
High Blood Sugar In Dogs
A healthy dog has a blood glucose level ranging from 75 mg to 120 mg. A dog is diagnosed with high blood sugar, or as hyperglycemic, when it exhibits high blood glucose, or sugar above the normal range. Elevated blood sugar may be temporary, stress-induced, or a sign of a serious underlying disease such as pancreatitis or diabetes mellitus. High blood sugar is more common in female than male dogs, and is more likely to occur in older dogs. Elevated blood glucose can occur transiently fairly often for various reasons (diet, stress, exertion, medications). Moderately elevated glucose can indicate infections (dental, kidneys, bladder), inflammatory conditions (pancreatitis) and hormonal imbalances (Hyperadrenocorticism). However persistent high glucose levels in the blood is diagnostic of Diabetes Mellitus. High blood Sugar causes increased thirst and urination. See a veterinarian promptly if your dogs shows these symptoms. The warning signs for high blood sugar are varied. If your dog’s high blood sugar is temporary or the result of stress or medication, you may not see any symptoms. However, if it is the result of a serious disease, you will likely see some of the following: Wounds not healing; infections worsening Depression Enlarged liver Urinary tract or kidney infection Bloodshot eyes Cataracts Extreme fluctuation in weight, gaining or losing Obesity Hyperactivity Excessive thirst or hunger Increased frequency of urination High blood sugar can indicate one of the following issues: Diabetes mellitus, caused by a loss of pancreatic beta cells, which leads to decreased production of insulin, rending the dog unable to process sugar sufficiently. Pancreatitis, inflammation of the pancreas, which can damage insulin-producing cells, inhibiting the dog’s ability to proce Continue reading >>

High Blood Sugar (hyperglycemia) In Diabetes
What is high blood sugar? High blood sugar means that the level of sugar in your blood is higher than recommended for you. If you don’t keep your blood sugar at a normal, healthy level most of the time, you will increase your risk of heart and blood vessel disease, stroke, kidney problems, and loss of vision. The medical term for high blood sugar is hyperglycemia. Blood sugar is also called blood glucose. What is the cause? Blood sugar that stays high is the main problem of diabetes. Your body breaks down some of the foods you eat into sugar. Normally the hormone insulin moves this sugar into your cells, where your body uses it for energy. In diabetes the insulin is not moving the sugar into the cells, so it builds up in the bloodstream and starts to cause problems. Sometimes you may have high blood sugar even though you are taking diabetes medicine. This can happen for many reasons but it always means that your diabetes is not in good control. Some reasons why your sugar might go too high are: Skipping your diabetes medicine Not taking the right amount of diabetes medicine Taking certain medicines that increase your blood sugar or make your blood sugar medicines work less well Taking in too many calories by eating large portions of food, choosing too many high-calorie foods, or drinking too many high-sugar beverages Eating too many carbohydrates, such as foods made mainly with sugar, white flour (in bread, biscuits, pancakes, for example), white potatoes, or white rice Not getting enough physical activity (exercise lowers your blood sugar) Having increased emotional or physical stress Being sick, including colds, flu, an infected tooth, or a urinary tract infection, especially if you have a fever If you are using insulin, having a problem with your insulin (for examp Continue reading >>

