Is Diabetes Hypoglycemia Or Hyperglycemia?

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Signs & Symptoms Hypoglycemia & Hyperglycemia

More than 23 million children and adults in the United States have diabetes, and each year 1.6 million people receive a new diagnosis of this disease, according to the American Diabetes Association. People with diabetes must carefully manage their blood sugar, or blood glucose, levels with diet, physical activity and medication to prevent diabetes complications and avoid hypoglycemia and hyperglycemia. Video of the Day When blood sugar levels drop below normal levels, a person may experience symptoms of hypoglycemia, such as nervousness, shakiness and hunger. He may sweat and feel dizzy, lightheaded and confused. Sleepiness, anxiety, confusion and difficulty talking are also signs that a person has hypoglycemia. A person who has hypoglycemia while sleeping may sweat profusely during sleep, experience nightmares or wake feeling tired and irritable. If hypoglycemia isn’t treated, the condition can worsen, causing more-severe symptoms such as fainting, confusion, clumsiness, seizures, coma and even death. According to the National Diabetes Information Clearinghouse, most cases of hypoglycemia are mild, and consuming food or drink rich in carbohydrates helps bring blood sugar levels Continue reading >>

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  1. metalmd06

    Does acute DKA cause hyperkalemia, or is the potassium normal or low due to osmotic diuresis? I get the acute affect of metabolic acidosis on potassium (K+ shifts from intracellular to extracellular compartments). According to MedEssentials, the initial response (<24 hours) is increased serum potassium. The chronic effect occuring within 24 hours is a compensatory increase in Aldosterone that normalizes or ultimatley decreases the serum K+. Then it says on another page that because of osmotic diuresis, there is K+ wasting with DKA. On top of that, I had a question about a diabetic patient in DKA with signs of hyperkalemia. Needless to say, I'm a bit confused. Any help is appreciated.

  2. FutureDoc4

    I remember this being a tricky point:
    1) DKA leads to a decreased TOTAL body K+ (due to diuresis) (increase urine flow, increase K+ loss)
    2) Like you said, during DKA, acidosis causes an exchange of H+/K+ leading to hyperkalemia.
    So, TOTAL body K+ is low, but the patient presents with hyperkalemia. Why is this important? Give, insulin, pushes the K+ back into the cells and can quickly precipitate hypokalemia and (which we all know is bad). Hope that is helpful.

  3. Cooolguy

    DKA-->Anion gap M. Acidosis-->K+ shift to extracellular component--> hyperkalemia-->symptoms and signs
    DKA--> increased osmoles-->Osmotic diuresis-->loss of K+ in urine-->decreased total body K+ (because more has been seeped from the cells)
    --dont confuse total body K+ with EC K+
    Note: osmotic diuresis also causes polyuria, ketonuria, glycosuria, and loss of Na+ in urine--> Hyponatremia
    DKA tx: Insulin (helps put K+ back into cells), and K+ (to replenish the low total potassium
    Hope it helps

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In this Video We Will Discuss What are hypoglycemia and hyperglycemia, and how can they affect my pregnancy? Hypoglycemia and hyperglycemia are both common in women with preexisting diabetes. Hypoglycemia occurs when blood glucose levels are too low. When blood glucose levels are low, your body cannot get the energy it needs. Don't forget to Subscribe our Channel on youtube: https://www.youtube.com/channel/UCZfb... For For Videos Follow Us on Twitter: Diabetes During Pregnancy Symptoms, Risks And Treatment https://youtu.be/SNf01dFL1zY What Are The Risks Of Diabetes To My Unborn Child? https://youtu.be/N-aNwqGKQl4 What are Hypoglycemia and How They Affect Pregnancy? https://youtu.be/XUjn-16DmGY How Pre-existing Diabetes Treated During Pregnancy? https://youtu.be/vQjOzry8T_M Causes and Symptoms of Diabetes During Pregnancy https://youtu.be/OirB5FmhJ3Y Typically hypoglycemia is treated by eating or drinking something containing sugar, such as orange juice. Hyperglycemia is when your body doesn't have enough insulin or can't use insulin correctly. Typically hyperglycemia is treated by adjusting your insulin dosages.

