Nighttime Low Blood Sugar
While low blood sugar can happen at any time during the day, some people may experience low blood sugar while they sleep. Reasons this may happen include:
- Having an active day.
- Being physically active close to bedtime.
- Taking too much insulin.
- Drinking alcohol at night.
Eating regular meals and not skipping them can help you avoid nighttime low blood sugar. Eating when you drink alcohol can also help. If you think youre at risk for low blood sugar overnight, have a snack before bed.
You may wake up when you have low blood sugar, but you shouldnt rely on that. A continuous glucose monitor can alert you with an alarm if your blood sugar gets low while youre sleeping.
Causes Of Low Blood Glucose
Low blood glucose is common for people with type 1 diabetes and can occur in people with type 2 diabetes taking insulin or certain medications. The average person with type 1 diabetes may experience up to two episodes of mild low blood glucose each week, and thats only counting episodes with symptoms. If you add in lows without symptoms and the ones that happen overnight, the number would likely be higher.
How To Treat Someone Whos Having A Seizure Or Fit
Follow these steps if someone has a seizure or fit caused by a low blood sugar level:
Tell your diabetes care team if you ever have a severe hypo that caused you to have a seizure or fit.
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Low Blood Sugar And Nausea
Whether people have diabetes or not, when they have mild low blood sugar, they may feel extremely hungry, often also nauseated. This symptom combination is the first sign of low blood sugar and is caused by the release of the stress hormone epinephrine, also known as adrenaline.
When your blood sugar drops, it triggers the fight-or-flight response, causing a surge of adrenaline. This flood of adrenaline functions as a helper, moving stored glucose into the bloodstream quickly. However, this surge isnt without effects. Other symptoms like sweating, shakiness, and anxiousness can also be caused by this process.
That said, people with diabetes shouldnt assume their nausea is always related to low blood sugar. The only way to know for certain is to measure your blood sugar. If your levels are within the normal range, other factors may be contributing to your nausea.
When Your Blood Sugar Gets Low
Check your blood sugar whenever you have symptoms of low blood sugar. If your blood sugar is below 70 mg/dL, treat yourself right away.
1. Eat something that has about 15 grams of carbohydrates. Examples are:
- 3 glucose tablets
- One half cup of fruit juice or regular, non-diet soda
- 5 or 6 hard candies
- 1 tablespoon or 15 mL of sugar, plain or dissolved in water
- 1 tbsp of honey or syrup
2. Wait about 15 minutes before eating any more. Be careful not to eat too much. This can cause high blood sugar and weight gain.
3. Check your blood sugar again.
4. If you do not feel better in 15 minutes and your blood sugar is still lower than 70 mg/dL , eat another snack with 15 g of carbohydrates.
You may need to eat a snack with carbohydrates and protein if your blood sugar is in a safer range — over 70 mg/dL — and your next meal is more than an hour away.
Ask your provider how to manage this situation. If these steps for raising your blood sugar do not work, call your doctor right away.
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What Causes Blood Sugar To Be High
Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:
- Feeling very tired.
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Treating Low Blood Sugar
You are at risk of having a low blood sugar reaction if you:
- Skip or delay a meal or snack
- Take too much insulin or eat too few carbohydrates
- Drink alcohol, especially without eating carbohydrates
Check your blood sugar if you have any of these symptoms:
- Weakness and/or fatigue
If your blood sugar is less than 70 milligrams per deciliter :
- Eat 15 to 30 grams of carbohydrate
- Wait 15 minutes and then recheck your blood sugar
- If your blood sugar is still less than 100 mg/dl, take another 15 grams of carbohydrate and retest your blood sugar in another 15 minutes. Repeat if necessary.
Important: If you have frequent low blood sugars speak to your doctor. You may need changes in your medication and/or meal plan.
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Knowing Your High And Low Blood Sugar Symptoms Allows You To Test
Once you understand symptoms of high and low blood sugar, it is possible to test quickly and avoid serious problems.
Keeping to a clear target range is one of the key goals of diabetes management, and knowing when you have the symptoms of high or low blood sugar levels allows you to test your blood sugar and make a correction.
It can be important to recognise the difference between low and high blood sugar symptoms. Being able to spot when youre high or low and sugar can help you to manage your diabetes.
