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Hypoglycaemia – How to Treat and Prevent Low Blood Sugar

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Where Can I Find Support For My Hypoglycemia

The Hypoglycemia Support Foundation, established nearly 40 years ago, is a national group that offers many resources, including advocacy. They offer salons so that you can personally connect with people like you who are also dealing with bouts of low blood sugar.

Occasionally blood sugar crashes are so extreme they require emergency room care for an immediate dextrose IV treatment. If you have diabetes, wear a medical bracelet so that emergency personnel or bystanders who call for help are aware of this information. Its also a good idea to have a circle of people who serve as close contacts and are aware of your condition and how to help.

What Are Clinical Trials For Low Blood Glucose

Clinical trialsand other types of clinical studiesare part of medical research and involve people like you. When you volunteer to take part in a clinical study, you help doctors and researchers learn more about disease and improve health care for people in the future.

Researchers are studying many aspects of low blood glucose levels in diabetes, such as

  • how to diagnose and treat low blood glucose among people with diabetes
  • medicines that can treat symptoms of low blood glucose in people with hypoglycemia unawareness
  • educational approaches to reduce fear of low blood glucose, which can make it harder for you to control your diabetes

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Possible Causes With Diabetes

Diabetes affects your bodys ability to use insulin. Think of insulin as the key that unlocks your cells, letting in glucose for energy.

If you have diabetes, a variety of treatments can help the cells in your body use the glucose in your blood. Among these are insulin injections and oral medications that increase insulin production.

If you take too much of these types of medications, your blood sugar may drop too low. You may also sometimes experience low blood sugar if you plan to eat a big meal but then do not eat enough.

Skipping meals, eating less than usual, or eating later than usual but taking your medication at your usual time can also lead to low blood sugar levels.

Unplanned excess physical activity without eating enough can also cause a drop in blood sugar levels.

Drinking alcohol when youre on these medications can also lead to low blood sugar, especially if it replaces food. When your body is trying to get rid of alcohol, it becomes worse at managing blood sugar levels.

Natural Medicines For Diabetes

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Fasting Glucose Vs A1c

Hello, I’ve never been concerned about diabetes before as my fasting blood glucose levels have always been under 100.However, my last fasting glucose test as well as my husband’s were both high .The doctor had us return for A1c tests which were in the normal range .Based on that, the doctor assumed we had eaten something before the fasting test and said, ‘see you in 3 months’.But we didn’t eat anything. I do have doubts about the fasting results because my doctor uses his own lab.While I know it must be state regulated, we have gotten strange results in the past from this lab.I told my 80-year Mother about it and she showed me several of her blood test results from years ago that showed her fasting glucose levels were as high as 123, however, her last blood test showed 97.So…why did she have such high levels in the past and now her readings are normal?She does not have diabetes.What would cause high fasting glucose other than diabetes or pre-diabetes?I’m very confused and would appreciate any insight into this.Thank you.Continue reading > >

Meal And Alcohol Timing And Glucose Levels

When you wake up after a long nights sleep, your body has been in a fasting state for quite a few hours. During this fasting period, your body expends circulating and stored glucose to perform all the usual physiologic processes. If you tend to stop eating earlier in the evening and do not snack at night, this fasting window will be greater, leading to lower glucose levels during that night.

Additionally, drinking alcohol in the evening could lead to low glucose values overnight. Its thought that drinking alcohol the livers ability to make new glucose via gluconeogenesis, leading to lower circulating glucose levels. To counter this decrease, alcohol stimulates the breakdown and release of stored glucose . This balance between impaired gluconeogenesis and increased glycogenolysis means that alcohol shouldnt significantly affect glucose levels for normal, healthy individuals eating a standard diet.

However, the situation is different for those whove been fasting or are in a ketogenic state because these individuals already have much less glucose stored as glycogen in the liver and muscles. Normally this state prompts the liver to produce new glucose via gluconeogenesis, but, as noted above, alcohol inhibits this process. The result is that glucose levels can fall to dangerously low levels, and in extreme cases, this hypoglycemic state can lead to seizures, coma, or death.

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What Is Low Blood Glucose

Low blood glucose, also called low blood sugar or hypoglycemia, occurs when the level of glucose in your blood drops below what is healthy for you. For many people with diabetes, this means a blood glucose reading lower than 70 milligrams per deciliter .1 Your number might be different, so check with your doctor or health care team to find out what blood glucose level is low for you.

Causes Of Fasting Hypoglycemia

Why does a low carb diet sometimes yield a high blood glucose reading?

Fasting hypoglycemia is a type of hypoglycemia, or low blood sugar, that occurs when the stomach is empty. Fasting hypoglycemia is diagnosed as a blood glucose level of less than 50mg/dL, according to the National Diabetes Information Clearinghouse. Symptoms of fasting hypoglycemia include inability to concentrate, lack of energy and headache. It is a normal state when awakening from a night of sleep, after exercising or between meals however, there are some medications and other underlying conditions that can cause fasting hypoglycemia.

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Severe Low Blood Sugar

As your low blood sugar gets worse, you may experience more serious symptoms, including:

  • Having difficulty walking or seeing clearly.
  • Acting strange or feeling confused.
  • Having seizures.

Severe low blood sugar is below 54 mg/dL. Blood sugar this low may make you faint . Often, youll need someone to help you treat severe low blood sugar.

