How Can I Prevent Hypoglycemic Episodes
The key to preventing hypoglycemic events is managing diabetes:
- Follow your healthcare providers instructions about food and exercise.
- Track your blood sugar regularly, including before and after meals, before and after exercise and before bed.
- Take all your medications exactly as prescribed.
- When you do have a hypoglycemic event, write it down. Include details such as the time, what you ate recently, whether you exercised, the symptoms and your glucose level.
What Is Normal Blood Sugar
Normal blood sugar or blood glucose levels are between 80 and 130 mg/dL. That number is an average of what is normal for individuals with diabetes. When blood sugar levels are too high, the person may experience hyperglycemia. Hyperglycemia can be characterized by extreme thirst and urination, blurred vision, or shakiness, sweating, dizziness, or confusion. When the person has low blood glucose, they may experience hypoglycemia which can be characterized by sweating, dizziness, or confusion.
The range of normal blood glucose levels for people with diabetes is between 80-130 milligrams per deciliter . A persons individual level will depend on many factors including how old they are, their ethnicity, their weight and height, and the activity theyve performed recently.
How Are Low Blood Sugar Levels Treated
Your diabetes health care team will give you guidelines for treating low blood sugar levels, depending on your symptoms. If you can, try to test your blood sugar levels to make sure that your symptoms are because of hypoglycemia. If you can’t test blood sugar immediately, don’t delay in treating your symptoms you can always check your blood sugar after you’ve taken steps to get your blood sugar back up into the normal range.
When blood sugar levels are low, the goal is to get them back up quickly. To do that, you should take in sugar or sugary foods, which raise the blood sugar level quickly. Your health care team might suggest that you:
- Eat, drink, or take something that contains sugar that can get into the blood quickly. Your doctor may tell you to have really sugary foods or drinks or might give you glucose tablets or gel to take all of these can help to raise your blood sugar level fast, which is what you need to do when it’s low.
- Wait about 10 minutes to let the sugar work.
- Recheck your blood sugar level with a glucose meter to see if blood sugar levels are back to normal.
- Get a glucagon shot , if your symptoms are severe or get worse after you eat, drink, or take glucose.
Sometimes, blood sugar levels can get so low that you may not be awake enough to eat or drink something to get them back up. When this happens, you may need a glucagon shot.
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How Common Is Low Blood Glucose
Low blood glucose is common among people with type 1 diabetes and among people with type 2 diabetes who take insulin or some other diabetes medicines. In a large global study of people with diabetes who take insulin, 4 in 5 people with type 1 diabetes and nearly half of those with type 2 diabetes reported a low blood sugar event at least once over a 4-week period.2
Severely low blood glucose, defined as when your blood glucose level drops so low you cant treat it yourself, is less common. Among U.S. adults with diabetes who take insulin or some diabetes medicines that help the pancreas release insulin into the blood, 2 in 100 may develop severely low blood glucose each year.3
What Is The Outlook For People With Hypoglycemia
Hypoglycemia can be managed when you and your healthcare provider understand what causes your blood sugar to go down. Give your healthcare provider as much information as possible about any hypoglycemic episodes. Fixing the problem may be as simple as changing the times you take medication, eat and exercise. Minor changes to the types of food you eat may also help.
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Are Some Canadians At Higher Risk For Elevated Blood Sugar Levels Than Others
You may have a higher risk for elevated blood sugars and type 2 diabetes if you:
- Are 40 or years of age or older
- Have a close relative with diabetes
- Are of African, Arab, Asian, Hispanic, Indigenous or South Asian descent
- Are overweight
- Have been diagnosed with prediabetes
Some medical conditions can also increase your risk of type 2 diabetes, such as:
- High blood pressure or cholesterol levels
- Polycystic ovary syndrome
- Psychiatric disorders
- Sleep apnea
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.
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Easy Before Bed Routines For People With Diabetes
You might be surprised to learn what your blood sugar should be at bedtime. The range is usually 5.0-8.3 mmol/L , and its important to check what yours is before going to bed. Checking your blood sugar before you go to sleep will give you information about what caused any spikes or dips in the day that you might not have noticed. For instance, if your nighttime reading were high, this would tell us that something may have happened during the day that could affect your diabetes management plan.