High And Low Blood Sugar Issues
Blood sugar concentrations or blood glucose levels are the amount of sugar or glucose present in your blood stream. Your body naturally regulates blood sugar (glucose) levels as a part your body”s metabolic processes. Glucose or sugar is the primary energy mechanism for cells and blood lipids. Glucose or blood sugar is transported from your intestines or liver to the cells in your body via the bloodstream. The absorption of glucose is promoted by insulin or the hormone produced in the pancreas. If your sugar levels are not balanced you may have high or low blood sugar issues. Low sugar issues are hypoglycemia and high blood sugar indicates that you have hyperglycemia or hyperglycemia symptoms. High or low blood sugar levels cause different problems. Low blood sugar levels can cause dementia, comas or death. High blood sugar is a major cause of damage to your body”s internal organs. Low Blood Sugar Low blood sugar or hypoglycemia indicates the level of glucose in your blood has dramatically dropped below what your body need to function. When your blood sugar drops below 70 milligrams per deciliter symptom will develop. You may feel tired and anxious or weak and shaky. Your heart rate may be rapid and you feel as if you are having a heart attack. Eating something sugary will bring your sugar levels back to normal almost immediately and symptoms will subside. Sugar levels that are below 40 mg/dL cause you to have behavior changes. You may feel very irritable and become weak and confused. You may not realize you need to eat to raise your blood sugar levels. Blood sugar levels below 20 mg/dL will most certainly cause a loss of consciousness or perhaps you will experience seizures. You will need medical care immediately. Hypoglycemia symptoms happen very quickly. If you a Continue reading >>

Blood Sugar Level Over 400 Mg/dl
Your last measurement found blood glucose level over 400 mg/dl. What does it mean?? When your blood sugar was tested... OneTouch® Glucose Meter - Compact, Slim Glucose Meter Ad Compact Design to Track Your Glucose On-the-Go. Get It At No Charge. OneTouch Learn more Blood sugar level over 400mg/dl is classified as severe diabetes. It is a condition which seeks immediate treatment. Among the classic symptoms of diabetes, such as fatigue, increased thirst, increased urination, fatigue, blurred vision, drowsiness etc, these levels of blood sugar can develop two serious, life-threatening complications such are DKA (diabetic ketoacidosis) and HHS (hyperosmolar hyperglycemic state). The treatment of such hyperglycemia is immediate rehydration and administration of rapid insulin in order to lower the levels of glucose as soon as possible. Prevention includes lifestyle changes, drinking water and continuous measurement of blood glucose and ketones in the urine. Most of the times, blood sugar level over 400 mg/dl is due to uncontrolled diabetes, in people who are unaware that suffer from diabetes. But, blood glucose level over 400 mg/dl can also be due to extreme stress or intake of certain medications. Blood sugar level over 400 mg/dl - Prevention. Patients who have experienced blood sugar level over 400 mg/dl should drink plenty of water, check their urine for ketones and talk to their doctor to take precautions in order to prevent a further increase of the blood sugar level. The lifestyle changes are very important. The following lifestyle changes will help keep blood glucose within the normal range: 1. Eating a healthy diet - this means cutting off fat and caloric foods, and eating fiber-rich foods instead, such as legumes, whole grain products, all kind of vegetables and fr Continue reading >>

Diabetes In The Emergency Department And Hospital: Acute Care Of Diabetes Patients
Go to: Hyperglycemic Crisis: DKA and HHS Diabetic ketoacidosis (DKA) accounts for more than 110,000 hospitalizations annually in the United States, with mortality ranging from 2 to 10%4–6. Hyperglycemic hyperosmolar state (HHS) is much less common but confers a much greater mortality7. Patients with DKA classically present with uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration. On the other hand, HHS is defined by altered mental status caused by hyperosmolality, profound dehydration, and severe hyperglycemia without significant ketoacidosis6,8. Initial evaluation In the Emergency Department, the primary goals are rapid evaluation and stabilization. All patients with severe hyperglycemia should immediately undergo assessment and stabilization of their airway and hemodynamic status, with consideration of administration of naloxone for all patients with altered mentation to reverse potential opiate overdose, and thiamine for all patients at risk for Wernicke’s encephalopathy. In cases requiring intubation, the paralytic succinylcholine should not be used if hyperkalemia is suspected as it may acutely further elevate potassium. Immediate assessment should also include placing patients on oxygen, measure O2 saturation and cardiac monitoring as well as obtaining vital signs, a fingerstick glucose, intravenous (IV) access, and a 12-lead electrocardiogram to evaluate for arrhythmias and signs of hyper-and hypokalemia. Emergency Department evaluation should include a thorough clinical history and physical examination, as well as a venous blood gas,9,10 complete blood count, basic metabolic panel, and urinalysis; a urine pregnancy test must be sent for all women with childbearing potential. An important goal of this evaluation is id Continue reading >>

