How Can I Prevent High Blood Sugar
You may not be able to prevent high blood sugar, but the following steps may help you manage your blood sugar:
- Follow a healthy eating plan. Limit foods that have a lot of sugar and fat. Try to eat at regular times each day.
- Exercise regularly. Exercise can help you manage your blood glucose if you have diabetes.
- Ask your doctor about medicines to help lower your risk of getting diabetes complications.
- use supplements to lower blood sugar support
What tips can I follow to prevent high sugar levels?
Tips include: Take your diabetes medications exactly as directed. Watch for signs that your blood sugar is too high or too low.
High Blood Sugar Over Time Leads To:
- Kidney damage and kidney failure
- Blood vessel damage that can cause heart attacks and strokes
- Eye disease that can cause poor vision or blindness
- Nerve damage that can cause pain like pins and needles in the feet
- Sores on the feet or legs that do not heal and could lead to removal of a toe, foot, or leg
- Sexual problems, such as not being able to get an erection
Taking care of your diabetes and keeping most of your blood sugars near the normal range throughout your life lowers your chance for these long-term problems.
How Is It Determined If The Dawn Phenomenon Or Somogyi Effect Is Causing The High Blood Sugar Levels
Your doctor will likely ask you to check your blood sugar levels between 2 a.m. and 3 a.m. for several nights in a row. If your blood sugar is consistently low during this time, the Somogyi effect is suspected. If the blood sugar is normal during this time period, the dawn phenomenon is more likely to be the cause.
Some additional clues that the Somogyi effect may be the cause include nightmares, restless sleep and overnight sweating as these are all signs of low blood sugar levels.
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Who Is At Risk For Diabetes During Pregnancy
The risk factors for diabetes in pregnancy depend on the type of diabetes:
Type 1 diabetes often;occurs;in children or young adults, but it can start at any age.
Overweight women are more likely to have Type 2 diabetes.;
Overweight women are more likely to have gestational diabetes. Its also more common in women who have had gestational diabetes before. And its more common in women who have a family member with Type 2 diabetes. Women with twins or other multiples are also more likely to have it. ;
What Causes High Blood Sugar Levels
Managing diabetes is like a three-way balancing act because you have to watch:
All three need to be balanced. If any one of these is off, blood sugar levels can be too. In general, higher than normal blood glucose levels can be caused by:
- not taking your diabetes medicine when you’re supposed to or not taking the right amounts
- not following the meal plan
- not getting enough exercise
- having an illness, like the flu
- taking other kinds of medicines that affect how your diabetes medicines work
A single high blood sugar reading usually isn’t cause for alarm it happens to everyone with diabetes from time to time. But if you have high blood sugar levels a lot, let your parents and your diabetes health care team know. Insulin or meal plans may need adjusting, or you may have an equipment issue, like an insulin pump that isn’t working right. Whatever the case, make sure you get help so you can get your blood sugar levels back under control.
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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.
What Are The Symptoms Of Hyperglycemia
The signs and symptoms include the following:
- High blood sugar
- High levels of sugar in the;urine
- Frequent urination
- Increased thirst
Part of managing your diabetes is;checking your blood sugar;often. Ask your doctor how often you should check and what your blood sugar levels should be. Checking your blood and then treating high blood sugar early will help you avoid problems associated with hyperglycemia.
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Can Hyperglycemia Be Treated
Your doctor may recommend a low-impact exercise program as your first line of defense. If youre already following a fitness plan, they may recommend that you increase your overall level of activity.
Your doctor may also suggest that you eliminate glucose-rich foods from your diet. Its important to maintain a balanced diet and stick to healthy food portions. If you arent sure where to begin, your doctor can refer you to a dietician or nutritionist who can help you establish a diet plan.
If these changes dont help lower your high blood sugar, your doctor may prescribe medication. If you have diabetes, your doctor may prescribe oral medications or change the amount or type of insulin youve already been prescribed.
