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What Should Your Blood Sugar Be When You Wake Up

The goal of diabetes management is to keep your blood sugar levels as stable as possible. This means that when you wake up, you want your glucose to be in range and to stay in range throughout the day.

For many people with diabetes, the overall target glucose range is between 70 mg/dL to 180 mg/dL . To start the day strong, the American Diabetes Association recommends that you aim to wake up with glucose levels between 80 to 130 mg/dL. Talk with your healthcare team about your glucose targets.

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.

What If I Have Trouble Getting To My Blood Sugar Goals

There may be times when you have trouble reaching your blood sugar goals. This does not mean that you have failed. It means that you and your health care team should see if changes are needed. Call your health care team if your blood sugar is often too high or too low. Taking action will help you be healthy today and in the future.

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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.

How High Must That Number On The Glucose Meter Be In Order For It To Warrant A Trip To The Emergency Room Stat

Should you zip to the emergency room if your blood sugar is over 300 no matter how you feel?

First of all, if youre fearing that your body is in urgent need of medical care due to a very high blood sugar, dont drive have someone drive you.

Blood Sugar Numbers and Emergency Room Visits

Its not a number its how you feel, says Susan L. Besser, MD, with Mercy Medical Center, Baltimore, and Diplomate American Board of Obesity Medicine and board certified by the American Board of Family Medicine.

Some diabetics walk around with a sugar in the 400s and really dont have many symptoms, whereas others go into a coma at a sugar in the upper 200s, continues Dr. Besser.

Dont just look at the number. Look at the person. And if you arent sure, call your PCP first. He or she knows you best and can advise you what to do.

Nevertheless, if you learn that your blood sugar is in the 400s simply because it was time to take a scheduled glucose reading, but you feel perfectly fine, its not necessary to go to the emergency room.

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Levels In The Morning

The best time to check blood sugar levels in the morning is right when you wake up and before you eat anything. This gives you a glimpse of what may be happening overnight, and it gives you a baseline for the day.

These are goal levels, according to The Joslin Diabetes Center:

• Under 70 mg/dl if you do not have diabetes.
• 70 to 130 mg/dl if you have diabetes.

The dawn effect can often lead to a high morning measurement in diabetes. This is your bodys tendency to get ready for the day by raising blood sugar by increasing levels of counter-regulatory hormones the ones that counteract insulin as in normal blood sugar. For people with diabetes, you do not have the capacity to counterbalance this rise in blood sugar, so levels can be dangerously high.

Ways to lower your morning blood sugar value include:

• Eating dinner earlier
• Checking your medications making sure you are taking them properly and asking your doctor if they are correct
• Going for a walk after dinner
• Including protein with your dinner

What Should I Do If My Blood Sugar Gets Too High

High blood sugar is also called hyperglycemia . It means that your blood sugar level is higher than your target level or over 180. Having high blood sugar levels over time can lead to long-term, serious health problems.

If you feel very tired, thirsty, have blurry vision, or need to pee more often, your blood sugar may be high.

Check your blood sugar and see if it is above your target level or over 180. If it is too high, one way to lower it is to drink a large glass of water and exercise by taking a brisk walk. Call your health care team if your blood sugar is high more than 3 times in 2 weeks and you dont know why.

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How To Lower Morning Blood Sugar

Whether a morning high is caused by the dawn phenomenon or something else, here are a few things you can try to lower your blood sugar levels:

• Physical activity when you wake up can help bring your glucose level down. Even going for a walk can be helpful.

• To learn about exercise guidelines and glucose management strategies, click here.

• Read Adam Browns take on walking the most underrated diabetes exercise strategy.

This article is part of a series on time in range.

Moderate To Severe High Blood Sugar

If your blood sugar levels are consistently high , you may have moderate to severe symptoms of high blood sugar. These symptoms include:

• Blurred vision.
• Flushed, hot, dry skin.
• Restlessness, drowsiness, or difficulty waking up.

If your body produces little or no insulin , you also may have:

• Rapid, deep breathing.
• A fast heart rate and a weak pulse.
• A strong, fruity breath odor.
• Loss of appetite, belly pain, and/or vomiting.

If your blood sugar levels continue to rise, you may become confused and lethargic. You also may become unconscious if your blood sugar levels are very high.

Current as of: August 31, 2020

Author: Healthwise Staff

Medical Review:E. Gregory Thompson MD – Internal Medicine& Adam Husney MD – Family Medicine& Rhonda O’Brien MS, RD, CDE – Certified Diabetes Educator

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

To learn more about Healthwise, visit Healthwise.org.

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How To Control Blood Sugar Level:

Maintaining blood sugar is very important in order to live a healthy and disease-free life. For diabetes patients, the doctrine of the three Ds is the best possible method to keep blood glucose under check. These three Ds are Dose, Diet and Discipline.