How To Tell The Difference Between Hypoglycemia And Hyperglycemia

Low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) can happen to just about anyone, but people with diabetes are more susceptible than most. It is important to recognize the symptoms of both issues so you can treat them properly. Hypoglycemia Symptoms (Low Blood Sugar) Hypoglycemia, also called low blood glucose or low blood sugar, occurs when the level of glucose in your blood drops below normal. This can happen when your body receives too much insulin within a short period of time. For example, someone new to insulin or oral glucose medication might accidentally take too much. But non-diabetics can also experience hypoglycemia as well. The most common symptoms are: Heart palpitations Fatigue Pale skin Shakiness Anxiety Sweating Hunger Irritability Tingling sensation around the mouth Crying out during sleep As hypoglycemia worsens, signs and symptoms may include: Confusion, abnormal behavior or both, such as the inability to complete routine tasks Visual disturbances, such as blurred vision Seizures Loss of consciousness Initial treatment of hypoglycemia is drinking juice, taking glucose tablets or anything that has high levels of sugar that can be quickly absorbe Continue reading >>

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  1. Mel892

    ketosis in early pregnancy

    I don't know if I'll find any answers here, though before I fell pregnant I was on a ketogenic diet for a whole month till I tested positive. It's a very low Carb diet... would that effect the development of the baby at all? I'm 5 weeks 3 days, not having any symptoms that are strong I feel like I am imagining them haha

  2. Taters29

    I'm nearly 5 weeks and only feeling a little tired and it seems a lot of people don't have any symptoms at 5 weeks. I don't think a low carb diet prior to pregnancy would be too much of an issue as long as you reintroduce carbs now so the bubby can develop properly.

  3. Harro3000

    I know this won't answer your question but not long ago i actually read an article about a study showing you are more likely to conceive if on a high protein low carb diet :)

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Hypoglycaemia, or hypo for short, means low blood glucose levels less than 4 mmol/l*. This is too low to provide enough energy for your bodys activities. Symptoms Hypos can come on quickly and everyone has different symptoms, but common ones are: feeling shaky, sweating, hunger, tiredness, blurred vision, lack of concentration, headaches, feeling tearful, stroppy or moody, going pale. Why do hypos happen? Theres no rule as to why they happen, but some things make it more likely: excess insulin, delayed or missed meal or snack, not enough carbs, unplanned physical activity, and drinking large quantities of alcohol or alcohol without food. Sometimes there just is no obvious cause. How to prevent a hypo - Dont miss a meal. - Eat enough carbohydrate. - Eat extra carbohydrate if you are more active than normal. - Take your tablets and/or insulin injections correctly. - Dont drink alcohol on an empty stomach or drink too much alcohol. Treating a hypo If you are conscious, treat your hypo immediately with 1520g of fast-acting carbohydrate: - Small glass of sugary (non-diet) drink - At least three glucose tablets - Five sweets, such as jelly babies - Small carton of pure fruit juice - Glucose gel. For more information about hypos, go to www.diabetes.org.uk/hypo


Type I Diabetes Mellitus, also known as insulin-dependent diabetes, is a condition where the pancreas does not produce any or enough insulin. Insulin is a hormone that lets glucose (sugar) enter cells to be used for energy. Type II Diabetes Mellitus occurs when the body becomes resistant to the effects of insulin or doesn’t make enough insulin to handle all the glucose in the blood. Type II Diabetes usually begins with insulin resistance. The pancreas can keep up with the resistance by producing more insulin, but in time will lose the ability to secrete insulin in effective doses. Hypoglycemia, (low blood glucose, <70 mg/dL) can have a rapid onset and is dangerous if not handled appropriately. Hyperglycemia, (high blood glucose, >180 mg/dL), does not typically have an acute risk of death, however it does carry long term consequences. Prevention Athletes should wear medical identification bracelets at all times Take medications in appropriate doses at recommended times Eat regular meals and snacks Establish and follow diabetes care plan For sports and exercise Check blood glucose before activity Avoid exercise if glucose level: <100 mg/dL >250 mg/dL with ketones present >300 mg/dL Continue reading >>

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  1. Saraleesaralee

    Is it possible to stay on ketogenic diet for life-long?

    I have been on ketogenic diet for 2 weeks. It controls my blood sugar level really well. However I am not over weight. And I am worried about potential long term side effects of the diet. For example, high LDL level, steoporosis, auto immune disease, too much weight loss, vesicular stiffness. I was wondering if there is anyone in this forum has been on ketogenic diet for years? And do you experience any side effects from the diet?

