How High Can Your Blood Sugar Go

Planning For Sick Days

Your body releases stress hormones when you are sick, which can cause hyperglycemia. Keep taking your insulin and other diabetes medications, even if you are throwing up. If you have ketones and your blood sugar is above 240 mg/dL, call your doctor. They might also want you to call if:

• You have diarrhea that lasts more than 6 hours
• You are throwing up
• You have a high fever or trouble breathing
• You feel very sleepy or confused

Continue checking your blood sugar levels and keep track of the results.

What Are The Signs & Symptoms Of Dka

The symptoms of diabetic ketoacidosis usually don’t develop all at once they usually come on slowly over several hours. People who have DKA may:

• feel really tired
• feel really thirsty or pee way more than usual
• have a dry mouth and signs of dehydration

These symptoms are caused by the high blood sugar levels that usually happen before someone develops DKA. If the person doesn’t get treatment, these signs of DKA can happen:

• abdominal pain
• unconsciousness

Make Some Small Changes

You might try to get more exercise, or limit carbs at your next meal, but don’t go crazy. “One blood sugar that’s high doesn’t indicate a need for major changesthat should only be done on a pattern,” says Rice, such as “continuing highs despite following a doctor’s instructions.” If a pattern continues for two to three days or more, then you might want to let your health-care provider know.

Diabetic Coma From High Blood Sugar

A diabetic coma from high blood sugar is a very specific condition. The medical name for this condition is Hyperglycemic Hyperosmolar Nonketotic Coma, or simply HONK. I have treated hundreds of patients hospitalized with diabetic comas from high blood sugar over the last 15 years. I have written this article based on my personal experience as well as a thorough review of medical literature.

In this article, I will explain these things:

What Are The Symptoms Of Diabetic Coma

The following symptoms are your bodys warning signs that your blood sugar is too high or too low.

Whenever you have these symptoms, check your blood sugar. If it is too high or too low, treat it according to your healthcare providers instructions to prevent a diabetic coma. If you have had diabetes for a long time, you may fall into a coma without showing any of the symptoms.

Some symptoms of hyperglycemia are:

• Tiredness.

• Taking too much insulin.

Symptoms Signs Causes Of Levels Of High Blood Sugar In The Blood

High blood sugar or hyperglycemia is an abnormally high blood sugar level in the blood. Hyperglycemia is a hallmark sign of diabetes and prediabetes.

Signs and symptoms of hyperglycemia include blurred vision, headaches, hunger, and …

The normal ranges for blood sugar levels in adults who do not have diabetes before eating or fasting the range begins at 72-99mg/dL while fasting ranges for those being treated for type 1 or type 2 diabetes range from 80 -130 mg/dL. According to the American Diabetes Association normal blood sugar levels before and after eating should be 80-130 mg/dL before eating a meal , and less than 180 mg/dL about 1-2 hours after eating a meal

High blood sugar ranges for people who dont have diabetes begins at 140 mg/dL or greater while for those being treated for diabetes, the high range begins at 180 mg/dL , called hypoglycemia.

How Can I Treat Low Blood Sugar

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.

Carry supplies for treating low blood sugar with you. If you feel shaky, sweaty, or very hungry or have other symptoms, check your blood sugar. Even if you dont have symptoms but think you may have low blood sugar, check it. If your blood sugar is lower than 70 mg/dL, do one of the following immediately:

• Take four glucose tablets.
• Drink four ounces of fruit juice.
• Drink four ounces of regular soda, not diet soda.
• Eat four pieces of hard candy.

Wait for 15 minutes and then check your blood sugar again. Do one of the above treatments again until your blood sugar is 70 mg/dL or above and eat a snack if your next meal is an hour or more away. If you have problems with low blood sugar, ask your doctor if your treatment plan needs to be changed.

How Can I Treat And Manage Hyperglycemia

People with both type 1 and type 2 diabetes can manage hyperglycemia by eating healthy, being active, and managing stress. In addition, insulin is a critical part of managing hyperglycemia for people with type 1 diabetes, while people with type 2 diabetes may need oral medications and eventually insulin to help them manage hyperglycemia.

If you dont have diabetes and have any of the signs and symptoms of hyperglycemia, call your healthcare provider. Together you can work to manage your hyperglycemia.

