
All About Hypoglycemia (low Blood Sugar)
Hypoglycemia refers to an abnormally low level of sugar, or glucose, in the blood. Hypoglycemia is not a disease in itself, it is a sign of a health problem. The brain uses a lot of energy and needs glucose to function. Because the brain cannot store or manufacture glucose, it needs a continuous supply. Signs of low blood sugar include hunger, trembling, heart racing, nausea, and sweating. Hypoglycemia is commonly linked with diabetes, but many other conditions can also cause low blood sugar. This article will discuss the causes, diagnosis, and treatment of hypoglycemia, and the difference between hypoglycemia and hyperglycemia. We will also look at how to prevent it. Here are some key points about hypoglycemia. More detail is in the main article. Hypoglycemia is not a disease but a symptom of another condition. Early symptoms include hunger, sweating, and trembling. A common cause is diabetes. Alcohol abuse and kidney disorders can also lower blood sugar levels. What is hypoglycemia? Hypoglycemia is a condition where there is not enough glucose, or sugar, in the blood. Levels of blood sugar are below 4 mmol/L (72mg/dL). Adults and children with mild hypoglycemia may experience the following early symptoms: hunger tremor or trembling sweating irritability a pale face heart palpitations accelerated heart rate tingling lips dizziness weakness Severe hypoglycemia is sometimes called diabetic shock. It may involve: concentration problems confusion irrational and disorderly behavior, similar to intoxication inability to eat or drink Complications If a person does not take action when symptoms of hypoclycemia appear, it can lead to: A person who regularly experiences hypoglycemia may become unaware that it is happening. They will not notice the warning signs, and this can lea Continue reading >>

Blood Glucose Control (blood Sugar Levels)
Introduction to blood sugar levels Our blood glucose level, or blood sugar level, is the amount of glucose (sugar) in the blood. The amount of glucose in the blood is measured in millimoles per litre (mmol/l). Glucose levels are measured most commonly to diagnose or to monitor diabetes. It is also important to keep an eye on blood glucose levels during certain situations – for example: during pregnancy, pancreatitis and with increasing age. Normally, blood sugar levels stay within a narrow range during the day. A good level is between 4 to 8mmol/l. After you consume food, your blood sugar level will rise and after you have had a night’s rest, they will usually be lowest in the morning. Diabetes is a common disease in our society, affecting 2-5% of the general population, with many more people unaware that they may be affected by this condition. Diabetes results from a lack of insulin, or insensitivity of the body towards the level of insulin present. Thus if you have diabetes, your blood sugar level may move outside the normal limits. Why is controlling blood sugar levels so important? Carbohydrate foods are the body’s main energy source. When they are digested, they break down to form glucose in the bloodstream. If you make sure you eat regular meals, spread evenly throughout the day, you will help maintain your energy levels without causing large rises in your blood sugar levels. It is also important to maintain a stable and balanced blood sugar level, as there is a limited range of blood sugar levels in which the brain can function normally. Regular testing of your blood sugar levels allows you to monitor your level of control and assists you in altering your diabetes management strategy if your levels aren’t within the expected/recommended range. Long term c Continue reading >>
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Controlling Blood Sugar Level
Diabetes Glucose is a sugar needed by cells for respiration. It is important that the concentration of glucose in the blood is maintained at a constant level. Insulin, a hormone secreted by the pancreas, controls blood sugar levels in the body. Diabetes is a disorder in which the blood glucose levels remain too high. It can be treated by carefully maintaining a certain diet or injecting insulin. The extra insulin allows the glucose to be taken up by the liver and other tissues, so cells get the glucose they need and blood sugar levels stay normal. Higher only What happens when glucose levels in the blood become too high or too low glucose level effect on pancreas effect on liver effect on glucose level too high insulin secreted into the blood liver converts glucose into glycogen goes down too low insulin not secreted into the blood liver does not convert glucose into glycogen goes up Use the animation to make sure you understand how this works: You have an old or no version of flash - you need to upgrade to view this funky content! Go to the WebWise Flash install guide Menstrual cycle The menstrual cycle in women is a recurring process in which the lining of the uterus is prepared for pregnancy. If pregnancy does not happen, the lining is shed at menstruation. Several hormones control this cycle: oestrogen, which causes the repair of the uterus wall progesterone, which maintains the uterus wall Both hormones are secreted by the ovaries. The image below shows how the levels of oestrogen and progesterone change during the menstrual cycle. If a woman becomes pregnant, the level of progesterone remains high. Controlling fertility Human fertility is controlled by hormones. This means that a knowledge of hormones can be used to decide to increase, or reduce, the chances of fe Continue reading >>

