Is Your Blood Sugar Dangerously Low? Symptoms Hiding In Plain Sight
Hypoglycemia, also called low blood glucose or low blood sugar, is a condition that occurs when the body’s blood glucose decreases and is too low. Hypoglycemia is defined as a blood glucose level below 70 mg/dl. Hypoglycemia may range from mild to moderate (60-70 mg/dl) with few or no symptoms, to severe hypoglycemia with very low levels of glucose. What Causes Hypoglycemia? Hypoglycemia can be a side effect of insulin or other types of diabetes medicines that help your body make more insulin. Hypoglycemia can occur in people with diabetes for many reasons. For example, blood glucose can drop if meals are skipped, delayed or are too small; too much insulin or oral medications; increased amounts of exercise or activity; or excessive alcohol consumption. Symptoms and Management of Hypoglycemia Symptoms of hypoglycemia include shakiness, dizziness, sweating, hunger, headache, pale skin color, clumsiness, confusion, change in behavior, and seizure. Untreated, hypoglycemia can lead to unconsciousness and death. If you start to feel one or more of the symptoms of hypoglycemia, check your blood glucose levels. If your blood glucose level is less than 70 mg/dl, eat or drink 15 grams of carbohydrates right away. Food that will raise your blood glucose rapidly and have about 15 grams of carbohydrate include 2 to 3 glucose tablets, 4 ounces of fruit juice, 4 ounces of regular soda, 1 cup of milk, 5 to 6 pieces of hard candy, or 1 to 2 teaspoons of sugar or honey. Wait 15 minutes and then re-check your blood glucose level. If it is still too low, treat again with another serving. Repeat these steps until your blood sugar is at least 70 mg/dl. Join the conversation and share this story If your next meal is more than 1 hour away, have a snack to keep your blood glucose level in you Continue reading >>
What Is Hypoglycemia?
Hypoglycemia is a dangerous condition in which your blood sugar drops perilously low. Low blood sugar will most often make you feel shaky and weak. In extreme cases, you could lose consciousness and slip into a coma. People develop hypoglycemia for different reasons, but those with diabetes run the greatest risk of developing the condition. Glucose and Hypoglycemia Your body uses glucose as its main fuel source. Glucose is derived from food, and it's delivered to cells through the bloodstream. The body uses different hormones to regulate the amount of glucose in your blood. Glucagon, cortisol, and epinephrine are some hormones that help regulate glucose. Your body uses another hormone called insulin to help your cells absorb glucose and burn it for fuel. If your blood sugar level drops below a certain point, your body can develop various symptoms and sensations. For people with diabetes, this typically happens when blood sugar drops below 70 milligrams per deciliter (mg/dL), although the exact level may vary from person to person. Causes of Hypoglycemia Low blood sugar often happens in people with diabetes who are using insulin or other medicines that increase insulin production or its actions. Too much insulin can make your blood glucose drop too low. Low blood sugar can happen if: Your body's supply of glucose is used up too quickly. Glucose is released into your bloodstream too slowly. There's too much insulin in your bloodstream. Hypoglycemia Symptoms Although no two people will have the exact same symptoms of low blood sugar, there are some common signs to watch out for: Sudden, intense hunger Dizziness or light-headedness Excessive sweating (often sudden and without regard to temperature) Shaking or tremors Sudden feelings of anxiety Irritability, mood swings, and Continue reading >>
Why Is Low Blood Sugar Dangerous?