Creating a bed routine can also be helpful if your blood sugar at bedtime is higher than what youd like it to be. For instance, rather than eating or drinking anything sweet before bedtime and then checking how what should happen next for diabetes management will depend on what the readings are in the morning, try adding this into a routine:
- Always check your bloog glucose levels with a glucose meter or your CGM
- Eat dinner earlier in the evening
- Don’t drink sugar-sweetened beverages before bedtime
- Eating a nitrile snack before bed helps maintain your blood sugar normal and prevents your liver from releasing excess glucose
- Limit alcoholic beverages to the extent they disturb sleep
- Too close to bed exercises often can cause poor sleeping habits
- Avoid eating caffeine within several hours of going to bed
- Take medicine if needed to lower your blood sugar levels, but dont take too much insulin so you wont have a low reading in the morning.
Key Points About Hypoglycemia In Children
Hypoglycemia occurs when the blood glucose is too low to fuel the brain and the body.
It may be a condition by itself, or may be a complication of diabetes or another disorder.
To treat low blood glucose right away, your child should eat or drink something with sugar, such as orange juice, milk, cake icing, or a hard candy. They should follow with food with complex carbohydrates, fat, and protein, such as a peanut butter sandwich on whole-grain bread.
Severe or long-lasting hypoglycemia may result in seizures and serious brain injury.
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Your Diabetes Devices And Hypoglycemia
Several insulin pumps are now available that make managing blood sugar levels easier, particularly when connected to a glucose meter or a CGM.
Some of the most important advantages of CGM devices are the improved insulin control and the ability to detect trends and lows early. With improved technology, it is now possible for parents to track blood sugar trends in their kids even when they are hundreds of miles apart .
In addition, automated insulin delivery systems, also known an artificial pancreas or a hybrid closed-loop system, will automatically adjust insulin to match your bodys need to help you spend more time in your target range.
Resources that provide people with T1D and their families with more detailed information about pumps and CGM devices are available through JDRF here. For people looking for a deeper understanding of technology that helps people with T1D better manage their blood sugar, JDRF resources are available here.
What If The 15
If you dont feel better after three tries, or if your symptoms get worse, call your healthcare provider or 911. Healthcare providers can use a medication called glucagon. They inject it with a needle or squirt it up your nose. Glucagon is also available for home use. Your healthcare provider can prescribe it and teach a family member or friend how to use it in the event of severe hypoglycemia.
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How Can You Prevent Low Blood Sugar
The best way to prevent glucose levels that are too low is to practice careful diabetes management, checking your glucose often , and learning to recognize its early symptoms. Pay attention to the helpful arrows on your blood glucose meter or CGM if the arrow is pointing down, youll want to monitor your blood sugar to make sure you dont go low.
Checking For Low Blood Sugar Levels
The warning signs of hypoglycemia are the body’s natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:
- start shaking
- have an increased heart rate
If the hypoglycemia isn’t treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if you’re having a low blood sugar level is to test. Blood sugar levels can be tested with a . This computerized device measures and displays the amount of glucose in a blood sample. But if you can’t quickly check your blood sugar level, it’s important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.
Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline is not just released when blood sugar drops too low it’s also released when blood sugar levels fall quickly when they’re too high. If you’re having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if you’re having a false reaction.
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What Can Cause Low Blood Sugar Levels
Some things that can make low blood sugar levels more likely are:
- skipping meals and snacks
- not eating enough food during a meal or snack
- exercising longer or harder than usual without eating some extra food
- getting too much insulin
- not timing the insulin doses properly with meals, snacks, and exercise
Also, some things may increase how quickly insulin gets absorbed into the bloodstream and can make hypoglycemia more likely. These include:
- taking a hot shower or bath right after having an insulin injection increases blood flow through the blood vessels in the skin, which can make the insulin be absorbed more quickly than usual
- injecting the shot into a muscle instead of the fatty layer under the skin
- injecting the insulin into a part of the body used a lot in a particular sport .
All of these situations increase the chances that a person may get hypoglycemia.
How To Test Your Blood Sugar At Home
To perform a blood sugar test, you will need to prick your finger with a lancet . Youll put a small sample of blood from this onto a strip inserted into the blood glucose meter.