Different Levels And What They Mean
The ranges of safe levels of blood glucose depend on factors such as what time of day it is and when you last ate. Safe levels of blood sugar are high enough to supply your organs with the sugar they need, but low enough to prevent symptoms of hyperglycemia or complications of diabetes which follow the National Institute of Diabetes and Digestive and Kidney Diseases guides. Dangerous levels of blood glucose are outside of this range.
The target levels can also vary if you have diabetes. For example, if you are diabetic and are monitoring your blood sugar, you might get a reading of 65 mg/dl. That is considered to be mild hypoglycemia, and you would be wise to eat 15 grams of fast-acting carbohydrates and retest your blood sugar in 15 minutes.;
If you were not diabetic, you probably would not know that your sugar was low because you would not test and because you would not symptoms, and you would not act.
That is fine because your body is capable, under normal circumstances, of raising your blood glucose to healthy levels when needed, even if you have not eaten. It is important to keep them in control to help prevent issues like heart disease or nerve damage.
Looking for the best prediabetes diet? Learn what foods are best to help you manage your prediabetes.
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How To Test For Ketones
You can use a urine test strip or blood ketone meter and ketone test strip to test for ketones at home. Testing either urine or blood is important, but when possible, a blood test is preferred because it gives you and your care team more precise information about your ketone levels. Because urine may have been in the bladder for some time, the results from these tests may show levels that are either higher or lower than the ketone levels that are actually circulating in your body. It is also very important to know that urine test trips degrade over time, so if you are using this method, you need to look at expiration dates carefully.
Your diabetes care team can give you specific directions about when you should check for ketones, but in general, you should check for them when your blood glucose is 240 mg/dL or higher. You should also check for ketones if you notice any of the DKA symptoms listed above or if you are sick ; it is possible to have ketones while your blood glucose levels are within range .
At-home urine test strips will change color to show the level of ketones in the urine. They typically report results as negative, trace, small, moderate or large. Blood ketone meters will provide a number that indicates the ketone levels. The following ranges are generally used:
Why Does Blood Sugar Go Up At Night
There are many factors that can cause your blood sugar to increase at night. For example: what food you ate during the day, how much and when you exercised, whether you ate snacks before bed, the timing of your insulin doses, and your stress level. You can experience different patterns of high blood sugar at night. You may start with high glucose when you go to bed, start the night in range but go high several hours later, or spend most of the night in range until the hours just before you wake up. By identifying your bodys patterns, you can figure out what is causing your high blood sugar and how to address it.
Common causes of a glucose increase at night include:
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Blood Sugar Level Chart By Age
Blood sugar levels tend to rise with age due to an increase in insulin resistance and decrease in insulin sensitivity. In one study by the National Health Institute , each extra decade of age was linked to a 2.7 mg/dl increase in fasting glucose, and a 4.5 mg/dl increase in 2-hour post-prandial glucose levels.
Moderate To Severe High Blood Sugar
Moderate to severe symptoms of high blood sugar 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 odour.
- 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.
Choose The Right Insulin
The right insulin program can make or break your ability to control after-meal spikes. In general, insulins and other medicines that work quickly and for a short time will work better than those that work slowly over a prolonged period.
For instance, rapid-acting insulin analogs , which start working 1015 minutes after injection and peak in about an hour, will cover the after-meal blood glucose rises much better than Regular insulin, which takes 30 minutes to begin working and 23 hours to peak.
Newer ultra-rapid insulins, such as Fiasp , works even faster, with an onset and peak occurring 810 minutes earlier than traditional rapid-acting insulins.
The way insulin is administered can dramatically affect its speed of action. Afrezza is an inhaled insulin formulation that can be used at mealtimes. Because the dry powder is absorbed through the lungs , its onset and peak are much earlier than injected insulin .
Research has also shown that injected insulin can work much faster when the injection site is warmed. This can be accomplished by rubbing the site, immersing in warm water or exercising the muscle near the site. Warming the site causes the blood vessels near the skin to dilate, which allows the insulin to absorb more quickly. By the way, smoking causes the blood vessels to constrict, so quitting smoking might improve your post-meal blood sugar .