People with diabetes may experience low blood sugar as often as once or twice a week, even when managing their blood sugar closely. Knowing how to identify and treat it is important for your health. Learn how to treat low blood sugar.

Most Common Medications For Type 1 Diabetes

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Causes Of Low Blood Sugar

There are many reasons why you may have low blood sugar, including:

  • Taking too much insulin.
  • Not eating enough carbs for how much insulin you take.
  • Timing of when you take your insulin.
  • The amount and timing of physical activity.
  • Drinking alcohol.
  • How much fat, protein, and fiber are in your meal.
  • Hot and humid weather.
  • Unexpected changes in your schedule.
  • Spending time at a high altitude.
  • Going through puberty.

Whats The Link Between Diabetes And Hypoglycemia

Why do my glucose levels go low during sleep?

Hypoglycemia is most common, by far, in people with diabetes. Treatment for the diseaseoften involves taking medication to increase insulin. Hypoglycemia can develop if things like food, exercise and diabetes medications are out of balance.

Common pitfalls for people with diabetes include:

  • Being more active than usual.
  • Drinking alcohol without eating.
  • Eating late or skipping meals.
  • Not balancing meals by including fat, protein and fiber.
  • Not eating enough carbohydrates.
  • Not timing insulin and carb intake correctly .

Also, if someone with diabetes uses the wrong insulin, takes too much or injects it incorrectly, that can cause hypoglycemia.

Also Check: A1c Chart Conversion To Blood Glucose

What Can Cause Low Blood Sugar Levels

Some things that can make low blood sugar levels more likely are:

  • skipping meals and snacks
  • not eating enough food during 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, some things may increase how quickly insulin gets absorbed into the bloodstream and can make hypoglycemia more likely. These include:

  • taking a hot shower or bath right after having an insulin injection increases blood flow through the blood vessels in the skin, which can make the insulin be absorbed more quickly than usual
  • injecting the shot into a muscle instead of the fatty layer under the skin
  • injecting the insulin into a part of the body used a lot in a particular sport .

All of these situations increase the chances that a person may get hypoglycemia.

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Hypoglycemia In Children: Pediatric Ketotic Hypoglycemia

Some children experience pediatric ketotic hypoglycemia, a condition involving low blood sugar levels and high levels of ketones. If people do not have enough glucose to use as energy, the body begins to break down fat in the body instead. The body produces chemicals called ketones as a by-product of breaking down fat.

According to a 2019 study , pediatric ketotic hypoglycemia usually occurs due to poor intake of food, a gastrointestinal illness and vomiting, or a period of prolonged fasting. Severe metabolic and hormonal conditions may also cause pediatric ketotic hypoglycemia.

Pediatric ketotic hypoglycemia may affect children from 6 months old and often resolves after the age of 6 years.

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Meds For Diabetic Gastroparesis

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What Can I Take To Lower Blood Sugar

What is a healthy glucose level, and why is it important to maintain?

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How Is Hypoglycemia Treated

When your blood sugar levels are too low, eating carbohydrates is key. If you have diabetes, try to keep high carbohydrate snacks on hand.

The American Diabetes Association recommends that your snack have at least 15 grams of carbohydrates. Some good snacks to keep on hand are:

  • jelly beans or gumdrops
  • fresh or dried fruit

You also can take glucose tablets to rapidly raise your blood sugar if its low. These are available without a prescription. Its important to check how many grams are in each tablet before taking them. Aim to get 15 to 20 grams of carbohydrates.

Wait 15 minutes after eating or taking a glucose tablet and test your blood sugar again. If your blood sugar is not going up, eat another 15 grams of carbohydrates or take another dose of glucose tablets. Repeat this until your blood sugar level starts to rise.

Be sure not to overeat. This could lead to blood sugar levels that are too high.

If your blood sugar remains unresponsive, contact your doctor or emergency services right away. When in doubt, treat.

Symptoms of low blood sugar usually get worse if theyre left untreated. Make an appointment to see your doctor if you have diabetes and experience low blood sugar levels often, or if you have symptoms, even if you dont have diabetes.

Insulin Is Low An Important Difference

Only testing fasting blood glucose without testing fasting insulin tells you very little. Thats because two people could have exactly that same fasting blood glucose levels and have very different circulating insulin levels.5

It is all about the relationship between glucose and insulin and how they work in concert. This is called the homeostatic model assessment of insulin resistance or HOMA-IR. The name is a mouthful, but it simply means that the body is always trying to keep its essential systems in balance or in an equilibrium called homeostasis. Insulin is working against glucose in an attempt to keep blood sugar levels stable, a.k.a in homeostasis.6

In one individual for example someone with pre-diabetes, type 2 diabetes, or PCOS insulin may over time be pulsed out in higher and higher amounts just to keep the blood sugar relatively stable. While fasting blood glucose could still be in the normal range, it is taking increasing amounts of insulin to keep it there. As insulin resistance develops, and insulin becomes increasingly ineffective to bring blood sugars down, blood sugars will eventually rise too high.

In a second individual someone who has been on the keto diet for a number of months and is now burning fat for energy much lower amounts of insulin are being pulsed by the pancreas to keep the glucose stable. You have now, therefore, improved your insulin resistance and only need small amounts of insulin to keep glucose in check.

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