How Can I Check My Blood Sugar

Use a blood sugar meter or a continuous glucose monitor to check your blood sugar. A blood sugar meter measures the amount of sugar in a small sample of blood, usually from your fingertip. A CGM uses a sensor inserted under the skin to measure your blood sugar every few minutes. If you use a CGM, youll still need to test daily with a blood sugar meter to make sure your CGM readings are accurate.

Great Bedtime Snacks For People Living With Diabetes

For some people, a healthy bedtime snack helps to prevent glucose swings during the night. By eating a small snack that is full of protein and healthy fats , your body may be better able to avoid an overnight high but if you take insulin, be sure to cover the carbohydrates in your snack even if it only requires a small dose of insulin.

Here are some snack ideas:  

• Plain nuts or seeds try eating a small handful

• Raw vegetables, such as carrots, celery, cucumbers, or tomatoes, with a small amount of hummus or peanut butter

• Plain yogurt, and you can add berries or cinnamon

Remember, a bedtime snack is only helpful for some people. To see if it works for you, youll have to carefully monitor your glucose before bed, during the night, and when you wake up.

Low Blood Sugar Symptoms

Hypoglycemia happens when blood glucose levels drop too low. Low blood sugar can be caused by many things including the two different types of diabetes, certain medications, alcohol, endocrine disorders, eating disorders, pregnancy , and disorders of the liver, kidneys, or heart.

Here are some of the most common symptoms that someone with low blood sugar might experience:  

• Lightheadedness
• Fainting
• Tingling lips  

If your blood sugar is low you might start to feel some of the first signs of hypoglycemia like dizziness, lightheadedness, or sweating. The only way to know for sure if your blood sugar is low is to test it with a glucose meter or other glucose monitoring device. 

If you dont have access to these tools and start to feel the symptoms of low blood sugar, consume 15 grams of carbs or take a quick dissolve glucose tablet to raise your blood sugar levels and avoid further symptoms, according to the American Diabetes Association . Once your blood sugar is back in its target range, you can have a snack or meal to make sure it doesnt drop again.    

Here are some other lifestyle and medicinal treatments that can help treat hypoglycemia:

• Eat a healthy diet full of whole foods that are minimally processed. 
• Take prediabetes or diabetes medications as recommended by your healthcare provider.  
• Use a glucagon kit in emergencies. Glucagon is a hormone that raises blood sugar levels quickly.  

A Few Final Notes On Keeping Blood Sugar Stable

Taking an active, intentional approach to your blood sugar levels is crucial to your quality of life and overall health, ONeill says. Avoiding too-high or too-low blood sugar levels will help you avoid adverse symptoms and health complications, and staying within your target range can enable you to feel your best and do whatever you want to do in life, she says.

Test your blood sugar regularly, listen to your body, and dont ever hesitate to reach out to your doctor.

Additional reporting by Karen Appold.

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 Causes Hyperglycemia In People With Diabetes

• The dose of insulin or oral diabetes medication that you are taking is not the most helpful dose for your needs.
• Your body isnt using your natural insulin effectively .
• The amount of carbohydrates you are eating or drinking is not balanced with the amount of insulin your body is able to make or the amount of insulin you inject.
• You are less active than usual.
• Physical stress is affecting you.
• Emotional stress is affecting you.
• You are taking steroids for another condition.
• The dawn phenomenon is affecting you.

Other possible causes

• Pancreatic diseases such as pancreatitis, pancreatic cancer and cystic fibrosis.
• Certain medications .
• Gestational diabetes, which happens in 4% of pregnancies, and is due to decreased insulin sensitivity.
• Surgery or trauma.

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. 

When To Go To The Er

High blood sugar can be very concerning because your body can start burning fat for energy instead of blood glucose.

This can cause conditions such as DKA and hyperglycemic hyperosmolar syndrome . These conditions are medical emergencies and can be fatal if left untreated.

DKA is a serious complication of type 1 diabetes. Its rare in people with type 2 diabetes, but can occur.

Symptoms that can indicate you should go to the emergency room include:

• ketones in your urine, as diagnosed using a urine dipstick test
• confusion
• stomach pain
• vomiting

High blood sugar levels can cause a fluid imbalance in the body and can cause the blood to become acidic in a manner that doesnt support life.

Medical treatments for these conditions include administering intravenous insulin on a continuous basis and IV fluids to correct dehydration.