How To Lower Your Blood Sugar When It's Really High
This article is written for type 2 diabetics who need help coming down from a very high blood sugar during a single, isolated high blood sugar event. If you want to try an stabilize your baseline, consider signing up for my Baseline Blood Sugar Challenge course. THIS ARTICLE IS NOT A SUBSTITUTE FOR REAL MEDICAL ADVICE. If you're a type 2 diabetic and your blood sugar is high right now (greater than 300mg/dL for at least 6 hours), the first thing you should do is call your doctor. So, if you haven't called anyone for help yet, please stop reading this article and call your doctor. If your doctor is able to help, then you need not read on. Also, if you are having symptoms of Diabetic Ketoacidosis, stop reading this article and go to the hospital immediately. Diabetic Ketoacidosis can kill you if left untreated. But. If you're in a situation where your blood sugar has been high for an extended period of time, you could perhaps consider taking the following steps to solve your blood sugar problem. Disclaimer: This is friendly, non-medical advice from a random diabetic person you don't even know, which is a very (very) poor substitute for real, actual medical advice. Use at your own risk. First, you should try and lower your blood sugar without injectable insulin by completing the following steps: 1. Check your blood sugar. Write down the time and your blood sugar level. 2. Drink water (this doesn't actually lower blood sugar, but it helps flush sugar and ketones from your body, if you have them). Continue drinking water, but please don't make yourself sick. 3. Move. As in, walk. Walk around the block or walk in place or haul your ass up and down the stairs for 30-60 minutes. Walking helps your cells become less insulin resistant, which is what you need right now. Do N Continue reading >>

Don’t Eat If Your Blood Sugar Is Over 150 Mg/dl
Q: Recently I read an article in Post Graduate Medicine (“Effective Insulin Use,” Vol. 95, No. 8, June 1994, pgs. 52, 54, 58-60, 63-64, and 67). The article suggests the patient not eat if the blood glucose is greater than 150 mg/dl. I would appreciate you reading this article and giving me your opinion. Donna Doty, RN, BSN, CDE Methodist Hospital Gary, IN [Editor: An excellent question. We encourage all our readers to send us questions to answer. Coincidentally, the article you ask about was written by one of DIABETES IN-TERVEIW’s advisory board members: Nancy Bohannon, MD. We submitted your question to our board member Peter Lodewick, MD, diabetes expert and author of A Doctor Looks at Diabetes: His and Yours. Before we print his answer to your question, we’re presenting an excerpt from Dr. Bohannon’s article.] “My routine advice is as follows: if the blood glucose value is over 150 mg/dl before a meal, insulin should be taken and the meal postponed (not skipped) until the blood glucose is below 150 mg/dl. The glucose level should be checked hourly until it is below 200 mg/dl and then every 1/2 hour until it is below 150 mg/dl. A level that is still high after 1 1/2 to 2 hours without the patient’s eating is an indication that it was a good thing the patient didn’t eat! In the past, most patients would have eaten, saying, ‘my doctor told me never to miss or be late for a meal because I could get hypoglycemia.’ However, if the insulin was taken 3 hours previously and the blood glucose level remained above 150 mg/dl, food obviously was not necessary. “What happens if the blood glucose level is still high after 2 to 3 hours? A few more units of insulin should be taken and the meal again postponed until the glucose level is below 150 mg/dl. Occasiona Continue reading >>