Diabetes occurs when the body does not produce enough insulin. Insulin is a hormone that breaks down the sugar that we digest, so that it can be used by the cells of the body or stored for later use. In summary, insulin reduces the amount of sugar in the bloodstream. If diabetes goes untreated, the level of sugar in the blood will climb dangerously high over several days depending on the severity of the condition. There are 3 different types of diabetes, which are categorized by their method of treatment: Diet Controlled: This patient still produces some insulin naturally, so can control the condition by reducing the amount of sugar that they eat. Tablet Controlled: This patient still produces a small amount of insulin naturally, but needs to take tablets to help reduce the level of sugar in the blood, as well as diet control. Insulin Dependent: This patient produces little or no insulin, and has to inject themselves with insulin in order to keep sugar levels under control. Low blood sugar occurs mainly with diabetic patients who are insulin dependent, because the level of insulin in the body is now a ‘fixed’ amount because it is injected. Because the patient has injected this ‘fixed’ amount of insulin, they have to balance it with the amount of food that they eat. The blood sugar levels will fall low if: The patient does not eat enough food. The patient over exercises (burning off sugar). The patient injects too much insulin. Why is low blood sugar so dangerous? Unlike other cells in the body, the brain can only use glucose (sugar) as its source of energy. If the sugar in the blood becomes low, the brain cells are starved of energy. The signs and symptoms of low blood sugar are as a result of the ‘hungry’ brain cells becoming disordered, and the release of Continue reading >>
Hypoglycemia
Hypoglycemia, also known as low blood sugar, is when blood sugar decreases to below normal levels.[1] This may result in a variety of symptoms including clumsiness, trouble talking, confusion, loss of consciousness, seizures, or death.[1] A feeling of hunger, sweating, shakiness, and weakness may also be present.[1] Symptoms typically come on quickly.[1] The most common cause of hypoglycemia is medications used to treat diabetes mellitus such as insulin and sulfonylureas.[2][3] Risk is greater in diabetics who have eaten less than usual, exercised more than usual, or have drunk alcohol.[1] Other causes of hypoglycemia include kidney failure, certain tumors, such as insulinoma, liver disease, hypothyroidism, starvation, inborn error of metabolism, severe infections, reactive hypoglycemia, and a number of drugs including alcohol.[1][3] Low blood sugar may occur in otherwise healthy babies who have not eaten for a few hours.[4] The glucose level that defines hypoglycemia is variable.[1] In people with diabetes levels below 3.9 mmol/L (70 mg/dL) is diagnostic.[1] In adults without diabetes, symptoms related to low blood sugar, low blood sugar at the time of symptoms, and improvement when blood sugar is restored to normal confirm the diagnosis.[5] Otherwise a level below 2.8 mmol/L (50 mg/dL) after not eating or following exercise may be used.[1] In newborns a level below 2.2 mmol/L (40 mg/dL) or less than 3.3 mmol/L (60 mg/dL) if symptoms are present indicates hypoglycemia.[4] Other tests that may be useful in determining the cause include insulin and C peptide levels in the blood.[3] Hyperglycemia (high blood sugar) is the opposite condition. Among people with diabetes, prevention is by matching the foods eaten with the amount of exercise and the medications used.[1] When Continue reading >>
Can You Have Low Blood Sugar With Type 2 Diabetes?
back to Overview Know-how Type 2 A tag-team approach on low blood sugar with type 2 diabetes. Markus recently wrote an article on our German language blog talking about low blood sugar with type 2 diabetes. The question (“can I have low blood sugar with type 2 diabetes?”) is very common, and it’s easy to see why it’s of concern. So I’ve helped Markus bring his German post to life here in English. I hope it helps! Here’s Markus: Low blood sugar In 2014, results from the DAWN2 study were announced. It was the largest study of its kind (15,000 participants) on the “fears & needs of people with diabetes and their families.” One result stood out: The gravest fears are related to low blood sugars, especially at night. Up to 69% of the participants share this fear! So! Can you have low blood sugar with type 2 diabetes? Yes! Of course! But let’s think about who exactly is at risk – and why. It’s common to think: Type 1 diabetes = at risk for lows Type 2 diabetes = not at risk for lows But that isn’t correct at all, so we should wipe it from our mind. So… what do I need to know? Maybe it’s more accurate to say that people with type 2 diabetes who take certain types of medication are more at risk for lows. We’re getting closer! But to get to the truth, we should take a look at someone without diabetes. Is it possible for them to have lows, too? Theoretically yes, especially if doing long-lasting physical activities without proper food intake. Additionally, extreme stress and binge drinking are also common causes of low blood sugar for people without diabetes. However, it’s pretty rare because as soon as BG’s drop below 80 mg/dl (4.4 mmol/L), the natural counterregulatory system kicks in, raising blood sugar back to normal levels. I’ve never exp Continue reading >>
