My Sons Pump Malfunctioned Last Night In The Middle Of The Night And We Dont Know Exactly How Long He Was Not Receiving His Insulin He Woke Up With A High Glucose And An Episode Of Vomiting Being On Vacation We Did Not Have Ketostix But The Smell Of His Breath Gave Evidence To His High Ketones We Immediately Bolused Him Via Injection And Changed His Site We Continued Frequent Blood Sugar Checks And Started Pushing Fluids The Vomiting Continued For Two More Episodes And His Blood Sugar Finally Started Coming Down So He Stopped Vomiting And Was Able To Keep Fluids Down We Were With Extended Family Who Of Course Had Questions One Of The Questions Waswhy Do High Blood Sugars And Ketones Cause Vomiting I Realized That Even After Dealing With My Sons Illness For Eight Years And Working As An Icu Nurse And Treating Dka In Patients I Dont Know The Pathophysiology Of This Process My Guess Is It Has Something To Do With The Metabolic Changes And The Changeover To An Acid State In The Blood I Really Dont Know And I Cant Find The Answer Anywhere On The Net I Appreciate Any Information And Please Be As Technical As Youd Like
First of all, a big thumbs-up to you for managing this degree of probable DKA in a levelheaded and successful way. But….a big thumbs down for traveling without ketone strips or back-up insulin . I preach that if you have a pump, then there should be some insulin glargine available in case of pump malfunction/misbehavior. I presume you travel with your emergency glucagon kit? All these things should be together.
Your question, somewhat surprisingly to me, is not uncommon. Why do those pesky ketones come about and why do they cause vomiting? They come about because with lack of insulin , the body metabolism switches to “alternative energy sources” and this means the breakdown of fat! Fat, as you know, is “stored energy.” But some of the consequences of fat breakdown include the production of acetone, beta-hydroxy-butyrate, and acetoacetate. Together, these chemicals are called “ketones” and thus leads to “ketosis.” Also, fat break down and lack of insulin leads to the accumulation of “fatty acids” and other acids which leads to the “acidosis”. The “ketosis” essentially always precedes the “acidosis,” but when both do occur, that is “ketoacidosis.” And, if diabetes is the underlying cause, that is “Diabetic KetoAcidosis”– or DKA.
So, lessened learned for you, your family, and your son. Always have a back-up plan for potential pump failure. DKA can occur extremely rapidly if using an insulin pump – and the pump fails – as you just learned.
When You Have Diabetes Its Important To Know How To Cope When Youre Unwell Especially If You Have To Go Into Hospital
Being ill can upset your diabetes management, so you need to know what to do to keep your blood glucose levels as close to target as possible. Some people will know these as sick day rules.
You’ll need to know how to manage insulin or other diabetes medications, blood or urine tests, and your diet. This is really important if you go into hospital or if you need to take steroids as part of your treatment. Always tell the healthcare professionals treating you that you have diabetes.
How Are You Sweetening Your Coffee What You Add To Your Cup May Affect Your Blood Sugar Levels
Whether you were recently diagnosed with type 2 diabetes or have been living with the condition for several years, you know how fickle blood sugar levels can be, and how important it is that they stay controlled.
Proper blood sugar control is key for warding off potential diabetes complications, such as kidney disease, nerve damage, vision problems, stroke, and heart disease, according to the National Institutes of Health . Plus, keeping your levels in check on a daily basis can help you stay energized, focused, and in a good mood, explains Lisa McDermott, RD, CDCES, a diabetes specialist with the Pittsburgh-based Allegheny Health Network.
According to the American Diabetes Association , proper medication, effective meal planning, regular exercise, and regular blood sugar checks can all help you keep your levels within a healthy range. The ADA recommends blood glucose stay within 80 to 130 milligrams per deciliter before meals and below 180 mg/dL two hours after the start of a meal. Furthermore, the organization recommends getting an A1C test, which measures your average blood glucose over the past two to three months, at least twice per year if your levels are stable and you are meeting treatment goals.
Vomiting Nausea And Diarrhea Adjusting Your Diabetes Medication
Vomiting, nausea, and diarrhea are most commonly caused by bacterial or viral infections sometimes associated with flu-like illness. An essential part of treatment is to stop eating. Since you can certainly survive a few days without eating, this should pose no problem. But if you’re not eating, it makes sense to ask what dose of insulin or ISA you should take.