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What High Blood Sugar Feels Like

The symptoms can include:

• Breath that smells like fruit
• Confusion

These are symptoms of diabetic ketoacidosis . Your body burns glucose for energy. When your cells donât get enough of it, they burn fat. That produces chemicals called ketones. When these build up, your blood becomes more acid-like. This can be life-threatening if itâs not treated.

Make Some Small Changes

You might try to get more exercise, or limit carbs at your next meal, but dont go crazy. One blood sugar thats high doesnt indicate a need for major changesthat should only be done on a pattern, says Rice, such as continuing highs despite following a doctors instructions. If a pattern continues for two to three days or more, then you might want to let your health-care provider know.

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What Are Blood Sugar Targets

A blood sugar target is the range you try to reach as much as possible. These are typical targets:

• Before a meal: 80 to 130 mg/dL.
• Two hours after the start of a meal: Less than 180 mg/dL.

Your blood sugar targets may be different depending on your age, any additional health problems you have, and other factors. Be sure to talk to your health care team about which targets are best for you.

How To Prevent Hyperglycaemia

There are simple ways to reduce your risk of severe or prolonged hyperglycaemia:

• Be careful what you eat be particularly aware of how snacking and eating sugary foods or carbohydrates can affect your blood sugar level.
• Stick to your treatment plan remember to take your insulin or other diabetes medications as recommended by your care team.
• Be as active as possible getting regular exercise can help stop your blood sugar level rising, but you should check with your doctor first if you’re taking diabetes medication, as some medicines can lead to hypoglycaemia if you exercise too much
• Take extra care when you’re ill your care team can provide you with some “sick day rules” that outline what you can do to keep your blood sugar level under control during an illness.
• Monitor your blood sugar level your care team may suggest using a device to check your level at home, so you can spot an increase early and take steps to stop it.

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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.

Risk Factors For High Blood Sugar

Doctors do not know exactly what causes diabetes. Some factors may increase the risk, however.

Type 1 diabetes

Researchers believe certain genetic or environmental factors may make people more likely to get type 1 diabetes.

The National Institute of Diabetes and Digestive and Kidney Diseases say certain genes play a role, and other factors such as viruses and infections may have an impact.

The Juvenile Diabetes Research Foundation say that there is nothing a person can do to prevent type 1 diabetes. Eating, exercise, or other lifestyle choices will not change the outcome.

Type 1 diabetes usually begins during childhood or early adulthood, but it can happen at any age.

Type 2 diabetes

The following risk factors may make developing type 2 diabetes more likely:

• having certain genes

People who have high blood sugar should discuss their target levels with their doctor.

They may need regular testing to keep these within a healthy range. Each person is different and levels can vary between individuals.

To find out their blood sugar levels, the person may need to fast for 8 hours, 2 hours after a meal, or at both times.

Some people may also take a glucose tolerance test, in which they drink a sugary liquid and have a blood test after.

The American Diabetes Association recommend a pre-meal blood sugar level of 80130 milligrams per deciliter . Around 1 to 2 hours after the beginning of a meal, blood sugar should be less than 180 ml/dL.

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High Calorie Foods May Or May Not Cause The Blood Sugar Level To Rise

Many people think that all high-calorie foods raise blood sugar level, but this is not always the case.

In general, foods that cause blood sugar level to rise the most are those that are high in carbohydrates, which are quickly converted into energy, such as rice, bread, fruits and sugar. Next are foods high in protein, such as meats, fish eggs, milk and dairy products, and oily foods. However, even though carbohydrates affect blood sugar levels, if you don’t eat them your diet will be unbalanced and you won’t feel satisfied after your meal, which can lead to excessive consumption of foods rich in protein and fat.

Food containing three major nutrients

What Causes Dead In Bed Syndrome

A lack of detailed post-mortem notes has meant that the cause or causes of dead in bed syndrome have not been confirmed with certainty.

The evidence that has been available suggests that deaths could be caused by night time hypoglycemia triggering disturbances in heart rhythm or cardiac autonomic neuropathy .

Hypoglycemia-associated autonomic failure is also thought to play a part. HAAF means patients have a reduced counter-regulatory response to hypos and reduced hypo awareness

The reduced counter-regulatory response means that the body has reduced ability to produce the adrenaline or glucagon in response to a hypo. Glucagon is the bodys blood glucose raising hormone, and so a lack of glucagon response takes away a key life saving mechanism.

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Causes Of Low Blood Sugar

Low blood sugar is common for people with type 1 diabetes and can occur in people with type 2 diabetes taking insulin or certain medications. The average person with type 1 diabetes may experience up to two episodes of mild low blood sugar each week, and thats only counting episodes with symptoms. If you add in lows without symptoms and the ones that happen overnight, the number would likely be higher.

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