What Is The Normal Range For Blood Sugar Levels, And What Blood Sugar Level Constitutes A True Emergency?
Question:What is the normal range for blood sugar levels, and what blood sugar level constitutes a true emergency? Answer:Now, in a normal individual we measure blood sugar under different circumstances. What we call fasting blood sugar or blood glucose levels is usually done six to eight hours after the last meal. So it's most commonly done before breakfast in the morning; and the normal range there is 70 to 100 milligrams per deciliter. Now when you eat a meal, blood sugar generally rises and in a normal individual it usually does not get above a 135 to 140 milligrams per deciliter. So there is a fairly narrow range of blood sugar throughout the entire day. Now in our diabetic patients we see both low blood sugar levels that we call hypoglycemia, or elevated blood sugars, hyperglycemia. Now, if the blood sugar drops below about 60 or 65 milligrams per deciliter, people will generally get symptoms, which are some shakiness, feeling of hunger, maybe a little racing of the heart and they will usually be trenchant or if they eat something, it goes away right away. But if blood sugar drops below 50 and can get down as low as 40 or 30 or even 20, then there is a progressive loss of mental function and eventually unconsciousness and seizures. And of course that is very dangerous and a medical emergency. On the other side, if blood sugar gets up above 180 to 200, then it exceeds the capacity of the kidneys to reabsorb the glucose and we begin to spill glucose into the urine. And if it gets way up high, up in the 400s or even 500s, it can be associated with some alteration in mental function. And in this situation, if it persists for a long time, we can actually see mental changes as well. So either too low or very exceedingly high can cause changes in mental function. Next: W Continue reading >>

High Blood Sugar After Exercise?
back to Overview Markus, one of our great German-language authors, wrote about struggling with high blood sugar after exercise. I know it's a common problem, and one I've struggled with personally, so I want to make sure you get to see it, too. From Markus Berndt: It’s one of the first recommendations you get after being diagnosed with diabetes. “Get active, do more exercise, it’s good for you!” And since we’ve been a child we’ve heard that exercise is healthy. If we do it consistently we’re rewarded, literally, with an awesome beach body. Adding exercise into our day is also good for our diabetes. We’re taught that exercise lowers blood sugar, right? But can the opposite also be true? Can you have high blood sugar after exercise? Up close We now know that physical activity usually lowers blood sugar because it reduces how much insulin is needed to move sugar into the cells. While, in the past, most experts advised frequent training intervals at moderate intensity, but recent studies have shown that even short, intense workouts are very effective. For example, a 15-minute intense weight training lowered blood sugar even more than what’s seen in some endurance training. So activity lowers blood sugar – but not always! Personally, I experienced this very early on and was extremely irritated! I just learned that exercise lowers blood sugar, but an intense 45-minute run consistently resulted in higher blood sugars than when I started! What in the world? At first, I was confused and felt like I didn’t understand the world anymore. Then it was more of a “would you look at this?” kind of thing. And finally, I was determined to figure out what was happening. I knew there had to be an explanation. Why does exercise sometimes raise blood sugar? Exercise Continue reading >>

Blood Sugar Levels Over 400? Beware!
Learn what to do when blood sugar levels are over 400. Most importantly, read about what you can do to lower these risks and prevent this from happening. When blood sugar levels are over 400 mg/dl, it's no joke. There are many serious risks associated with blood sugar levels this high, but the good news is there are ways to prevent such high levels. Normal blood sugar levels range from 70 mg/dl to 120 mg/dl. High blood sugar levels may cause you to feel tired, thirsty and feel the urge to urinate frequently. Other side effects include increased susceptibility to infections and blurry vision.For diabetics who are in the later stages in life, a high blood sugar level can result in dehydration and electrolyte imbalance. The Dangerous Duo While the symptoms discussed above are associated with high blood sugar levels in general, there are two main dangers that are specifically linked to blood sugar levels over 400. The first is hyperosmolar hyperglycemic nonketotic syndrome (HHNS). HHNS occurs when the body’s blood sugar levels rise to unsafe levels. As a result, the body tries to get rid of the excess sugar by passing it into the urine. Eventually this could result in severe dehydration which in turn can lead to seizures, coma and even death. There are several reasons why HHNS can occur: illness, infection, skipping doses of medicine or not adhering to one’s prescribed meal plan. Symptoms of HHNS include extreme thirst, dry skin, high fever, sleepiness, loss of vision, hallucinations and weakness on one side of the body. If you are experiencing the following symptoms, call your doctor immediately. In the meantime, drink plenty of fluids to prevent dehydration and test your sugar so that you can report your findings to the doctor. The other danger that is associated with Continue reading >>