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What Causes Diabetes During Pregnancy
Some women have diabetes before they get pregnant. This is called pregestational diabetes. Other women may get a type of diabetes that only happens in pregnancy. This is called gestational diabetes. Pregnancy can change how a woman’s body uses glucose. This can make diabetes worse, or lead to gestational diabetes.;
During pregnancy, an organ called the placenta gives a growing baby nutrients and oxygen. The placenta also makes hormones. In late;pregnancy, the hormones estrogen, cortisol, and human placental lactogen can;block;insulin.;When insulin is blocked, its called insulin resistance. Glucose can’t go into the bodys cells. The glucose stays in the blood;and makes the blood sugar levels go up.
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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.
Eating a light breakfast can help keep a morning high from increasing even more. Taking your mealtime insulin will help lower your blood sugar.
Adam Brown suggests eating a breakfast that is low in carbs, and notes that sometimes mealtime insulin has to be adjusted in the morning. One of his favorite breakfasts is chia pudding, since it has little impact on glucose levels; see what else he eats for breakfast here.
Catherine Newman has six popular, low-carb, delicious recipes in The Morning Meal.
Intermittent fasting and time-restricted feeding approaches to meal timing can also help people keep morning blood sugar levels in range. Read Justine Szafrans Intermittent Fasting: Stabilizing My Morning Blood Sugars to learn more.
For additional ways to navigate mornings, read seven strategies from Adam Brown in A Home Run Breakfast with Diabetes.
This article is part of a series on time in range.;
Controlled Means Different Things To Different People
Theres no one-size-fits-all recommendation for blood sugar control.
The ADA says that a reasonable goal for many nonpregnant adults is to aim for an A1C level of less than 7. Yet some patients may be given a more stringent goal by their healthcare providers, such as 6.5, if thats reachable without harmful side effects, including hypoglycemia.
On the other hand, if you are elderly, managing other health complications, or reliant on insulin, you may be given less stringent goals. It really becomes more important to just keep in the same place, says Rahil Bandukwala, DO, an endocrinologist at MemorialCare Saddleback Medical Center in Laguna Hills, California. Keeping A1C between 7.5 and 8.5 may be very reasonable for such a patient, Dr. Bandukwala adds, echoing the ADAs recommendations.
Because elderly people are more likely to have blood sugar that swings too far downward, with fewer warning signs, managing their glucose too tightly can put them at greater risk for hypoglycemia, says Bandukwala. When you have low blood sugar, youre at a higher risk for becoming dizzy and falling or passing out, notes the ADA.
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Low Blood Glucose: Hypoglycemia
Hypoglycemia can occur when blood glucose drops below normal levels or drops too quickly. Your blood glucose level is too low if it is under 70 mg/dL.
Hypoglycemia can be caused by:
- A combination of these factors
- Being more active than usual
- Drinking alcohol
- Eating at the wrong time for the medications you take
- Skipping or not finishing meals or snacks
- Taking too much diabetes medication
You can have hypoglycemia without any symptoms. That makes it important to check your blood glucose levels regularly. When hypoglycemia does cause symptoms, they can include:
- Being sweaty
Reflect On The Amount Of Sugar In Your Diet
Hyperglycemia occurs when there is too much glucose in the blood.
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.
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How Is Diabetes During Pregnancy Treated
Treatment will depend on your symptoms, your age, and your general health. It will also depend on how severe the condition is.
Treatment focuses on keeping blood glucose levels in the normal range, and may include:
A careful diet with low amounts of carbohydrate foods and drinks
Oral medicines for hypoglycemia;
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
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What Are Target Blood Sugar Levels For People With Diabetes
A target is something that you aim for or try to reach. Your health care team may also use the term goal. People with diabetes have blood sugar targets that they try to reach at different times of the day. These targets are:
- Right before your meal: 80 to 130
- Two hours after the start of the meal: Below 180
Talk with your health care team about what blood sugar numbers are right for you.