Adjusting Your Diabetes MedicationIf you’re on one of the medication regimens described in this book, the answer is simple: you take the amount and type of medication that you’d normally take to cover the basal, or fasting, state and skip any doses that are intended to cover meals. If, for example, you ordinarily take detemir or glargine as basal insulin upon arising and at bedtime, and regular or lispro insulin before meals, you’d continue the basal insulin and skip the preprandial regular or lispro for those meals you won’t be eating. Similarly, if you take an ISA on arising and/or at bedtime for the fasting state, and again to cover meals, you skip the doses for those meals that you do not plan to eat.
In both of the above cases, it’s essential that the medications used for the fasting state continue at their full doses. This is in direct contradiction to traditional “sick day” treatment, but it’s a major reason why patients who carefully follow our regimens should not develop DKA or hyperosmolar coma when they are ill.
To each quart of liquid, add:
High Blood Sugar: 13 Reasons Your Glucose Levels Are Rising
Itâ€™s a fact of life that blood sugar fluctuates throughout the day. These ups and downs depend on a handful of factors, like when you wake up, what you eat, the medications you take, and how you manage stress. So, some variation is normal, to the point that you might not even notice it.Â
Ignoring blood sugar level changes altogether, though, means youâ€™re ignoring a valuable marker of your health. Especially if you start to have new or unfamiliar symptoms like fatigue, thirst, or brain fog . Learning these symptoms and their causes will give you the tools to better understand your own body, then take the right actions for better long-term metabolic health.Â Â Â Â Â Â
Symptoms Of High Blood Sugar: Everything You Need To Know
High blood sugars can come on slowly or quickly depending on the type of diabetes you have and the cause of that particular high.
In fact, your blood sugars may have been sitting at a higher-than-normal level for so long that you don’t really even feel the symptoms of it at all.
Compared to low blood sugars , high blood sugars are much more difficult to spot or even notice. They also take longer to correct, and while they carry less immediate danger compared to lows, they have the potential cause much more long-term damage throughout your entire body.
Let’s take a closer look at the causes and symptoms of high blood sugar levels.
Managing Stomach Viruses The Flu And Repeated Vomiting
If you are a person with type 1 diabetes and you get a stomach virus that causes you to repeatedly vomit — which means you are unable to keep food or water down — you need to visit an emergency room immediately. If you have a glucagon kit, consider using it to prevent severe low blood sugar until you are being cared for in an emergency room.
What Is The Connection Between Blood Sugar And Nausea
Blood sugar and nausea are linked due to the fact that abnormal blood sugar levels can cause a person to feel nauseous. For example, a person may feel nauseous during a time when his blood sugar levels are too high, which is referred to as hyperglycemia. On the other hand, a person may also feel nauseous when his blood sugar is too low, which is referred to as hypoglycemia. In either case, nausea is a symptom of abnormal levels of blood sugar, also called glucose, in a person’s bloodstream.
In many cases, nausea is the result of high blood sugar. When a person has high blood sugar, he is said to have hyperglycemia. Typically, the human body makes insulin, which is used in moving glucose from the blood into a person’s cells, where it is used for energy. When the body doesn’t produce suitable amounts of insulin, however, a surplus of sugar is left in the person’s bloodstream; as a result, the person may develop symptoms of hyperglycemia. This is one way in which blood sugar and nausea are connected.
How To Treat Someone Who’s Unconscious Or Very Sleepy
Follow these steps:
They may need to go to hospital if they’re being sick , or their blood sugar level drops again.
Tell your diabetes care team if you ever have a severe hypo that caused you to lose consciousness.
What Is The Connection Between Diabetes And Vomiting
There are a number of different connections between diabetes and vomiting. Since there are a multitude of reasons why a patient with diabetes could have vomiting, it is important to check with a doctor in order to verify the reason for developing this symptom. One of the most dangerous links is diabetic ketoacidosis, which is a life-threatening condition that develops from uncontrolled diabetes. Patients with long-standing diabetes can also develop a disorder called gastroparesis. Side effects from medication is another reason why patients with diabetes could have nausea or vomiting.