What Does It Feel Like To Have High Blood Sugar Levels?
The human body naturally has sugar, or glucose, in the blood. The right amount of blood sugar gives the body's cells and organs energy. The liver and muscles produce some blood sugar, but most of it comes from food and drinks that contain carbohydrates. In order to keep blood sugar levels within a normal range, the body needs insulin. Insulin is a hormone that takes blood sugar and delivers it to the body's cells. Contents of this article: What does it feel like to have high blood sugar levels? Blood sugar is fuel for the body's organs and functions. But having high blood sugar doesn't provide a boost in energy. In fact, it's often the opposite. Because the body's cells can't access the blood sugar for energy, a person may feel tiredness, hunger, or exhaustion frequently. In addition, high sugar in the blood goes into the kidneys and urine, which attracts more water, causing frequent urination. This can also lead to increased thirst, despite drinking enough liquids. High blood sugar can cause sudden or unexplained weight loss. This occurs because the body's cells aren't getting the glucose they need, so the body burns muscle and fat for energy instead. High blood sugar can also cause numbness, burning, or tingling in the hands, legs, and feet. This is caused by diabetic neuropathy, a complication of diabetes that often occurs after many years of high blood sugar levels. What does high blood sugar mean for the rest of the body? Over time, the body's organs and systems can be harmed by high blood sugar. Blood vessels become damaged, and this can lead to complications, including: Damage to the eye and loss of vision Kidney disease or failure Nerve problems in the skin, especially the feet, leading to sores, infections, and wound healing problems Causes of high blood sugar Continue reading >>
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Diabetes Mellitus In Cats
What is diabetes mellitus? Diabetes mellitus is a disease caused by failure of the pancreas to produce adequate amounts of insulin or of the body to respond to the insulin that is produced. Why is insulin so important? The role of insulin is much like that of a gatekeeper: It stands at the surface of body cells and opens the door, allowing glucose to leave the blood stream and pass inside the cells. Glucose, or blood sugar, is a vital substance that provides much of the energy needed for life and it must work inside the cells. Without an adequate amount of insulin, glucose is unable to get into the cells. It accumulates in the blood, setting in motion a series of events which can ultimately prove fatal. When insulin is deficient, the cells become starved for a source of energy. In response to this, the body starts breaking down stores of fat and protein to use as alternative energy sources. This causes the cat to eat more, but ultimately results in weight loss. The body tries to eliminate the excess glucose by excreting it in the urine. However, glucose attracts water, so the urine glucose that is excreted also contains large quantities of the body's fluids. This causes the cat to produce a large amount of urine. To avoid dehydration, the cat drinks more and more water. Not all of these signs are readily seen in every diabetic cat, but we expect that you will have seen at least two of them. How is diabetes mellitus diagnosed? Because the four classical signs of diabetes are also present in other feline diseases, clinical signs alone are not sufficient to make a diagnosis. We also look for a high level of glucose in the blood stream and the presence of glucose in the urine using laboratory tests. The normal blood glucose level for cats is 80 to 120 mg/dL, while diabetic Continue reading >>