Summary

High blood sugar can become a medical emergency. Go to the ER if you suspect DKA or HHS.

How To Stabilize Your Blood Sugar Overnight

The most important thing you can do to stabilize your blood sugar is monitor your glucose levels at bedtime, during the night, and when you wake up to look for patterns. This will help you determine whats going on in your body and how you can fix it. While there are many strategies people use to stabilize blood sugar at night, every person is different youll have to look for trends in your body, experiment with ways to lower glucose levels over a period of time, and learn what works best for your body.

• Check your blood sugar before bed. If its already high, your blood sugar levels may remain high throughout the night. To address this, youll want to start by adjusting when you eat your evening meal and what it consists of, and how much mealtime insulin you take to cover it.

• Avoid eating lots of food close to bedtime. For diaTribe writer Adam Brown, the key to staying in range overnight is low-carb, early dinners, with no snacking after dinner.

• Consider eating less food at night and taking more basal insulin to cover your evening meal.

Reflect On The Amount Of Sugar In Your Diet

Hyperglycemia occurs when there is too much glucose in the blood.

• Low carb in type 1 diabetes improves glucose level variability, new study shows

Therefore, one way of reducing your blood glucose levels is reflecting on where sugar may be consumed in the diet. Think about any refined and processed foods that may be in your diet as these are often high in sugar. This can be achieved through a low carbohydrate diet.

What To Know About High Blood Sugar When Living With Diabetes:

What is hyperglycemia?

After eating a meal, the body signals the release of insulin. Insulin is like a key that unlocks the cells in order to store glucose for later use. This process reduces the amount of glucose in your blood stream. In people with diabetes, this process does not work as well because either there isnt enough insulin being produced, or because the body is resistant to the effects of the insulin. As a result, levels of glucose in the blood stream can reach high levels, causing hyperglycemia or high blood sugar.

Scale of normal blood sugar range

• Hyperglycemia occurs when the blood sugar is above 130 mg/dL while fasting, or greater than 180 mg/dL after eating a meal.
• American Diabetes Association Glucose Goals for people with Diabetes:
• Before meals or fasting: 70 to 130 mg/dL
• 1-2 hours after the start of a meal: Less than 180 mg/dL

Hb A1C If blood glucose is regularly higher than the normal ranges, then this will reflect in the Hemoglobin A1C test that your doctor will run. The Hemoglobin A1C gives your care team an idea of what your blood sugar typically is at.

Symptoms of hyperglycemia

• Illness, colds, infections, injuries, surgeries
• Emotional stress
• Not enough Diabetes Medication, or skipped doses of medication
• Too little exercise

How to treat hyperglycemia

When to call your doctor or seek emergency treatment:

REMEMBER: DO NOT DRIVE yourself if you think you may have very high blood Sugars or Diabetic Ketoacidosis

Blood Sugar Level After 2 Hours:

Another crucial time to check blood glucose level is about an hour and a half after a meal. Generally, around this time the process of digestion and absorption is near its end. So, high blood sugar during this time generally means that the body cant process sugar properly.

In case of a normal individual, blood glucose level at this time is below 7.8 mmol/L. If the sugar level is 11.1 mmol/L or more, then the individual is considered to be diabetic.

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 .

What Should You Expect When You Are Hospitalized For Honk

Regardless of what pushed you into the diabetic coma, you will be admitted to the ICU. You will get specific treatments for any other major medical issues that you have along with HONK.

These are the most common things to expect in the hospital when hospitalized for a diabetic coma:

Medical Approaches To Spike Control

A common approach to lowering after-meal blood glucose spikes is to take more insulin. But unless blood glucose levels remain high for three to six hours after eating, taking more insulin is not going to solve the problem. In fact, increasing mealtime insulin will most likely result in low blood glucose before the next meal.

Here are some strategies that may work better:

What Are Normal Blood Glucose Levels In Healthy Individuals

Blood sugar levels can either be normal, high, or low, depending on how much glucose someone has in their bloodstream. Glucose is a simple sugar thats present in the bloodstream at all times. Normal blood glucose levels can be measured when someone fasts, eats, or after theyve eaten. A normal blood glucose level for adults, without diabetes, who havent eaten for at least eight hours is less than 100 mg/dL. A normal blood glucose level for adults, without diabetes, two hours after eating is 90 to 110 mg/dL.   

