High blood sugar is just a symptom of diabetes, so it does not mean that you have diabetes.
The Glycemic Index (GI) is a numerical index that measures carbohydrates based on their rate of glycemic response – the extent to which foods raise blood sugar levels after eating. The first step to start a low glycemic diet is by replacing your intake of high GI foods with low and moderate GI foods. If you try to lose weight, reverse high blood sugar symptoms, or you are seeking an overall healthful eating plan, use the GI and you will achieve your goals. You should remember that it is all about quality, meaning that you should also consider the nutrient content of foods. When there is extra glucose present in the blood, the kidneys try to flush it out of the blood by producing more urine and you feel the urge to urinate more frequently. Frequent urination causes you to lose of a lot of fluid and as a result you become dehydrated. Due to insulin resistance, insulin levels in the body become high and make the brain feel hungry and crave more.
Numbness in the hands and feet accompanied by burning pain and swelling could be the symptom of diabetes. Diabetes is an immunosuppressed state which means, people with high glucose level are highly susceptible to different types of infection like yeast infection and fungal infection as both fungi and bacteria usually flourish in sugar-rich environment. If infections, bruises and cuts do not heal quickly, this could be another sign of diabetes.
Implementing glucometry into your overall assessment means understanding three things: when to use it, what the results mean, and when it fails. First of all, by and large the only people with derangements of their blood sugar should be diabetics. The most correct answer is anybody with clinical indications of either hypo- or hyperglycemia. When hyperglycemia becomes severe and prolonged enough, we start to worry about diabetic ketoacidosis. With all of that said, you need to really build up some glucose before hyperglycemia becomes symptomatic, and even more than that before it becomes acutely dangerous and unstable. Despite all this, the primary manifestations of early hypoglycemia are actually not symptoms of hypoglycemia.
To make a long story short, anybody with altered mental status, or any kind of general systemic complaint (weakness, fatigue, anxiety, nausea, etc.) should probably get their glucose tested, whether or not they have a known history of diabetes. A number of years ago, there was some limited but compelling research that suggested poorly-controlled blood glucose (meaning not severe derangements but merely small deviations from the ideal range) was associated with increased mortality among an inpatient population with a wide variety of conditions.
So you’ve taken a blood glucose, either by capillary finger-stick or from a venous sample. All things are also relative, in that a given BGL must be compared to the patient’s baseline to predict its effects.
Non-diabetics usually become noticeably symptomatic below a sugar of, on average, about 53. After a recent meal, diabetics may demonstrate hyperglycemia to various degrees depending on whether they ate a Cobb salad or an entire chocolate cake.
Another important consideration in evaluating glucose levels is the expected trend. For instance, a BGL of 70 in a diabetic patient might not excite anybody. To make a long story short, the clinical effects of both hypo- and hyperglycemia can vary substantially. Well over 90% of BGLs that test outside the maximum error range (remember, around 15%) are due to user error. You failed to clean the skin before lancing, contaminating the sample (not to mention creating an infection risk), or you had some D50 on your glove and it got mixed in there. The good news is that in many of these situations, internal error-checking within the glucometer will recognize the problem, and flash an error rather than a reading.


In 43 years of being a diabetic working in EMS and as an EMS educator, I don’t think I have encountered a better, more readable and understandable guide to diabetics and glucometry then yours. The real danger is when your blood sugar levels stay high for longer periods of time, which can be the reason for  diabetes or other serious health problems.
But,in some case, an individual experiencing hyperglycemia (high blood sugar) could have no symptoms at all. So if you often get up during the night to visit the loo, then you could be suffering from diabetes.
Your mouth becomes dry and you feel thirsty frequently as the body tries to replenish the lost fluid.
As cells are not getting enough glucose, which is required to produce energy, the body begins to break down protein as an alternative from your muscles thinking it is starving.
This is because blood vessels get damaged due to excess amount of glucose that starts traveling around the arteries and veins.
The rest of us are generally able to maintain euglycemia through our homeostatic mechanisms, except perhaps in critical illness causing organ failure and similar abnormal states. This can actually be detectable by chemical dip-stick, or even by odor and texture at very high levels. Although burning fat and protein is not necessarily dangerous (some popular diets actually put you into a mild ketogenic state intentionally), extensive accumulation of ketones caused by a total lack of insulin (as in type I diabetics — DKA is rarely seen in type II) creates a metabolic acidosis in the body. In other words, if you were hospitalized with something like sepsis, you were more likely to end up dying if your sugar tended to float around 160 instead of 110. Diabetics seeking to control their condition and not have their toes falling off in a few years usually strive for tighter control of their BGL than is needed for acute care; a sugar of 175 is a little on the high side for a routine check, but a pretty meaningless elevation for our purposes. In other words, poorly-controlled diabetics who are routinely sitting at 200 may become symptomatic of hypoglycemia at relatively high levels, whereas very well-controlled diabetics who usually run lower may be able to drop very low indeed without noticing it. For diabetics, it will depend mainly on how much and what type of medication they’re using.
For one thing, if your body has to flip that switch often, you become numbed to it, and your hypoglycemic thresholds becomes lower and lower. Particularly when peripheral perfusion is poor, always try to sample at a different limb from any running drips. The reagents in the strips will actually degrade if exposed to air for sufficient periods of time, so make sure that you keep them in their tightly-sealed case, and follow their printed expiration dates. If you draw whole blood and leave it around (much more likely to happen in the laboratory than in the ambulance), the erythrocytes will metabolize glucose at about 5-7% per hour. Primarily in meters using the glucose oxidase enzyme, alkalosis will cause falsely elevated readings, while acidosis causes falsely low readings. High levels of circulating proteins or fats can cause falsely low readings due to dilution. See our previous remarks on this, and remember that venous sources will be more accurate than capillary.
Better known as Vitamin C, some people take megadoses of this stuff, thinking it’ll cure their cold or flu. Massive doses, such as might be used for intensive inotropic support, can modestly influence glucose dehydrogenase-based meters. This is a dialysate solution used for peritoneal dialysis (not hemodialysis — this is where they pump fluid into the abdomen, let it sit, then drain it out), mainly in patients with diabetes. But, if you know all the symptoms for the high blood sugar and recognize when you begin to experience them regularly, it can motivate you to take the necessary steps to get your blood sugar under control. Also, if you are urinating frequently, you are losing water because the kidneys are working hard to eliminate excess sugar; you lose more calories which results in unexplained weight loss. If your patient is complaining of those, you might be the first one to discover their condition.