Perhaps the most dangerous connection between diabetes and vomiting occurs when the underlying diabetes is uncontrolled and a condition called diabetic ketoacidosis emerges. This develops when the levels of blood sugar are high, but paradoxically the cells of the body do not have enough sugar because the body’s insulin is not working properly. As a result, the body starts metabolizing other substances for food. Due to this, the blood becomes more acidic, and symptoms including nausea, vomiting, fatigue, drowsiness, increased urination, and increased thirst develop. Without treatment, this condition can be fatal, so when considering the combination of diabetes and vomiting, diabetic ketoacidosis should always be ruled out.
Digestive Ailments Are Common In Those With Diabetes
In a study published in 2018, researchers asked 706 individuals with type 1 diabetes, and 604 individuals without diabetes, a series of questions about their gastrointestinal symptoms and quality of life.13 They found that lower gastrointestinal symptoms – including constipation, diarrhea, abdominal pain, bloating, intestinal gas, and floating stools – were much more common in the individuals with diabetes, especially diarrhea and constipation, which were twice as likely in those with diabetes. These symptoms were associated with lower quality of life and poor glycemic control. However, the researchers were able to identify, and treat accordingly, the cause of diarrhea in 72% of cases, leading to a better outcome for the patients. If you have diabetes and experience digestive symptoms, make sure to let your health care team know so that you can work together to manage these symptoms.
How To Treat Someone Who’s Having A Seizure Or Fit
Follow these steps if someone has a seizure or fit caused by a low blood sugar level:
Tell your diabetes care team if you ever have a severe hypo that caused you to have a seizure or fit.
Can Diabetic Ketoacidosis Be Prevented Or Avoided
If you have diabetes, there are some things you can do to watch for diabetic ketoacidosis. When you’re sick, watch your blood sugar level very closely so it doesn’t get too high or too low. Ask your doctor what your critical blood sugar level is. Most patients should watch their glucose levels closely when they are more than 250 mg per dL.
When you’re sick or stressed, you should check your blood sugar level more often than normal . If your blood sugar reaches a critical level, check it every 1 to 2 hours. Ask your doctor if you should test your blood sugar level during the night.
You should also test your urine for ketones every few hours if you’re sick, stressed, or if your blood sugar level is more than 250 mg per dL.
You should talk to your doctor to develop a plan if your blood sugar level gets too high. Make sure that you know how to reach your doctor in an emergency.
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 isn’t 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.
Type 1 Diabetes And Your Child: High Blood Sugar
High blood sugar happens when there is too much sugar in the blood. Having high blood glucose often increases the chance of developing complications from diabetes. Controlling blood glucose helps prevent complications. High blood glucose can result from the following:
Using too little insulin
Using insulin that’s not stored properly or that’s past the expiration date
Eating too much food
Being less active than usual
Being under extra stress
Body’s response to low blood glucose
Hormonal changes during puberty
Hyperosmolar Hyperglycemic Nonketotic Syndrome
This mostly affects elderly people. As glucose builds up in your blood, your body tries to get rid of it through your urine.
At first, you pee a lot. Over time, you pee less, but when you do, it’s very dark. This condition can lead to dehydration, coma, and death.
Get medical help right away if you have any of these warning signs:
- Blood sugar level over 600 mg/dL
- Extreme thirst that may later go away
- Warm, dry skin that doesn’t sweat
- Fever over 101 F
How To Treat A Low Blood Sugar Level Yourself
Follow these steps if your blood sugar level is less than 4mmol/L or you have hypo symptoms:
You do not usually need to get medical help once you’re feeling better if you only have a few hypos.
But tell your diabetes team if you keep having hypos or if you stop having symptoms when your blood sugar level is low.
I Feel Fine So I Dont Need To Test My Levels
Zanini points out that having high blood glucose can come as a surprise to anyone. â€œIt’s possible they didn’t notice any symptoms or were simply feeling ‘more tired than usual,â€™â€? she says. â€œIt’s easy to attribute being tired to many other things. . .so this is why regular physicals with your healthcare provider are important.â€? The bottom line? Listen to your body, take note of symptoms as they arise, and consider monitoring your continuous glucose values.