Diabetic Coma Symptoms
A diabetic coma is one of the most life-threatening complications of diabetes. The main symptom is unconsciousness. A diabetic coma can be the result of having a blood glucose level that is too high (hyperglycemia) or a blood glucose level that is too low (hypoglycemia). The diabetic in a diabetic coma is unconscious and can die if the condition is not treated. Symptoms of Diabetic Coma Before you lapse into a diabetic coma, there are usually warning signs of blood sugar levels that are too low or blood sugar levels that are too high. For example, if the blood sugar is too high, the you may experience tiredness, abdominal pain, shortness of breath, increased urination, increased thirst, a rapid heart rate, a dry mouth, and a fruity smell to your breath. If the blood sugar is too low, you may experience signs and symptoms of hypoglycemia, including weakness, tiredness, anxiety, tremulousness, nervousness, nausea, confusion, problems communicating, light-headedness, hunger, or dizziness. If you have had diabetes for many years, you may not have many symptoms of low blood sugar and won’t know you have the condition prior to falling into a coma. If you suspect that you have either high blood sugar or low blood sugar, you need to check your blood glucose levels and do what your doctor has recommended for you to treat the disease. If you don’t feel better after trying home remedies, you need to call 911 and get some kind of emergency care. Causes of Diabetic Coma The main cause of a diabetic coma is an extremely high blood sugar or an extremely low blood sugar. The following medical conditions can cause a diabetic coma: Diabetic hyperosmolar syndrome. This is a condition in which the blood sugar is as high as 600 mg/d: or 33.3 mmol per liter. There are no ketones in the u Continue reading >>

Patient Education: Hypoglycemia (low Blood Sugar) In Diabetes Mellitus (beyond The Basics)
LOW BLOOD SUGAR OVERVIEW Hypoglycemia, also known as low blood sugar, occurs when levels of glucose (sugar) in the blood are too low. Hypoglycemia is common in people with diabetes who take insulin and some (but not all) oral diabetes medications. WHY DO I GET LOW BLOOD SUGAR? Low blood sugar happens when a person with diabetes does one or more of the following: Takes too much insulin (or an oral diabetes medication that causes your body to secrete insulin) Does not eat enough food Exercises vigorously without eating a snack or decreasing the dose of insulin beforehand Waits too long between meals Drinks excessive alcohol, although even moderate alcohol use can increase the risk of hypoglycemia in people with type 1 diabetes LOW BLOOD SUGAR SYMPTOMS The symptoms of low blood sugar vary from person to person, and can change over time. During the early stages low blood sugar, you may: Sweat Tremble Feel hungry Feel anxious If untreated, your symptoms can become more severe, and can include: Difficulty walking Weakness Difficulty seeing clearly Bizarre behavior or personality changes Confusion Unconsciousness or seizure When possible, you should confirm that you have low blood sugar by measuring your blood sugar level (see "Patient education: Self-monitoring of blood glucose in diabetes mellitus (Beyond the Basics)"). Low blood sugar is generally defined as a blood sugar of 60 mg/dL (3.3 mmol/L) or less. Some people with diabetes develop symptoms of low blood sugar at slightly higher levels. If your blood sugar levels are high for long periods of time, you may have symptoms and feel poorly when your blood sugar is closer to 100 mg/dL (5.6 mmol/L). Getting your blood sugar under better control can help to lower the blood sugar level when you begin to feel symptoms. Hypoglyc Continue reading >>