Hypoglycemia again presents as altered mental status, in this case more often an inhibited rather than an elevated state: confusion, lethargy, disorientation, inability to focus or follow commands, weakness, headache, seizures, and eventually coma and death.
Not only can diabetic emergencies look like anything, they can also be comorbid; it is extremely common for patients to have another problem, yet also to bring a high or low sugar along for the ride, due to the illness throwing a wrench in their normal intrinsic and extrinsic glycemic homeostatic systems. As a result, it become trendy to practice extremely tight and aggressive glucose management for virtually everybody; diabetic patients were being tested every few hours and ping-ponged around using medication to keep their numbers textbook-perfect. The acidosis of DKA can therefore cause falsely low readings, masking the profound underlying hyperglycemia, so if the clinical picture screams DKA, don’t necessarily let the glucometer tell you different.
These in particularly are highly device-dependent, with the glucose oxidase-type meters most often affected.
The effect is similar to ascorbic acid, but even more modest; it should only be considered in major overdoses, and even then the difference is unlikely to break 35. This remains one of the best assessment aids we have, because diabetic emergencies remain some of the most common, most treatable, and most easily confused disorders that we encounter.
If your answer is “yes” to any of these questions, you could be experiencing high blood sugar symptoms.
Due to insulin resistance, the blood sugar does not get into the cells to be used for energy. But if you let your blood sugar level go unchecked for a long period, glucose can cause permanent damage to the eyes, even blindness.
DKA causes altered mental status, usually elevated states of confusion and disorientation, and combative behavior isn’t uncommon. The fun part is that the impairments can present as focal as well as generalized deficits: unilateral weakness of the limbs or face, speech slurring, poor gait, vision abnormalities, and more.
Wise diabetics recognize the early signs of this sympathetic response and drink some Pepsi. As levels keep dropping, these symptoms combine with the neurological effects of glucose starvation to produce a confused, sweaty, increasingly stuporous individual. More recently a number of studies have suggested that this may be less important than was thought, and in fact that excessive paranoia leads to a lot of iatrogenic harm from accidental insulin overdoses. Finally, drugs like beta blockers that directly block sympathetic activity can seriously obscure hypoglycemia. There’s at least one tragic and unfortunate case report of a patient death resulting from massive insulin overdose due to this effect, not noticed until the true BGL was obtained by laboratory analysis.
Almost a fifth of older Americans are diagnosed, and the older and sicker they are, the more common it is. If left untreated, finally the sugar drops until we’re looking at the picture of impaired and diminished consciousness caused by true hypoglycemia.
Grab your nearest bottle of beta blockers and read the list of adverse effects: one will be hypoglycemic unawareness, a five-dollar term that means beta blockade can make it difficult to know when your sugar drops low. A low number in an asymptomatic patient, or a normal number in a patient with highly suggestive signs and symptoms, should force you to bring out your thinking cap and weigh the odds.
If you maintain your equipment, learn how to do it right, and keep a few basic confounders in mind, it’ll serve you well as one of your most reliable tools.
Interestingly, kids are particularly prone to hypoglycemia due to their gigantic heads, full of glucose-hungry brain. People with family history of diabetes, low activity level, overweight, poor diet are more susceptible to diabetes.



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Comments

  1. 20.04.2014 at 21:58:44


    Time (normal is 80-110 mg/dl) breath, confusion, nausea.

    Author: FILANKES
  2. 20.04.2014 at 16:16:19


    Even after eating a large meal blood or urine, it shows that.

    Author: VIP
  3. 20.04.2014 at 23:22:19


    But I am still worried about the sugar seizures and.

    Author: 113