Before you test your blood sugar at home, its important to find out from your doctor what a healthy blood sugar range is for you. Your doctor will determine this range based on factors such as:
- the type of diabetes you have
- how long youve had diabetes
- your age
- whether you have any other chronic health conditions
If you dont have a blood sugar testing machine on hand and are experiencing signs or symptoms of low blood sugar with diabetes, your symptoms may be enough to diagnose low blood sugar.
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What Are Considered Normal Blood Sugar Levels
You might not have diabetes now, but do you know the risk factors?
In 2015, 22% of Canadian adults were pre-diabetic and the number of Canadians suffering from diabetes has increased by 44% in the last 10 years. As the leading cause of blindness, kidney problems, and non-trauma amputations, it is important to protect ourselves against diabetes.
But its not all bad news, diabetes is often a preventable disease. Knowing whether you have normal blood sugar levels is one of the best indicators of risk. If your blood sugar levels are high, mindful eating and lifestyle changes can reduce your risk of developing diabetes.
Read on for all the hottest tips on how to manage your blood sugar levels and prevent diabetes.
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.
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Avoid Alcohol Before Nighttime
Another good habit is to avoid alcohol before going to bed. This can cause your blood sugar to increase quickly but leave you with low levels overnight. Avoiding alcohol for a few hours before bedtime will help keep the glucose in balance and prevent fluctuations.
If you do drink alcoholic beverages before going to bed try to eat a healthy snack with some carbohydrates to catch that low blood sugar after drinking alcohol.
Blood Sugar Basics: What Is Blood Sugar
The term blood sugar refers to the sugar, or glucose, that is floating around in your bloodstream at any given time. Blood sugar, or blood glucose is the main source of sugar found in your blood, and comes from the food you eat. I
f you are monitoring your blood sugar, it is important to keep these numbers in check according to the American Diabetes Association .
Your blood sugar needs to be in the right range for you to be healthy. At least some glucose is necessary for your muscle, liver, and some other cells to use as fuel so they can function.
At least some sugar is necessary for your cells and organs to function properly. When our blood sugar levels get too low, it is called hypoglycemia. Without enough glucose as fuel, we lose the ability to function normally. This can make us feel weak, dizzy, and sweaty. And it can even lead to loss of consciousness.
On the other hand, blood sugar levels that get too high are also harmful, this is called hyperglycemia. Our blood sugar levels can get too high when we dont have enough insulin, or when our insulin isnt working well. This is the case for people who have prediabetes or diabetes. If it isnt treated, high blood sugar can lead to serious problems that can be deadly
The Centers for Disease Control and Prevention explains that keeping blood sugar levels in the target range is vital. It can help us prevent serious health concerns like heart disease, vision loss, and kidney disease, for example.
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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.
How Do I Pay For These Tests And Supplies
Medicare, Medicaid and most private insurance plans pay for the A1C test and some of the cost of supplies for checking your blood sugar. Check your plan or ask your health care team for help finding low cost or free supplies. Ask your health care team what to do if you run out of test strips. For more information about Medicare and diabetes, go to .
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What You Should Know About Low Blood Sugar
If youre worried about Low Blood Sugar, there are some things that you should know. This article is meant to help you deal with this condition. If youre diabetic, you need to watch your sugar levels carefully. A small amount of glucose can cause dangerous consequences. This can lead to serious complications, like death. You should be aware of the warning signs of hypoglycemia. To help you identify the symptoms, you should learn more about the disease and how to manage it.
Acute hypoglycemic condition that can lead to neuro-glyco-penic levels occurs when the brain is not getting enough glucose. The symptoms of this condition include confusion, drowsiness, changes in behavior, and seizures. In severe cases, a patient may even go into a coma or have a seizure. In this case, a glucose injection is required. There is no treatment available for low blood sugar, but it is important to know what you can do to help yourself.
Before your appointment, make sure you are fasting for at least eight hours. Also, remember to write down all your important information and any medications that youre taking. A diary can also help you determine which changes in your body indicate a low blood sugar level. Keeping a diary of your glucose readings will help you learn the signs and prevent hyperglycemia. This way, youll be able to take action when it strikes you.