Common Questions About Blood Sugar
How often should I test my blood sugar? This is a very common question, and the answer isn't the same for everyone. In general, you should test as often as you need to get helpful information. There's no point in testing if the information you get doesn't help you manage your diabetes. If you've been told to test at certain times, but you don't know why or what to do with the test results, then testing won't seem very meaningful. Here are some general guidelines for deciding how often to test: If you can only test once a day, then do it before breakfast. Keep a written record so that you can see the pattern of the numbers. If you control your blood sugar by diet and exercise only, this once-a-day test might be enough. If you take medicine (diabetes pills or insulin), you will probably want to know how well that medicine is working. The general rule is to test before meals and keep a record. If you want to know how your meals affect your blood sugar, testing about 2 hours after eating can be helpful. Test whenever you feel your blood sugar is either too high or too low. Testing will give you important information about what you need to do to raise or lower your blood sugar. If you take more than 2 insulin shots a day or use an insulin pump, you should test 4 to 6 times a day. You should test more often if you're having unusually high or low readings, if you're sick, under more stress than usual, or are pregnant. If you change your schedule or travel, you should also test your blood sugar more often than usual. Talk to a member of your health care team about how often to test based on your personal care plan. What should my test numbers be? There isn't one blood sugar target that's right for everyone with diabetes. It's important to work with your health care team to set 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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Controlling Blood Sugar In Diabetes: How Low Should You Go?
Diabetes is an ancient disease, but the first effective drug therapy was not available until 1922, when insulin revolutionized the management of the disorder. Insulin is administered by injection, but treatment took another great leap forward in 1956, when the first oral diabetic drug was introduced. Since then, dozens of new medications have been developed, but scientists are still learning how best to use them. And new studies are prompting doctors to re-examine a fundamental therapeutic question: what level of blood sugar is best? Normal metabolism To understand diabetes, you should first understand how your body handles glucose, the sugar that fuels your metabolism. After you eat, your digestive tract breaks down carbohydrates into simple sugars that are small enough to be absorbed into your bloodstream. Glucose is far and away the most important of these sugars, and it's an indispensable source of energy for your body's cells. But to provide that energy, it must travel from your blood into your cells. Insulin is the hormone that unlocks the door to your cells. When your blood glucose levels rise after a meal, the beta cells of your pancreas spring into action, pouring insulin into your blood. If you produce enough insulin and your cells respond normally, your blood sugar level drops as glucose enters the cells, where it is burned for energy or stored for future use in your liver as glycogen. Insulin also helps your body turn amino acids into proteins and fatty acids into body fat. The net effect is to allow your body to turn food into energy and to store excess energy to keep your engine running if fuel becomes scarce in the future. A diabetes primer Diabetes is a single name for a group of disorders. All forms of the disease develop when the pancreas is unable to 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 >>

Dealing With Unexplained Blood Sugar Spikes
You can do everything right to keep your diabetes under control — eat a smart diet, exercise, take medications as prescribed, and follow your doctor’s instructions for blood sugar monitoring — and still wake up in the morning with unexplained blood sugar spikes. Even in people who don’t have diabetes, blood sugars fluctuate constantly, says Linda M. Siminerio, RD, PhD, director of the University of Pittsburgh's Diabetes Institute. But when you have diabetes and wake up with an increase in blood sugar levels, you shouldn’t ignore it. If high blood sugar happens once in a while and you're able to get it under control quickly with insulin or exercise, it may be nothing serious. “Maybe you have high blood sugar in the morning because you went to a party last night and had a bigger piece of birthday cake,” Dr. Siminerio says. “Or it snowed, and you couldn’t go for your morning run the day before.” But if you consistently wake up with blood sugar spikes and don’t know why, you need to investigate the cause. You may need to adjust your diabetes treatment plan, possibly changing your medication. You won’t feel right if you have high blood sugar, a condition known as hyperglycemia, says Anuj Bhargava, MD, president of the Iowa Diabetes and Endocrinology Research Center in Des Moines and founder of My Diabetes Home, an online platform that helps users track their blood sugar and manage their medication. When your blood sugar is too high for a few days or weeks, it can cause more frequent urination, increased thirst, weight loss, blurry vision, fatigue, and nausea. It also can make you more susceptible to infections. When you have high blood sugar for a long time, it can damage the vessels that supply blood to your heart, kidneys, nerves, and eyes, and caus Continue reading >>