  2. Aaron1963

    I've been on a strict ketogenic diet for 6 months, and was doing LCHF for much of the 5 months prior to that but didn't make any attempts at it being ketogenic so I may have been in and out of ketosis some during that period. I now have a blood ketone meter and remain in ketosis according to it.
    I did suffer excessive weight loss initially. I lost about 40kg (about 90 lbs.), and it ended up sending me from being very obese to being underweight. But I've always eaten very little protein, which I continued to do, plus I was doing intermittent fasting, sometimes not eating anything for days at a time. Once I stopped the intermittent fasting and concentrated on getting adequate protein, my weight went back up to my ideal weight and stabilized there. I've heard from several people that you really need to watch your protein when doing a ketogenic diet being it's easy for excess to hinder weight loss and/or increase your BG.
    I have had a few issues while doing a ketogenic diet, but not 100% sure which if any can be attributed to ketosis vs. some other factor. First off, as winter was approaching I got extremely cold all the time, especially my fingers and toes, but even my whole body was cold. I thought it might have been the caffeine I was getting as part of my ketogenic diet involves drinking lots of coffee with HWC, coconut oil, and butter. I switched to decaf and the problem pretty much went away, but I don't know if it was the caffeine, the ketosis, the massive weight loss (lack of body fat), something else, or a combination of factors.
    I've also had excessive itching and a rash. That's normal for me during the winter months, but this year it started a bit early, went longer, and was much worse than normal. I think it may very well have been my usual sensitivity to the cold dry weather, aggravated by toxins released during my rapid weight loss, and perhaps ketones being emitted through the skin. It's just recently started to clear up and the rash is gone and most of the itching.
    I got keto-breath for a week or two when I first concentrated on going keto. It was very noticeable, but disappeared after that and no issues anymore with my breath.
    This diet is very sustainable for me. I tried my whole adult life to diet to lose weight and was never successful. This time I wanted to lose weight, but my primary focus was controlling my BG, meaning reducing carbs down to a low-carb level, which caused me to gravitate naturally to a LCHF diet. For the first time I have no desire to go back to my old way of eating. I love this diet and it's completely satisfying. So I killed two birds with one stone - got my BG under control, down to non-diabetic levels, and got my weight down to ideal. Plus with the huge benefits (IMHO) of having my body use ketones rather than glucose, I'm totally sold on this way of eating for the rest of my life and have absolutely no worries about not being able to stick to my diet. I really have no strong urges for carbs anymore, and only end up going off the plan rarely due to social pressures or inadvertently eating hidden/unknown carbs.
    My LDL has gone up, but I've heard from others that usually it's benign large fluffy LDL that typically goes up when on a ketogenic diet. And my body is still adjusting. Also I've heard that LDL by itself is not a good measure of risk. So I'm not worried about it, but will keep an eye on things. I also have taken my ketogenic diet to an extreme, hitting a KR of 3.0 or higher almost everyday, and sometimes up to 4.0 or more. Not sure if eating much more fat than necessary for ketosis affected my LDL any or not. Initially my LDL dropped significantly as well as my trigs, but both increased at my last doctor's visit. I may try a more normal KR in the future while monitoring my blood ketones to verify I stay in ketosis and see if there's any difference in my BG, cholesterol, or other tests.
    I did also suffer from other typical symptoms during my keto adaptation phase. Most went away within about two weeks. But it's just been here at the 6-month mark where my BG numbers suddenly stabilized with very little change, and quite low, and overall I just feel absolutely fantastic. I feel like I'm bursting with energy and joined a gym and suddenly love running and working out whereas I hated them all my life.
    Well, I don't have years of experience with ketosis to report anything to you about that. Other than I've heard lots of other people with years of experience and not heard of anyone having any real side effects other than the things I've mentioned. However some people do find ketosis isn't for them and give up very soon. For those that feel it is working for them and stick with it, seems there's no significant side effects. But I'll let the others who've been in ketosis for longer than me speak for themselves.

  3. furball64801

    Hi and welcome to DD I know of a guy called no more carbs that was on it over 2 yrs. It is possible he is still on it, that chat site closed down but he was going strong on it.

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