Many factors affect blood sugar levels throughout the day:

• Type of food consumed, how much, and when
• Physical activity
• Menstrual periods 
• Alcohol 

An ideal blood sugar level for anyone without diabetes or prediabetes, regardless of age, in the morning should be less than 100 mg/dL. Remember, blood sugar levels can fluctuate throughout the day as a result of the factors previously mentioned.   

What Is High Blood Sugar

The is the amount of glucose in the blood. 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 it’s carried to each cell through the bloodstream.

Hyperglycemia is the medical word for high blood sugar levels. High blood sugar levels happen when the body either can’t make insulin or can’t respond to insulin properly . The body needs insulin so glucose in the blood can enter the cells of the body where it can be used for energy. In people who have developed diabetes, glucose builds up in the blood, resulting in hyperglycemia.

Having too much sugar in the blood for long periods of time can cause serious health problems if it’s not treated. Hyperglycemia can damage the vessels that supply blood to vital organs, which can increase the risk of heart disease and stroke, kidney disease, vision problems, and nerve problems. These problems don’t usually show up in kids or teens who have had the disease for only a few years. But they can happen in adulthood in some people with diabetes, particularly if they haven’t managed or controlled their diabetes well.

Blood sugar levels are considered high when they’re above your target range. Your diabetes health care team will let you know what your target blood sugar levels are.

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What Else Can I Do To Help Manage My Blood Sugar Levels

Eating a healthy diet with plenty of fruit and vegetables, maintaining a healthy weight, and getting regular physical activity can all help. Other tips include:

• Keep track of your blood sugar levels to see what makes them go up or down.
• Eat at regular times, and dont skip meals.
• Choose foods lower in calories, saturated fat, trans fat, sugar, and salt.
• Track your food, drink, and physical activity.
• Drink water instead of juice or soda.
• Limit alcoholic drinks.
• For a sweet treat, choose fruit.
• Control your food portions .

Strike The Spike Ii: How To Manage High Blood Glucose After Meals

Dealing With High Blood Sugar After Meals

Several years ago, I wrote an article for Diabetes Self-Management about the management of high blood glucose after meals. It was called Strike the Spike and no article Ive ever written has led to greater reader response. To this day, I still receive calls and e-mails thanking me for offering practical answers to this perplexing challenge. Ive even been asked to speak on the topic at some major conferences. So when presented with the opportunity to readdress the issue, I jumped at the chance.

A lot has changed in recent years: we know more than ever about the harmful effects of after-meal blood sugar spikes, but we also have a number of potent new tools and techniques for preventing them. And now that I know how meaningful this topic is to so many people, Ill do my absolute best to provide some answers.

How Do Carbs Affect Blood Sugar

Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. You can still eat carbs if you have diabetes. The amount you can have and stay in your target blood sugar range depends on your age, weight, activity level, and other factors. Counting carbs in foods and drinks is an important tool for managing blood sugar levels. Make sure to talk to your health care team about the best carb goals for you.

What If It Goes Untreated

Hyperglycemia can be a serious problem if you don’t treat it, so it’s important to treat as soon as you detect it. If you fail to treat hyperglycemia, a condition called ketoacidosis  could occur. Ketoacidosis develops when your body doesn’t have enough insulin. Without insulin, your body can’t use glucose for fuel, so your body breaks down fats to use for energy.

When your body breaks down fats, waste products called ketones are produced. Your body cannot tolerate large amounts of ketones and will try to get rid of them through the urine. Unfortunately, the body cannot release all the ketones and they build up in your blood, which can lead to ketoacidosis.

Ketoacidosis is life-threatening and needs immediate treatment. Symptoms include:

• Shortness of breath

Talk to your doctor about how to handle this condition.

How Much Does Blood Sugar Increase After Eating

At this time the blood sugar level can reach 7.8 mmol/L in a healthy individual.

After the half-hour mark, the blood glucose level starts to fall as the sugar is absorbed from the blood into the cells of the body.

Its important to check your normal blood sugar level 1 hour after eating. For example, if you find that your blood sugar is 160 mg/dL after the meal, this equates to 8.9 mmol/L which means your blood sugar is high. Its an indication that you may need to seek medical treatment to control your blood sugar level.