How Does Eating Affect Your Blood Sugar?
Part 1 of 8 What is blood sugar? Blood sugar, also known as blood glucose, comes from the food you eat. Your body creates blood sugar by digesting some food into a sugar that circulates in your bloodstream. Blood sugar is used for energy. The sugar that isn’t needed to fuel your body right away gets stored in cells for later use. Too much sugar in your blood can be harmful. Type 2 diabetes is a disease that is characterized by having higher levels of blood sugar than what is considered within normal limits. Unmanaged diabetes can lead to problems with your heart, kidneys, eyes, and blood vessels. The more you know about how eating affects blood sugar, the better you can protect yourself against diabetes. If you already have diabetes, it’s important to know how eating affects blood sugar. Part 2 of 8 Your body breaks down everything you eat and absorbs the food in its different parts. These parts include: carbohydrates proteins fats vitamins and other nutrients The carbohydrates you consume turn into blood sugar. The more carbohydrates you eat, the higher the levels of sugar you will have released as you digest and absorb your food. Carbohydrates in liquid form consumed by themselves are absorbed more quickly than those in solid food. So having a soda will cause a faster rise in your blood sugar levels than eating a slice of pizza. Fiber is one component of carbohydrates that isn’t converted into sugar. This is because it can’t be digested. Fiber is important for health, though. Protein, fat, water, vitamins, and minerals don’t contain carbohydrates. These components won’t affect your blood sugar levels. If you have diabetes, your carbohydrate intake is the most important part of your diet to consider when it comes to managing your blood sugar levels. Part 3 Continue reading >>

Must Read Articles Related To Low Blood Sugar (hypoglycemia)
A A A Hypoglycemia (Low Blood Sugar) Hypoglycemia (low blood sugar) is a commonly perceived problem. In actuality, while some or many of the symptoms may be present, it is rarely confirmed or documented. The presence of true, documented hypoglycemia in the absence of diabetes treatment must be evaluated comprehensively by an endocrinologist. Hypoglycemia most often affects those at the extremes of age, such as infants and the elderly, but may happen at any age. Generally, hypoglycemia is defined as a serum glucose level (the amount of sugar or glucose in your blood) below 70 mg/dL. As a medical problem, hypoglycemia is diagnosed by the presence of three key features (known as Whipple's triad). Whipple's triad is: symptoms consistent with hypoglycemia, a low plasma glucose concentration, and relief of symptoms after the plasma glucose level is raised. Symptoms of hypoglycemia typically appear at levels below 60 mg/dL. Some people may feel symptoms above this level. Levels below 50 mg/dL affect brain function. The body regulates its glucose level—the primary source of energy for the brain, muscles, and other essential cells - by the actions of different hormones. These hormones include insulin (which lowers the blood sugar level) and other chemicals which raise blood sugar (such as glucagon, growth hormone, and epinephrine). Both insulin and glucagon are manufactured in the pancreas, an organ near the stomach which assists the digestive tract. Special cells in the pancreas, called beta cells, make insulin. Alpha cells in the pancreas make glucagon. The role of insulin is to help in the absorption of glucose from the blood by causing it to be stored in the liver or be transported into other tissues of the body (for metabolism or storage). Glucagon increases the amount of Continue reading >>