Local Woman With Dangerously Low Blood Sugar Levels Crashes On I-70
LEE'S SUMMIT, Mo. -- An off-duty driver examiner saw a woman driving erratically before crashing into a median. The woman's blood sugar level got dangerously low when she was driving east bound on I-70 and caused her to crash. Thanks to the Missouri State Highway Patrol, she's still alive. "My car stopped, I was in the median, I didn't quite understand how I got there," said Kristi Jenkins, who has type 1 diabetes. "She was driving erratic from the shoulder over to the fast lane," said Cindy Durbin, who witnessed the whole thing, "almost hit two concrete pillars and bridges!" Jenkins was heading home from work Thursday when her blood sugar levels dropped. "The next thing I knew there were paramedics by my car," Jenkins said. Durbin, an off-duty driver examiner for MSHP, happened to be driving behind Kristi and noticed something was wrong. "I was scared for people that were trying to pass, I was scared for her," said Durbin, who put her emergency blinkers on to alert other drivers. Durbin was on the phone with the highway patrol for 15 minutes before Jenkins finally crashed into the median. Durbin pulled over to help. "She could talk, but she was very distraught," said Durbin. "Her being coherent was fading in and out." Jenkins' blood sugar dropped to 29. Dr. Melissa Smith, with the Lee's Summit Medical Center said Kristi is lucky she walked away without any injuries. "Typically you're looking for blood sugar over 60, that's typically as low as your body will go without showing symptoms," said Dr. Smith. "At 29, it would be very surprising that she is still functioning, still driving a car!" Kristi said its unusual for her blood sugar to get that low. "Sometimes with a dramatic drop like it did yesterday, it dropped way too fast for me to even recognize the symptoms," sa Continue reading >>
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> When Blood Sugar Is Too Low
No matter what we're doing — even when we're sleeping — our brains depend on glucose to function. 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. The blood glucose level is the amount of glucose in the blood. When blood glucose levels (also called blood sugar levels) drop too low, it's called hypoglycemia (pronounced: hi-po-gly-SEE-me-uh). Very low blood sugar levels can cause severe symptoms that need to be treated right away. People with diabetes can have low blood sugar levels because of the medicines they have to take to manage their diabetes. They may need a hormone called insulin or diabetes pills (or both) to help their bodies use the sugar in their blood. These medicines help take the sugar out of the blood and get it into the body's cells, which makes the level of sugar in the blood go down. But sometimes it's a tricky balancing act and blood sugar levels can get too low. People with diabetes need to keep their blood sugars from getting too high or too low. Part of keeping blood sugar levels in a healthy range is having good timing, and balancing when and what they eat and when they exercise with when they take medicines. Some things that can make low blood sugar levels more likely to happen are: skipping meals and snacks not eating enough food at 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, certain things may increase how quickly insulin gets absorbed into the bloodstream and can make hypoglycemia more likely to occur. For example, taking a hot shower Continue reading >>
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Low Blood Sugar (hypoglycemia)
Low blood sugar, which is called hypoglycemia, means your body does not have enough sugar in the blood to fuel all of your body’s cells. Typically a low blood sugar is defined as anything below 70 mg/dL (3.8 mmol). It is also sometimes called an “insulin reaction” or “insulin shock”. When your blood sugars drops below this level, you may begin to feel a variety of symptoms. As your body runs short on fuel, you may feel shaky, nervous, anxious, or irritable. You may begin to sweat or get the chills. Your heart may race. As your brain operates on less sugar, you may feel confused or delirious or get a headache. Each person feels different low blood sugar symptoms. Some don’t feel any symptoms at all, which is called hypoglycemia unawareness. It is important to learn and recognize your own symptoms. Sometimes, you may feel like you have low blood sugar even when you