they do it? With help from grown-ups, they keep three things in balance:
Each one of these can affect the other. For instance, eating more might mean a kid needs more insulin. And exercising might create the need for an extra snack. Again, a grown-up can help you learn how to juggle those three activities so you keep feeling good.
Some things that can make low blood sugar levels more likely to happen are:
- skipping meals and snacks
- not eating enough food at a meal or snack
- exercising longer or harder than usual without eating something extra
- getting too much insulin
- not timing the insulin doses properly with meals, snacks, and exercise
- taking a long bath or shower right after an insulin shot
A Low Blood Sugar Level And Driving
You may still be allowed to drive if you have diabetes or you’re at risk of a low blood sugar level for another reason, but you’ll need to do things to reduce the chance of this happening while you’re driving.
You also need to tell the Driver and Vehicle Licensing Agency and your car insurance company about your condition.
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Where Can I Find Support
The Hypoglycemia Support Foundation, established nearly 40 years ago, is a national group that offers many resources, including advocacy. They offer salons so that you can personally connect with people like you who are also dealing with bouts of low blood sugar.
Occasionally blood sugar crashes are so extreme they require emergency room care for an immediate dextrose IV treatment. If you have diabetes, wear a medical bracelet that does TK thing? What will this bracelet have on it? A number of one of your contacts? Can you answer and smooth out with this line? have a circle of people who serve as close contacts and are aware of your condition and how to help.
How To Recognize Hypoglycemia
The first signs of hypoglycemia include feeling sweaty, shaky, and hungry. However, not everyone has these symptoms or notices them in time to prevent low blood sugar from getting worse. Its also important to know that your symptoms of hypoglycemia will change the longer you have T1D.
As hypoglycemia gets worse, symptoms can include:
- Feeling weak
- Having difficulty walking or seeing clearly
- Acting strange or getting disoriented
- Having seizures
Severe hypoglycemia may make you faint or pass out. This is dangerous if you are driving, climbing stairs, or doing other activities where you need to stay aware of things around you.
Hypoglycemia can happen at night. If it does, you are likely to wake up, but its important not to rely on your body to wake you up. A continuous glucose monitor, or CGM, can alert you and those around you with an alarm to let you know if your blood sugar starts getting low while you are sleeping.
Its a good idea to check your blood sugar often when lows are likely, such as in hot weather or when you travel. Your CGM can also let you know when your blood sugar is getting lower.
Watch out for hypoglycemia unawareness.
You might not have early warning signs of low blood sugar. This is called hypoglycemia unawareness, and it raises the risk of having severe lows. It is more likely if:
- You have had diabetes longer than 5 or 10 years
- You have frequent episodes of hypoglycemia
- You take certain medicines, such as beta blockers for high blood pressure
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What If Im Experiencing Hypoglycemic Episodes Even Though My Doctor Has Confirmed That Im Not Diabetic Or Prediabetic
If you have low blood sugar and dont have diabetes or prediabetes, it can be a sign of another serious health issue such as a tumor, hormone deficiency, kidney disorder, anorexia, or other eating disorder, all of which can cause dangerously low blood sugar.
Anorexia has the highest mortality of any psychiatric disorder, and the cause of death can be hypoglycemia, so take your illness seriously and seek help if you suspect your eating disorder may be progressing to the point where it is causing you to faint or experience other signs and symptoms of dangerously low blood sugar. The National Eating Disorders Association has resources on how to identify the signs that you may have an eating disorder, a hotline for help, as well as easily accessible information on everything from how to know when you need help to how to find quality treatment options in your zip code.
People who are not diabetic don’t spontaneously have hypoglycemia for no reason, explains Dr. Christofides. Its often an indication of another underlying issue, such as a hormone deficiency or eating disorder, so its important to schedule an appointment with your doctor to determine the cause in order to prevent complications.
Common causes of hypoglycemia in people without diabetes include:
- Pancreatic tumor
- Medication that inhibits the proper production of insulin
- Hepatitis or kidney disorders
- Hormone deficiencies
- Anorexia and other eating disorders
Checking For Low Blood Sugar Levels
The warning signs of hypoglycemia are the body’s natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:
- start shaking
- have an increased heart rate
If the hypoglycemia isn’t treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if you’re having a low blood sugar level is to test. Blood sugar levels can be tested with a . This computerized device measures and displays the amount of glucose in a blood sample. But if you can’t quickly check your blood sugar level, it’s important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.
Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline is not just released when blood sugar drops too low it’s also released when blood sugar levels fall quickly when they’re too high. If you’re having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if you’re having a false reaction.
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