Where possible, its best to check with your blood glucose meter, whether you are high or low, before taking any remedial action. If blood sugar is regularly high you may get recurrent episodes of thrush.
High blood sugar is serious and can result in nausea, vomiting or loss of consciousness. In type 2 diabetes, this can in the form of a condition called Hyperosmolar Hyperglycaemic State and in type 1 diabetes in the form of ketoacidosis.
It is important to seek emergency medical help.
Very low blood sugar can lead to convulsions and unconsciousness. It is important to seek emergency help if the person with diabetes is unable to bring their sugar levels back to normal.
The University of Birminghams Medical School states that if the body becomes used to being low on sugar, hypo symptoms can become less noticeable. Loss of symptoms of low blood sugar in particular can be dangerous.
If you have difficulty recognising the symptoms of hypoglycemia, speak to your doctor.
Recognizing Hypoglycemia After Exercise
Because exercise can make it more difficult to recognize hypoglycemia, familiarize yourself with a broad range of symptoms of low blood sugar. They can vary from person to person, but in general, here’s what to look out for, according to the Cleveland Clinic:
- Sudden, intense hunger
- Blurred vision
If left untreated, severe cases of hypoglycemia can cause seizures, loss of consciousness and, in rare cases, death. If you are taking blood sugar-lowering medications, be sure to keep glucose tablets close at hand.
It’s important to raise low blood sugar levels right away to avoid complications. The ADA recommends treating low blood sugar by following the 15-15 rule:
- Consume 15 grams of simple carbs .
- Wait 15 minutes.
- If your symptoms have not improved after 15 minutes, recheck your blood sugar. If your blood sugar levels are still too low, eat another 15 grams of carbs, then wait another 15 minutes. Call your doctor if your symptoms don’t improve after repeating the process.
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Symptoms Of Low Blood Sugar
How you react to low blood sugar may not be the same as how someone else with low blood sugar reacts. Its important to know your signs. Common symptoms may include:
- Fast heartbeat
If youve had low blood sugar without feeling or noticing symptoms , you may need to check your blood sugar more often to see if its low and treat it. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel.
You may not have any symptoms when your blood sugar is low . If you dont have symptoms, it will be harder to treat your low blood sugar early. This increases your risk of having severe lows and can be dangerous. This is more likely to happen if you:
- Have had diabetes for more than 5-10 years.
- Frequently have low blood sugar.
- Take certain medicines, such as beta blockers for high blood pressure.
If you meet one or more of the above and you have hypoglycemia unawareness, you may need to check your blood sugar more often to see if its low. This is very important to do before driving or being physically active.
What Is Hypoglycemia In Children
Hypoglycemia is when the level of sugar in the blood is too low. Glucose is the main source of fuel for the brain and the body. The normal range of blood glucose is about 70 to 140 milligrams per deciliter . The amount differs based on the most recent meal and other things, including medicines taken. Babies and small children with type 1 diabetes will have different goal ranges of blood glucose levels than older children.
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How Can I Stop My Blood Sugar From Crashing
Here are a few ways to avoid hypoglycemic episodes:
- Get in the habit of self-monitoring your blood glucose. Keeping track of when your blood sugar drops can help you recognize aspects of your routine that may be contributing to your hypoglycemia. Dr. Klonoff recommends a continuous glucose monitor. Its the best tool for automatically checking your blood glucose levels around the clock, he says.
- Change your meal plan. When, what, how much, and how often you eat all play a big part in your blood glucose levels. A dietitian can teach you about healthy, well-balanced food choices that will make it easier for you to maintain an acceptable blood sugar range.
- Keep a stash of glucose tablets on hand. With your doctors recommendation, make sure you always have glucose tablets with you. You can stick them in your briefcase, purse, car, desk, school locker, etc. You may also want to keep snacks nearbyfor example, cheese or peanut butter crackers, although doctors suggest over-the-counter glucose tablets for more accurate dosage. Do not eat a healthy sugar-free candy bar during hypoglycemia, warns Dr. Klonoff. Its lack of sugar means that it will not raise your blood glucose level sufficiently when you want it to.
- Certain drinks can help get your blood sugar up as well. Try 8 oz. of fruit juice, a soft drink , or a cup of milk.