don’t. This can happen when you have had a high blood sugar for a long-time, such as at diagnosis, and your body is first coming back into the normal range. Although it may feel unpleasant, these symptoms will go away in a week or two and you will feel better than you did when you had high blood sugars all of the time. You may also feel symptoms of low blood sugar when your blood sugar is dropping rapidly. Your body is sensing the rapid loss of sugar for fuel and sending you warning signals. Don’t guess whether or not you have a low blood sugar. It is important to use your blood glucose meter to check your blood sugar and confirm before treating it. Studies have shown people are not good at guessing their blood sugars (but often think that they are). According to the American Diabetes Association, if you feel symptoms of low blood sugar and are unable to test your blood sugar, err on the side of Continue reading >>
Medical Edge: The Danger Zone Of Low Blood Sugar
I have type 1 diabetes, and I have experienced a few severe hypoglycemic reactions. I was told once that when glucose measures 12 mg/dL or less a person cannot be revived. Is there a limit for a person to survive hypoglycemia? Hypoglycemia, or low blood sugar, is a common complication of diabetes. It happens when there's too much insulin and not enough sugar (glucose) in your blood. Insulin is a hormone that helps move sugar from the bloodstream into cells. Hypoglycemia can occur in people who take oral diabetic medications, as well as those who use insulin. Generally, a glucose level of 60 milligrams per deciliter (mg/dL) or below is considered hypoglycemia, although your health care provider may suggest a higher level if you've had difficulty recognizing low blood sugar levels in the past. Your brain needs sugar to function. Extremely low levels of blood sugar can cause a person to lose consciousness, a condition known as diabetic hypoglycemic coma (not to be confused with diabetic ketoacidosis, which occurs when blood sugar is too high). If left untreated, diabetic hypoglycemic coma can be fatal. Although people suffering from very low blood sugar levels who have lost consciousness may be revived, brain damage can result if they don't receive treatment quickly enough. If a person with hypoglycemia is able to swallow safely, treatment involves administering sugar or glucose orally. If the person is unable to swallow safely, treatment is given intravenously. A hormone, glucagon, can also be given by injection to initially treat the low glucose, allowing the individual to regain consciousness and take glucose orally. There's no absolute blood sugar level below which damage is sure to occur. Instead, damage results from a combination of how low the sugar level goes and h Continue reading >>
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What To Do If Your Blood Sugar Is Too Low
You'll need to test your blood sugar if you think you have hypoglycemia.(ARTIGA PHOTO/CORBIS)Although type 2 diabetes is characterized by blood sugar that is too high, some people take insulin and others medications (such as sulfonylureas) that can occasionally drive blood sugar too low. When blood sugar is too lowgenerally less than 70 mg/dLit's called hypoglycemia, and it can become a medical emergency. (The normal range for fasting blood sugar is 70 to 99 mg/dL, though it varies somewhat with age, and is lower during pregnancy and in children.) You can lose consciousness Hypoglycemia is more likely to occur when you start taking a new medication (it can take practice to match your food intake to your insulin dose, for example) or if you exercise more than usual. As blood sugar drops to low levels, you may feel: Shaky Irritable Sweaty This can occur within 10 to 15 minutes, and in extreme cases you can even lose consciousness and experience seizures if you don't consume some glucose (though hypoglycemia is usually mild in people with type 2 diabetes, and readily fixed by drinking juice or eating other sugar-containing items, such as glucose tablets or four to six pieces of hard candy). Hypoglycemia"My blood sugar was really plummeting" Watch videoMore about blood sugar monitoring You'll need to test your blood sugar to confirm that you're having hypoglycemiasome people become irritable if blood sugar is too high, so it's not always obvious. If you drink sugar-containing juice, or some other form of carbohydrate, it should bring blood sugar back into the normal range. You can also purchase glucose pills or gels in the pharmacy that can get blood sugar back on track. “You should always have a glucose source in the car,” says Yvonne Thigpen, RD, diabetes program coor Continue reading >>
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- Tiny sensor placed under the skin to replace finger prick tests for diabetes: Smartphone app will alert patients if their blood sugar level drops or is too high
- What Are the Signs of Too High Blood Sugar?