Stick To Your Medication And Insulin Regimen
Skipping a dose of medication or insulin can be harmful to your body and increase your blood sugar levels.
It’s important to stick to your treatment plan and follow your doctor’s instructions for taking your medication.
Healthful lifestyle habits can help people manage their blood sugar levels over the long term, such as eating a balanced diet, getting regular exercise, staying hydrated, and getting good sleep.
Just How Blood Sugar Level Affects Your Body
When you have diabetics issues, your blood sugar degrees might be continually high. In time, this can harm your body as well as lead to numerous other troubles.
What does it cost? sugar in the blood is way too much? And also why is high glucose so bad for you? Below’s a consider exactly how your levels impact your health.
How Does Illness Affect Blood Sugar Levels
When you get sick — whether it’s a minor illness like a cold or a bigger problem — the body sees the illness as stress. To deal with the stress, it releases hormones that increase sugar in the blood.
In one way, this is good because it helps supply the extra fuel the body needs. But in a person with diabetes, it can lead to blood sugar levels that are too high. Some illnesses cause the opposite problem. If you don’t feel like eating or have nausea or vomiting, and you’re taking the same amount of insulin you normally do, your blood sugar levels can get too low.
Blood sugar levels can be very unpredictable when you’re sick. Because you can’t be sure how the illness will affect them, it’s important to check blood sugar levels often on sick days and change your insulin doses as needed.
Should I Keep Taking Insulin When Im Sick
You should keep taking your insulin, even if you are too sick to eat. Your body needs insulin even if you’re not eating. Ask your doctor whether it’s necessary to adjust your dose or take extra insulin.
If you use an insulin pump, keep a variety of supplies on hand. Make sure that you have short-acting insulin, long-acting insulin, and needles in case your pump is not working right. You also should have an emergency phone number to call for help with your pump.
Natural Treatment For High Blood Pressure
Preventing high blood pressure is key, however, there are natural treatment options available that could help to reduce your blood pressure.
? Managing stress with meditation or deep-breathing exercises? Quit smoking? Eating more food rich in calcium and magnesium
Eating foods rich in potassium can help
In Addition to the options listed above, there are several natural supplements that may also help to lower blood pressure or prevent it from elevating, to begin with.
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 don’t have diabetes and have any of the signs and symptoms of hyperglycemia, call your healthcare provider. Together you can work to manage your hyperglycemia.
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.
What Are Risk Factors For Hyperglycemia
Major risk factors for hyperglycemia are:
- You have a family history of type 2 diabetes.
- You are African American, Native American, Hispanic or Asian American.
- You are overweight.
- You have high blood pressure or cholesterol.
- You have polycystic ovarian syndrome .
- You have a history of gestational diabetes.
Being Dehydrated When You Have Diabetes
Having a temperature or being sick can lead to dehydration. In some cases, severe dehydration and very high blood sugar levels can mean that you need to go into hospital.
So it’s important to be prepared and follow our advice on coping when you’re sick. You might want to give this information to a friend or family member, so they can help you if you get sick.
Only Diabetics Get High Glucose Values
While a high glucose value can indicate diabetes, nondiabetics can also have higher values than normal. When researchers studied people wearing a continuous glucose monitor who did not have a diabetes diagnosis, they found 93% of individuals reached glucose levels that are considered dangerous, with 10% spending over 2 hours per day in these dangerous levels. Traditional glucose measurements, like a single point in time blood glucose value, are unable to capture these abnormalities.Â
There are actually several causes of high blood sugar unrelated to diabetes that the CDC recognizes. These include certain foods, like artificial sweeteners and coffee. Other factors like stress can do it, too. If you live with an endocrine or pancreatic condition, had surgery recently, or are experiencing intense physical stress , you may also see your glucose value rise.Â
If My A1c Is Normal My Glucose Is Good
An A1C result thatâ€™s below 5.7% is normal â€™s standards, but having a result below that number isnâ€™t the end of the story. Pregnancy, hemoglobin variants, anemia, liver disease, and certain medications can cause inaccurate A1C results.Â
Additionally, the A1C test is measuring your average glucose value over the past 3 months, but averages inherently do not capture highs and lows. So, you could have a normal average while also having abnormal glucose spikes. The A1C test should only supplement your regular blood sugar testing, not replace it completely.