What If I Have Severe Low Blood Glucose And Cant Treat Myself
Glucagona hormone that raises blood glucose levelsis the best way to treat severely low blood glucose. Available as an injection or a nasal spray, glucagon will quickly raise your blood glucose level. Your doctor can prescribe you a glucagon kit for use in case of an emergency.
If your blood glucose level drops very low, you wont be able to treat it by yourself. Be prepared to address severely low blood glucose by
- talking with your doctor or health care team about when and how to use a glucagon emergency kit. If you have an emergency kit, regularly check the date on the package to make sure it hasnt expired.
- teaching your family, friends, and coworkers when and how to give you glucagon. Tell them to call 911 right away after giving you glucagon or if you dont have a glucagon emergency kit with you.
- wearing a medical alert identification bracelet or pendant. A medical alert ID tells other people that you have diabetes and need care right away. Getting prompt care can help prevent the serious problems that low blood glucose levels can cause.
What You Can Do
Most of the sugar or glucose in your blood comes from carbohydrates. Carbohydrates are the sugars and starches in grains, beans, vegetables, fruit, milk and milk products, honey, and sugar. If you dont have diabetes and youre feeling the unpleasant effects of a drop in blood sugar, eat or drink something with carbohydrates. Good choices are a piece of fruit, a few whole wheat crackers, a glass of milk, or a carton of yogurt.
In people with diabetes, hypoglycemia can come on suddenly and needs to be treated right away so it doesnt get worse. Eat or drink a quickly digested carbohydrate food, such as:
½ cup fruit juice
½ cup of a regular soft drink
1 cup of milk
5 or 6 hard candies
4 or 5 saltine crackers
2 tablespoons of raisins
3 to 4 teaspoons of sugar or honey
3 or 4 glucose tablets or a serving of glucose gel
Each of these choices provides about 15 grams of carbohydrate. Wait for 15 or 20 minutes, then check your blood sugar with a blood glucose meter. If your blood sugar is still low, have another portion of carbohydrates.
What To Eat When You Have Low Blood Sugar
When your blood sugar dips, it can leave you feeling hungry, shaky, and lightheaded. This can happen to anyone who hasnt eaten in several hours. When blood sugar drops below normal levels, its called hypoglycemia. In people with , hypoglycemia can be a life-threatening complication of diabetes medication, other health problems like infection, or inadequate caloric intake.
You can lower your chances of low blood sugarand treat it when it occurswith some simple steps.
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Signs Of Low Blood Sugar
With hypoglycemia, the blood sugar falls below the normal, healthy levels mentioned earlier, which can occur for a variety of reasons.
“Although some people with blood sugar problems may not experience symptoms,” Dr. Aldasouqi continued, “there are some key things to look out for. For those with low blood sugar, someone might have symptoms like anxiety, sweating, increased heart rate, confusion, and may go into what is called ‘a hypoglycemic coma’… The term ‘diabetic coma’ is also used by some.”
Other symptoms of low blood sugar may include:
- Tingling or numb lips, tongue or cheek
- Blurry vision
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.
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After You Have Low Blood Sugar
If your low blood sugar was mild , you can return to your normal activities once your blood sugar is back in its target range.
After you have low blood sugar, your early symptoms for low blood sugar are less noticeable for 48 to 72 hours. Be sure to check your blood sugar more often to keep it from getting too low again, especially before eating, physical activity, or driving a car.
If you used glucagon because of a severe low , immediately call your doctor for emergency medical treatment. If you have had lows several times close together , you should also tell you doctor. They may want to change your diabetes plan.
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.
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Keep Asking Questions Until You Get The Answer You Need
The Medical Experts are all here to answer your questions online or with a phone call.
Other disorders like adrenal insufficiency, thyroid disorder, pituitary disorder, kidney disease, pancreatic, liver disease, liver tumor, and pancreatic tumor also increase the risk of low blood sugar.
In America, people are vulnerable to low blood sugar because of using too many sugars, tobacco, alcohol, and caffeine.
Low blood sugar can happen when you have a high level of stress. Stress makes the body release adrenaline that stimulates the production of glucose. It is a reason why a highly-stressful lifestyle may lead to the recurrence of low blood sugar issues.