Symptoms Of Low Blood Sugar - Topic Overview
You may have these symptoms when your blood sugar has dropped below 70 milligrams per deciliter (mg/dL). When you have had diabetes for many years, you may not always develop symptoms of mild low blood sugar. Some young children with diabetes cannot recognize symptoms of low blood sugar. Others can, but not every time. To be safe, the parents need to do a home blood sugar test whenever they suspect low blood sugar in a child. Symptoms may include: Sweating (almost always present). Check for sweating on the back of your neck at your hairline. Nervousness, shakiness, and weakness. A fast heartbeat and feeling anxious. These symptoms may go away shortly after you eat food that contains sugar. If your blood sugar continues to drop (below 40 mg/dL), your behavior may change. Symptoms may include: Inability to concentrate. Confusion and irritability. Slurred speech. Unsteadiness when standing or walking. Personality changes, such as anger or crying. Symptoms of severe low blood sugar (usually below 20 mg/dL) include: If your blood sugar drops while you are sleeping, your partner or other family members may notice that you are sweating and behaving differently. Signs of low blood sugar at night (nocturnal hypoglycemia) include: Restlessness. Making unusual noises. Attempting to get out of bed or accidentally rolling out of bed. Sweating. You may wake up with a headache in the morning if your blood sugar was low during the night. Some people have no symptoms of low blood sugar. The only symptom you may have is confusion. Or you may become unconscious before anyone realizes you have low blood sugar. You may have hypoglycemic unawareness if you: Cannot tell by your symptoms that your blood sugar is low. Have low blood sugar several times a week. Have type 1 diabetes, or have had Continue reading >>
A Silent Danger: When Blood Sugar Goes Down While You Were Sleeping
You've heard it before—how taking a snack at nighttime after dinner may not be such a good idea, what with the weight gain that may come with it. But if you're a diabetic, that nighttime snack may spell the difference between life and death—literally. “The absence of a nighttime snack when one is usually taken is one cause of nocturnal hypoglycemia,” said Dr. Richard Elwyn Fernando, president of Diabetes Philippines and consultant at St. Luke's Medical Center and Capitol Medical Center. Nocturnal hypoglycemia, as the name implies, happens at night. “It occurs when blood glucose levels fall below 4 millimoles per liter (mmol/l) or 72 milligrams per deciliter (mg/dl). At 40 mg/dl or below, a person can be comatose... In rare cases, it may lead to death,” Fernando said during a media briefing organized by pharmaceutical company Novo Nordisk last May 27. What makes it dangerous is that the person, being asleep, is not aware of what is happening and is not able to seek help. This poses a real concern for diabetics and their families, said Fernando. In a previous interview, former Health Secretary Esperanza Cabral said the body needs glucose to function well. “Kailangan ng katawan ang sugar for energy, metabolism,” she told GMA News. When the blood sugar drops to low levels, a person may experience dizziness, weakness and even fainting, Cabral said. There may also be confusion and disorientation. Fernando said hypoglycemia may lead to complications affecting the heart (decreased heart rate, decreased cardiac output, myocardial contractility), blood vessels (stroke, myocardial infarction, acute cardiac failure, ventricular arrythmia), and brain (seizures, convulsions, coma). While hypoglycemia may occur in both diabetics and non-diabetics alike—“kapag gutom Continue reading >>
Low Blood Glucose (hypoglycemia)
What is hypoglycemia? Hypoglycemia, also called low blood glucose or low blood sugar, occurs when the level of glucose in your blood drops below normal. For many people with diabetes, that means a level of 70 milligrams per deciliter (mg/dL) or less. Your numbers might be different, so check with your health care provider to find out what level is too low for you. What are the symptoms of hypoglycemia? Symptoms of hypoglycemia tend to come on quickly and can vary from person to person. You may have one or more mild-to-moderate symptoms listed in the table below. Sometimes people don’t feel any symptoms. Severe hypoglycemia is when your blood glucose level becomes so low that you’re unable to treat yourself and need help from another person. Severe hypoglycemia is dangerous and needs to be treated right away. This condition is more common in people with type 1 diabetes. Hypoglycemia