Low Blood Sugar In Dogs
Hypoglycemia in Dogs The medical term for critically low levels of sugar in the blood is hypoglycemia, and it is often linked to diabetes and an overdose of insulin. The blood sugar, or glucose, is a main energy of source in an animal's body, so a low amount will result in a severe decrease in energy levels, possibly to the point of loss of consciousness. There are conditions other than diabetes that can also cause blood sugar levels to drop to dangerous levels in dogs. In most animals, hypoglycemia is actually not a disease in and of itself, but is only an indication of another underlying health problem. The brain actually needs a steady supply of glucose in order to function properly, as it does not store and create glucose itself. When glucose levels drop to a dangerously low level, a condition of hypoglycemia takes place. This is a dangerous health condition and needs to be treated quickly and appropriately. If you suspect hypoglycemia, especially if your dog is disposed to this condition, you will need to treat the condition quickly before it becomes life threatening. Symptoms Loss of appetite (anorexia) Increased hunger Visual instability, such as blurred vision Disorientation and confusion – may show an apparent inability to complete basic routine tasks Weakness, low energy, loss of consciousness Anxiety, restlessness Tremor/shivering Heart palpitations These symptoms may not be specific to hypoglycemia, there can be other possible underlying medical causes. The best way to determine hypoglycemia if by having the blood sugar level measured while the symptoms are apparent. Causes There may be several causes for hypoglycemia, but the most common is the side effects caused by drugs that are being used to treat diabetes. Dogs with diabetes are given insulin to help Continue reading >>

Managing Blood Sugar
Everyone’s experience with mealtime insulin is different, but there are some things you can look out for. Your Humalog dose will probably change over time. Your doctor gave you a starting dose, but most people need to increase their Humalog dose over time. When you track your blood sugar every day, you will probably see different numbers all the time. These variations in your blood sugar from day to day are normal. Your blood sugar varies based on stress, what you eat, other medications, exercise, and other factors. Don't be discouraged by changes in your blood sugar. With your doctor’s input, these variations may provide learning opportunities. Testing your blood sugar When using mealtime insulin like Humalog, you must test your blood sugar (glucose) regularly. For example, you may need to test before and after meals and at bedtime. Your doctor will tell you when and how often you should test. Why keep track? Keeping track of your blood sugar levels will help you and your doctor: Know if you’re meeting your blood sugar goals Learn how different foods affect your blood sugar levels Figure out how much insulin you should be taking Your doctor will tell you what to do if your blood sugar is high or low. If you take too much Humalog, your blood sugar may fall too low (hypoglycemia). If you forget to take your dose of Humalog, your blood sugar may go too high (hyperglycemia). Your blood sugar goals The American Diabetes Association recommends blood sugar goals for people with diabetes. These don’t apply to everyone, however, so work with your doctor to set the right goals for you. These goals are not applicable to pregnant women or children. These goals should be individualized. About high blood sugar One of the goals of your diabetes treatment is to keep blood suga Continue reading >>

Low Blood Sugar
Insulin is a hormone made by the pancreas. Insulin is needed to move glucose into cells where it is stored or used for energy. Without enough insulin, glucose builds up in the blood instead of going into the cells. This leads to symptoms of diabetes. Low blood sugar occurs due to any of the following: Your body's sugar (glucose) is used up too quickly Glucose production by the body is too low or it is released into the bloodstream too slowly Too much insulin is in the bloodstream Low blood sugar is common in people with diabetes who are taking insulin or certain other medicines to control their diabetes. However, many other diabetes medicines do not cause low blood sugar. Exercise can also lead to low blood sugar in people taking insulin to treat their diabetes. Babies born to mothers with diabetes may have severe drops in blood sugar right after birth. In people who do not have diabetes, low blood sugar may be caused by: Drinking alcohol Insulinoma, which is a rare tumor in the pancreas that produces too much insulin Lack of a hormone, such as cortisol, growth hormone, or thyroid hormone Severe heart, kidney, or liver failure Infection that affects the whole body (sepsis) Some types of weight-loss surgery (usually 5 or more years after the surgery) Medicines not used to treat diabetes (certain antibiotics or heart drugs) Continue reading >>