Diabetes Coalition
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      • Prediabetes
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      • Type II Diabetes
      • Gestational Diabetes
      • What is A1C?
      • Hyper-/Hypo- glycemia
      • Hypertension
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      • About Us
      • Diabetes Program -FDOH
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    • Self-Assessments & Tools

Diabetes Coalition
of
St. Lucie County, Inc.

Diabetes Coalition of St. Lucie County, Inc.Diabetes Coalition of St. Lucie County, Inc.Diabetes Coalition of St. Lucie County, Inc.
  • Home
  • Diabetes
  • Lifestyle
  • Community
  • Self-Assessments & Tools

Did you know Hyperglycemia and Hypoglycemia affect more people than those diagnosed with diabetes?


The American Diabetes Assoication

Hyperglycemia

What is Hyperglycemia?

The American Diabetes Association defines hyperglycemia as high glucose or high blood sugar that occurs when the body does not have enough insulin and cannot use it appropriately.  People who have impaired glucose tolerance (prediabetes) have a fasting blood glucose range of 100mg/dL to 125mg/dL. To be considered hyperglycemic, blood glucose levels are more than 180mg/dL one to two hours after eating.


Signs and Symptoms

  • High blood sugar
  • Increased urination
  • Increased thirst
  • High levels of glucose/sugars in urine 

Hypoglycemia

What is Hypoglycemia?

Hypoglycemia is defined by the CDC as blood sugars dropping below 70mg/dL and is most common in individuals with Type 1 Diabetes (Diabetes.org, 2021). There are 3 levels:

Level 1- Glucose (sugar) levels less than 70mg/dL

Level 2- Glucose (sugar) levels less than 54mg/dL

Level 3 "severe hypoglycemia"- Glucose (sugar) levels extremely low that physical/mental functioning is weak and you may become unconscience and require medical attention.

Signs and Symptoms

  • Increased heart rate
  • Sweating
  • Shaking
  • Dizziness
  • Blurred vision
  • Headaches
  • Fatigue
  • Nervousness or Anxiety
  • Hunger
  • Irritability or confusion

Causes

Hyperglycemia

  

  • Having type 1 diabetes and not taking enough insulin- Your body cannot process the sugars in your blood because insulin is not being used.
  • Having type 2 diabetes and the body not effectively using the insulin.
  • Consuming and exercising more than planned-Excessive physical activity increases more sugars in the body to use as an energy source.
  • Bodily stressors such as the flu or common cold-Your body releases adrenalin to fight illnesses and increased adrenalin causes an increase of blood sugar levels.
  • Everyday stress (drama, family conflicts, school)- Increased cortisol hormones causes the body to decrease insulin secretion.
  • A surge of hormones in the body (commonly produces between the hours of 4 am and 5 am).

Hypoglycemia

  

  • Taking an excessive amount of insulin- This can cause the cells in your body to absorb too much sugar in your blood. 
  • Low intake of carbs -If you do not consume enough carbs blood sugars will drop significantly.
  • Wrong timing of insulin intake- Your blood sugars can drop severely if you do not take insulin on a consistent schedule.
  • Amount and timing of physical activity- Physical activity/exercise can make the body more insulin resistant. It is recommended to check your blood sugars prior, during, and after a workout.
  • Alcohol consumption- Alcohol causes an increase in insulin secretion which can then turn into low blood sugar levels.
  • Hot or humid weather- Excessive sweating causes the body to lose large amounts of fluids which results in dehydration and low blood sugars.
  • Poor eating habits- Not consuming enough carbs can result in a drop in blood sugars. 
  • Menstruation- During menstruation, estrogen and progesterone hormones are at their peak levels which causes insulin resistance in the body and low blood sugar levels.

Treatments

Hyperglycemia

  • Eating healthy
  • Increase physical activity
  • Manage high stress levels

Hypoglycemia

The 15-15 rule. An accepted practice to reverse hypoglycemia:

  1. If your blood sugar is between 55-69 mg/dL, it should be raised by having 15 grams of carbs and rechecking the levels in 15 minutes. 
  2. If blood sugar levels are still below 70 mg/dL, another 15 grams of carbs should be consumed, and the steps should be repeated until blood sugar levels are in the target range. 
  3. Once the blood sugar is in range, the rule says you should eat a nutritious meal or snack to make sure the levels do not drop too low again. 
  4. If blood sugar levels drop below 55 mg/dL, this is severe low blood sugar and can be treated by prescribed injectable glucagon by your Doctor. This is only the case where the 15-15 rule does not work.


Examples of 15 gram snacks include: 

  • 1 small apple/ orange or pear 
  • 10-15 French fries 
  • 1 slice of bread 
  • 1 small muffin ( 1oz) 
  • 1/2 cup of bran cereal 
  • 15 grapes 
  • 1/2 grapefruit 

References

Low blood sugar – hypoglycemia 101. (2021, March 15). DiaTribe.

 https://diatribe.org/low-blood-sugar-%E2%80%93-hypoglycemia-101  

Hyperglycemia: Causes, symptoms, treatments & prevention. (2022). Cleveland Clinic. 

https://my.clevelandclinic.org/health/diseases/9815-hyperglycemia-high-blood-sugar 

Hyperglycemia (high blood glucose). (n.d.). Diabetes.Org.  

https://www.diabetes.org/healthy-living/medication-treatments/blood-glucose-testing-and-control/hyperglycemia 

CDC. (2021b, April 2). Low blood sugar (hypoglycemia). Centers for Disease Control and Prevention.

 https://www.cdc.gov/diabetes/basics/low-blood-sugar.html


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