Symptoms Mild-to-Moderate Severe Shaky or jittery Sweaty Hungry Headachy Blurred vision Sleepy or tired Dizzy or lightheaded Confused or disoriented Pale Uncoordinated Irritable or nervous Argumentative or combative Changed behavior or personality Trouble concentrating Weak Fast or irregular heart beat Unable to eat or drink Seizures or convulsions (jerky movements) Unconsciousness Some symptoms of hypoglycemia during sleep are crying out or having nightmares sweating enough to make your pajamas or sheets damp feeling tired, irritable, or confused after waking up What causes hypoglycemia in diabetes? Hypoglycemia can be a side effect of insulin or other types of diabetes medicines that help your body make more insulin. Two types of diabetes pills can cause hypoglycemia: sulfonylureas and meglitinides . Ask your health care team if your diabetes medicine can cause hypoglycemia. Although ot Continue reading >>
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Low Blood Sugar: Causes, Warning Signs And Treatments
Low blood sugar, or hypoglycemia, is the most common and most dangerous condition for many people with type 1 diabetes (T1D). Very low blood sugar may lead to insulin shock, which can be life threatening if not treated promptly. Low blood sugar occurs when the body has too little food/glucose or too much insulin. The following are all potential reasons that a person with diabetes might have low blood sugar: Too much insulin taken Eating less than usual Eating later than usual Insulin was injected at a site on the body where the absorption rate is faster than usual Injecting extra insulin after forgetting about a previous dose More exercise than normal Illness or injury Other hormones Medication interaction The following is a list of general symptoms that indicate low blood sugar (the person with T1D may exhibit one or more of these and symptoms may change from event to event) Dizziness Nervousness Personality change/irrational behavior Blurry vision Shakiness Nausea Crying Sluggishness Sweating Poor coordination Hunger Lightheadedness Irritability Drowsiness Erratic response to questions Inability to concentrate Severe symptoms (symptoms as listed above, plus): Convulsions or seizure Loss of consciousness A blood-glucose meter reading below the target range specified by the physician indicates low blood sugar. The following are general treatments for low blood sugar. The physician and parents (for a child) should determine what course to follow. Please note that people with T1D have symptoms of low blood sugar at various readings. Some people with T1D feel perfectly fine at readings below 70. Others begin to show low blood-sugar symptoms at readings somewhat above 70. If blood-sugar levels are slightly low and the person is alert and lucid, he or she should: Not exercis Continue reading >>
Dangerously Low
Since getting an insulin pump a few months ago, I’ve been very proud of my blood sugar control. My A1c is down (I’m actually going to get my quarterly blood work done tomorrow) and I’ve had very few highs and very few lows (about one low a month compared to a few a week before pumping). The lows I’ve been having on the pump really aren’t that low, usually in the low 60’s or high 50’s. All this was true until yesterday when I had a low that totally knocked me out. Take that literally. This low came with no warning signs and I didn’t make any big mistakes that could have led to it, at least none I can recall. I ran 11 miles in the morning, took the kids to school and got ready to go to a 10:00 a.m. doctor’s appointment. I had to go see a surgeon about some serious pain I’ve been having in my lower stomach muscles since the race when I broke my 10K record. Since I didn’t have a chance to eat before leaving for my appointment I grabbed an apple and bloused for 25grams of carb (the correct amount according to Nutrition Data). I was a little nervous on the way to the clinic. I was scared the surgeon would tell me I needed surgery (they often do) of some kind that would put me out of commission for at least 4-6 weeks and make me miss my upcoming marathon (Jan. 12th). But after a short examination the surgeon told me my problem is only a pulled muscle. He ordered 10 days of rest, meaning no running. I was very relieved that all I have is a pulled muscle, but not at all happy about the idea of not running for 10 days. As I walked home (a 20 minute walk), I talked to my coach and told him the good news. He told me that I should definitely rest, but rather than not running at all for 10 days, I should run an hour every other day at a really easy pace. I was i Continue reading >>