Diabetes: The Highs, Lows, And "when Can They Go's"
Diabetic emergencies come in a variety of types and causes, but the tools available to EMS professionals allow excellent evaluation and initial treatment of the patient. For most EMS professionals, the evaluation of emergency patients with diabetes is built around a protocol for "Patients with Mental Status Changes who are Known or Suspected Diabetic." A good history from the patient or knowledgeable bystanders, an assessment of the vital signs, and a physical evaluation that looks for all potential causes of altered mental status, are the first elements of managing patients with this problem. The information then provided by testing a very small amount of blood will provide the approximate level of glucose in the patient's vascular system, and treatment can then be targeted to restore the patient's normal level of functioning. At the hospital, further testing may need to be done to establish the cause of the blood sugar abnormality, or whether there are other significant medical problems. The process begins with the request by a patient or others who have noted the person acting abnormally. This can be family, friends, co-workers, teachers, police officers, or just a passerby. Beginning with the history and examination, the EMS professional can make a decision that the patient has a medical presentation consistent with an abnormal blood sugar. In a known diabetic, the patient, family, or friends may describe the patient as having symptoms that are consistent with high or low blood sugar (usually when they have seen this patient act like this in the past). The medic will then make proper use of the blood glucose evaluation tool utilized by the EMS organization. It is probably unnecessary for EMS to test for blood sugar if the patient has had a valid blood sugar test don Continue reading >>

Diabetes And Exercise: When To Monitor Your Blood Sugar
Exercise is an important part of any diabetes treatment plan. To avoid potential problems, check your blood sugar before, during and after exercise. Diabetes and exercise go hand in hand, at least when it comes to managing your diabetes. Exercise can help you improve your blood sugar control, boost your overall fitness, and reduce your risk of heart disease and stroke. But diabetes and exercise pose unique challenges, too. To exercise safely, it's crucial to track your blood sugar before, during and after physical activity. You'll learn how your body responds to exercise, which can help you prevent potentially dangerous blood sugar fluctuations. Before exercise: Check your blood sugar before your workout Before jumping into a fitness program, get your doctor's OK to exercise — especially if you've been inactive. Talk to your doctor about any activities you're contemplating, the best time to exercise and the potential impact of medications on your blood sugar as you become more active. For the best health benefits, experts recommend at least 150 minutes a week of moderately intense physical activities such as: Fast walking Lap swimming Bicycling If you're taking insulin or medications that can cause low blood sugar (hypoglycemia), test your blood sugar 30 minutes before exercising. Consider these general guidelines relative to your blood sugar level — measured in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). Lower than 100 mg/dL (5.6 mmol/L). Your blood sugar may be too low to exercise safely. Eat a small snack containing 15 to 30 grams of carbohydrates, such as fruit juice, fruit, crackers or even glucose tablets before you begin your workout. 100 to 250 mg/dL (5.6 to 13.9 mmol/L). You're good to go. For most people, this is a safe pre-exercise Continue reading >>

What Are The Dangers Of A Sugar Count Over 500?
Blood sugar control is a critical aspect of diabetes management. People without diabetes typically have fasting blood sugar readings below 100 milligrams per deciliter. If you are diabetic, your doctor sets an individualized blood sugar goal that you aim for with the help of an individualized treatment regimen. A reading higher than your target indicates your blood sugar is not under control, and having a reading over 500 is a medical emergency. Your body needs glucose to function properly, but it's unhealthy for high levels to circulate in your bloodstream. The hormone insulin regulates blood sugar by allowing glucose to get into your cells. Typically, blood sugar is considered high when it's 160 milligrams per deciliter or above your glucose target, notes the Joslin Diabetes Center. Your doctor may need to adjust your treatment plan if your glucose remains above 180 milligrams per deciliter for three consecutive days. If glucose stays elevated for a long time, it can affect your eyes, kidneys and heart. Ketoacidosis A dangerously high blood sugar level increases your risk for diabetes-related ketoacidosis. When glucose circulates in your bloodstream and can't get into your cells, your cells don't get the energy they need. To compensate, your body begins to burn fat for fuel, producing acids called ketones. These acids build up in your bloodstream and can poison your body when levels get too high. This happens when your body doesn't have enough insulin and is more common with Type 1 diabetes. The American Diabetes Association recommends checking your urine for ketones when your glucose is higher than 240 milligrams per deciliter. Hyperosmolar Syndrome Your kidneys typically excrete extra glucose to help compensate for high blood sugar levels, but when glucose is extrem Continue reading >>