II Symptoms Of Low Blood Sugar
If you notice the early signs of low blood sugar like numbness, trembling, nausea, headache, blurred vision, painful eyes, dizziness, irritability, insomnia, heart palpations, fatigue, rapid heartbeats, anxiety, and sweating, you can treat it soon and properly.
However, if the blood sugar levels are 70 ml/dl, you cannot notice any previous symptoms.
When the blood sugar levels reach the dangerous abnormal levels, the brain function is affected. And you can see the serious symptoms such as confusion, behavioral changes, drowsiness, coma, and seizures.
Therefore, it is important for you to consult your doctor soon if you notice any serious symptoms of the low blood sugar.
Is It An Emergency
If you or someone in your care has chest pains, difficulty breathing, or severe bleeding, it could be a life-threatening emergency. Call 9-1-1 or the local emergency number immediately.
If you are concerned about a possible poisoning or exposure to a toxic substance, call Poison Control now at 1-800-567-8911.
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Treating An Episode Of Hypoglycaemia
The immediate treatment for hypoglycaemia is to have some sugary food or drink to end the attack.
For example, this could be:
- a glass of fruit juice or non-diet soft drink
- between three and five dextrose tablets
- a handful of sweets
At first you should avoid fatty foods and drinks, such as chocolate and milk, because they don’t usually contain as much sugar and the sugar they do contain may be absorbed more slowly.
After having something sugary, you should have a longer-acting carbohydrate food, such as a few biscuits, a cereal bar, a piece of fruit or a sandwich.
It will usually take around 15 minutes to recover from a mild episode of hypoglycaemia. If you have a blood glucose meter, measure your blood sugar again after 15 to 20 minutes. If it’s still too low , you should have some more sugary food or a drink before testing your levels again in another 15 to 20 minutes.
When treating someone else with hypoglycaemia, if the above treatment isn’t effective, you may be able to help them by applying glucose gel to the inside of their cheeks, and gently massaging the outside of their cheeks.
It may take 10 to 15 minutes before they feel better. This shouldn’t be done if the person is drowsy or unconscious because of the risk of choking.
Treatment Plan For Lows
*** Remember that IOB calculations CANNOT be accurate unless your Active Insulin Time or Duration of Insulin Action time is set to at least 4.5 hours or LONGER!
More grams of carbs than these will likely be needed:
- If you forget and take 2 boluses/injections for a meal, or
- If you took a meal bolus but never ate the meal .
Quick treatment reduces stress hormone release and the chances of your glucose rising sharply afterward. Plus youll quickly feel better and your brain, muscles, and cells will thank you for resupplying the fuel that shortens their misery.
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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.
Preventing A Low Blood Sugar Level
If you have diabetes, you can reduce your chance of getting a low blood sugar level if you:
- Check your blood sugar level regularly and be aware of the symptoms of a low blood sugar level so you can treat it quickly.
- Always carry a sugary snack or drink with you, such as glucose tablets, a carton of fruit juice or some sweets. If you have a glucagon injection kit, always keep it with you.
- Do not skip meals.
- Be careful when drinking alcohol. Do not drink large amounts, check your blood sugar level regularly, and eat a carbohydrate snack afterwards.
- Be careful when exercising eating a carbohydrate snack before exercise can help to reduce the risk of a hypo. If you take some types of diabetes medicine, your doctor may recommend you take a lower dose before or after doing intense exercise.
- Have a carbohydrate snack, such as toast, if your blood sugar level drops too low while you’re asleep
If you keep getting a low blood sugar level, talk to your diabetes care team about things you can do to help prevent it.
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Some Tips To Keep In Mind When Treating A Low Blood Sugar:
- Avoid eating anything that contains fat, such as a chocolate bar, ice cream, or peanut butter. Fat slows down how fast you absorb sugar and wont raise your blood sugar fast enough.
- Avoid anything too high in fiber, such as a high-fiber cereal or beans or lentils like fat, fiber also slows down sugar absorption.