Treating Severely Low Blood Sugar
Blood sugar below 55 mg/dL is considered severely low. You wont be able to treat it using the 15-15 rule. You also may not be able to check your own blood sugar or treat it by yourself, depending on your symptoms. Make sure your family members, friends, and caregivers know your signs of low blood sugar so they can help treat it if needed.
Injectable glucagon is the best way to treat severely low blood sugar. A glucagon kit is available by prescription. Speak with your doctor to see if you should have a kit. Be sure to learn how and when to use it. Let family members and others close to you know where you keep the glucagon kit and make sure theyve been trained in how to use it too.
Its important to contact a doctor for emergency medical treatment immediately after receiving a glucagon injection. If a person faints due to severely low blood sugar, theyll usually wake up within 15 minutes after a glucagon injection. If they dont wake up within 15 minutes after the injection, they should receive one more dose. When the person is awake and able to swallow:
- Feed the person a fast-acting source of sugar .
- Then, have them eat a long-acting source of sugar .
Its also important that friends, family, co-workers, teachers, coaches, and other people you may be around often know how to test your blood sugar and treat severely low blood sugar before it happens.
If any of the following happens, your friend, relative, or helper should call 911:
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Low Blood Sugar Levels In Diabetes
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 or diabetes pills 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 blood sugar level 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 highor too low. Keeping blood sugar levels in a healthy range means balancing when and what they eat, and when they exercise with when they take medicines.
Possible Causes Without Diabetes
Even if you dont have diabetes, you may experience low blood sugar. However, hypoglycemia is much less common in people without diabetes.
Some possible causes of low blood sugar in people who dont have diabetes are:
- certain medications, such as quinine
- some medical conditions, such as hepatitis and kidney disorders
- a tumor that produces excess insulin
- endocrine disorders, such as adrenal gland deficiency
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Listen To Your Doctor
If you follow a meal plan or take medications that increase insulin to manage low blood sugar, its important to stick to the plan your doctor prescribed to help prevent drops in your blood sugar level.
Not eating the right foods or taking the right medications at the correct times can cause your blood sugar to drop. Check in often with your doctor so they can adjust your treatment plan if and when necessary.
What Is Low Blood Sugar
Low blood sugar is a level of sugar, or glucose, in the blood that is lower than normal. According to the American Diabetes Association, the cut-off value for Level 1 hypoglycemia, or moderately low blood sugar, is 70 mg/dl. However, you may not be regularly measuring your blood sugar if you have not been diagnosed with diabetes. Instead, you might suspect that you have hypoglycemia because of its symptoms. The fatigue, fuzzy thinking, and need to sit down are the result of your body being deprived of its main fuel source: glucose.
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What Causes Reactive Hypoglycemia
Reactive hypoglycemia comes from having too much insulin in your blood. It usually happens within a few hours after you eat. Other possible causes include:
- Having prediabetes or being more likely to have diabetes
Treating Low Blood Glucose If You Take Medicines That Slow Down Digestion
Some diabetes medicines slow down the digestion of carbohydrates to keep blood glucose levels from rising too high after you eat. If you develop low blood glucose while taking these medicines, you will need to take glucose tablets or glucose gel right away. Eating or drinking other sources of carbohydrates wont raise your blood glucose level quickly enough.
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After You Have Low Blood Sugar
If your low blood sugar was mild , you can return to your normal activities once your blood sugar is back in its target range.
After you have low blood sugar, your early symptoms for low blood sugar are less noticeable for 48 to 72 hours. Be sure to check your blood sugar more often to keep it from getting too low again, especially before eating, physical activity, or driving a car.
If you used glucagon because of a severe low , immediately call your doctor for emergency medical treatment. If you have had lows several times close together , you should also tell you doctor. They may want to change your diabetes plan.
S For Treating A Person With Symptoms Keeping Them From Being Able To Treat Themselves
Dont hesitate to call 911. If someone is unconscious and glucagon is not available or someone does not know how to use it, call 911 immediately.
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How Can I Prevent Hypoglycemic Episodes
The key to preventing hypoglycemic events is managing diabetes:
- Follow your healthcare providers instructions about food and exercise.
- Track your blood sugar regularly, including before and after meals, before and after exercise and before bed.
- Take all your medications exactly as prescribed.
- When you do have a hypoglycemic event, write it down. Include details such as the time, what you ate recently, whether you exercised, the symptoms and your glucose level.