- Try not to overtreat, as this can cause your blood sugar to go too high later. Try to stick with the rule of 15, and keep in mind that it takes time for your blood sugar to rise. Give your treatment time to work.
If your blood sugar is below 54 mg/dl, you need to treat this very quickly. Otherwise, severe hypoglycemia can occur. If you are confused, disoriented, vomiting, or unable to swallow, glucagon is the best and safest way to treat low blood sugar. Glucagon is a hormone that raises blood sugar. In most cases, a family member or someone close to you will need to give you glucagon.
Glucagon is available by prescription and comes in forms that can be injected or given as a nasal spray. Someone else should be trained on when and how to give you glucagon. If youre at risk for severe hypoglycemia, talk with your provider about getting a prescription for glucagon. Also, check with your health plan as to which form of glucagon is covered.
What Causes Low Blood Glucose In People With Diabetes
Low blood glucose levels can be a side effect of insulin or some other medicines that help your pancreas release insulin into your blood. Taking these can lower your blood glucose level.
Two types of diabetes pills can cause low blood glucose
- sulfonylureas, usually taken once or twice per day, which increase insulin over several hours
- meglitinides, taken before meals to promote a short-term increase in insulin
The following may also lower your blood glucose level
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What Foods Can Help Raise Blood Sugar Fast
Because your blood sugar comes from the foods and beverages you consume, one of the easiest ways to raise your blood sugar fast is to grab a quick snack.
The American Diabetes Association recommends the 15-15 rule if your blood sugar dips below 70 mg/dL: Eat at least 15 grams of carbohydrates, then wait 15 minutes to recheck your blood sugar.
If youre still below 70 mg/dL, have another 15 grams of carbs, wait 15 minutes, and check your levels again.
Among the foods you can try for a quick blood sugar boost are:
- a piece of fruit, like a banana, apple, or orange
- 2 tablespoons of raisins
- 4 Starbursts
- 1 tablespoon of sugar in water
Foods that contain protein or fat, such as peanut butter, ice cream, and chocolate, may be helpful if your blood sugar level has dropped but isnt below 70 mg/dL.
These higher-fat foods, as well as whole-grain bread and other high-fiber foods, take longer to absorb into your bloodstream. Because of this, these foods wont raise your blood sugar as quickly as foods that have more simple carbohydrates.
Easy Ways To Lower Blood Sugar Levels Naturally
High blood sugar, also known as hyperglycemia, is associated with diabetes and prediabetes. Prediabetes is when your blood sugar is high, but not high enough to be classified as diabetes.
Your body usually manages your blood sugar levels by producing insulin, a hormone that allows your cells to use the circulating sugar in your blood. As such, insulin is the most important regulator of blood sugar levels .
However, multiple factors can impair blood sugar management and lead to hyperglycemia.
Internal causes for high blood sugar include when your liver produces too much glucose, your body makes too little insulin, or your body cant effectively use insulin. The latter is known as insulin resistance (
The Centers for Disease Control and Prevention reports that 13% of U.S. adults live with diabetes and that another 34.5% have prediabetes. This means that close to 50% of all U.S. adults have diabetes or prediabetes .
Blood sugar management is especially important for people with diabetes, as chronically high blood sugar levels can lead to limb and life threatening complications (
Increased insulin sensitivity means your cells can more effectively use the available sugar in your bloodstream.
Exercise also helps your muscles use blood sugar for energy and muscle contraction .
Whats more, researchers recommend doing so-called exercise snacks to lower blood sugar and prevent the damage that sitting all day can do .
How Can I Treat High Blood Sugar
Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:
- Be more active. Regular exercise can help keep your blood sugar levels on track. Important: dont exercise if ketones are present in your urine. This can make your blood sugar go even higher.
- Take medicine as instructed. If your blood sugar is often high, your doctor may change how much medicine you take or when you take it.
- Follow your diabetes meal plan. Ask your doctor or dietitian for help if youre having trouble sticking to it.
- Check your blood sugar as directed by your doctor. Check more often if youre sick or if youre concerned about high or low blood sugar.
- Talk to your doctor about adjusting how much insulin you take and what types of insulin to use.