How Fast Will Blood Sugar Reduce After Stopping All Sugar And Carbs
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How Do You Treat Low Blood Sugar
A popular method for treating low blood sugar is to follow the Rule of 15. This is when a person experiencing low blood glucose eats 15 grams of carbohydrates, then waits for 15 minutes for their glucose to rise.
These 15 minutes can feel impossibly long, but its important to be as patient as possible to see if the initial intake of 15 grams of carbohydrates is working.
If glucose levels have not come up in the initial 15 minutes, the person should consume 15 more grams of carbohydrates and repeat the process.
If they are using a continuous glucose monitoring system, they should remember that it can take a few more minutes for the interstitial glucose to reflect the glucose absorbed from the gastrointestinal tract. It is best to check a fingerstick in 15 minutes to confirm that glucose is rising, as the rise in glucose could be delayed on CGM.
When in doubt, use a fingerstick to verify glucose levels especially if the symptoms dont match the CGM values.
Another way to treat low blood sugar is by using glucagon.
Why Does Blood Sugar Go Up In The Morning What Is The Dawn Phenomenon
There are a few main reasons why your glucose levels may be higher in the morning. One of these is known as the dawn phenomenon.
The dawn phenomenon occurs early in the morning between 3 am and 8 am while you are still asleep. As morning approaches, the body naturally signals your liver to produce glucose, giving your body the energy it needs for the start of the day. Caused by changes in hormonal levels, the dawn phenomenon happens to all people, with or without diabetes. However, for those without diabetes, insulin levels increase and they do not experience hyperglycemia.
Another reason you may experience higher morning glucose levels is because your injected insulin wears off. If your body has insufficient insulin during the night, your glucose levels may start to rise. To combat this, you may consider trying a new basal insulin, adjusting the timing and amount of your basal dose , or changing your nighttime basal rates .
The last reason you may experience higher morning glucose levels is known as the Somogyi effect. This occurs if your glucose levels fall too low during the night, caused by too much insulin or medication. To respond, your liver produces more glucose to try to maintain your glucose levels, which may result in hyperglycemia. The Somogyi effect is not as common as the other reasons described.
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Cut Back On The Carbs
High blood sugars happen when you have diabetes, and another way to help counteract this is to eat less carb, temporarily. This doesnt mean you cant eat any carb foods, but curtailing those carbs, short term, can help. Go easy with bread, pasta, rice, fruit, milk, and yogurt and anything sweet, for that matter. Stick with low-carb veggies, lean protein foods, and healthy fat foods .
Take A Correction Dose
For those who take fast or rapid-acting insulin Novolog, Humalog, Apidra, Fiasp, Admelog, Afrezza you can take a correction dose to bring a high blood sugar down.
A correction factor is determined with support from your healthcare team. This number tells you how much 1 unit of fast or rapid-acting insulin will lower your blood sugar. For example, a correction factor of 1:50 means that 1 unit of insulin will lower your blood sugar by 50 points.
Its important to keep in mind how much insulin you may already have on board in your bloodstream before taking an additional dose of insulin.
Most fast and rapid-acting insulin stays in your system for approximately 3 to 4 hours, which means taking an additional dose of insulin to correct a high could lead to a severe low blood sugar if you already have a significant amount of insulin from your most recent dose still in your bloodstream.
Also, remember to give that correction dose of insulin at least two hours to make an impact on your blood sugar before getting frustrated and taking another injection. You wont see a significant improvement in your blood sugar until its been in your system for at least 2 to 3 hours .
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Broccoli And Broccoli Sprouts
Sulforaphane is a type of isothiocyanate that has blood-sugar-reducing properties.
This plant chemical is produced when broccoli is chopped or chewed due to a reaction between a glucosinolate compound called glucoraphanin and the enzyme myrosinase, both of which are concentrated in broccoli .
Test-tube, animal, and human studies have shown that sulforaphane-rich broccoli extract has powerful antidiabetic effects, helping enhance insulin sensitivity and reduce blood sugar and markers of oxidative stress .
Broccoli sprouts are concentrated sources of glucosinolates like glucoraphanin, and theyve been shown to help promote insulin sensitivity and reduce blood sugar levels in people with type 2 diabetes when supplemented as a powder or extract (
11 ).
Keep in mind that the best way to enhance the availability of sulforaphane is to enjoy broccoli and broccoli sprouts raw or lightly steamed, or to add active sources of myrosinase like mustard seed powder to cooked broccoli (
If A Person Is Unconscious
If a person loses consciousness because of severe hypoglycaemia, they need to be put into the recovery position and given an injection of the hormone glucagon . The injection will raise their blood glucose level.
The injection should be carried out by a friend or family member who knows what theyre doing, or by a trained healthcare professional.
You should dial 999 to request an ambulance if:
- a glucagon injection kit isnt available
- theres nobody available whos trained to give the injection
- the injection is ineffective after 10 minutes
Never try to put food or drink into the mouth of someone whos unconscious as they could choke.
If youre able to give a glucagon injection and the person regains consciousness, they should eat some longer-acting carbohydrate food, such as a few biscuits, a cereal bar or a sandwich.
You should continue to monitor the person for signs of recurring symptoms in case they need to be treated again.
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What Are Normal Blood Sugar Levels
Before we get started, letâs review some definitions of what ânormal blood sugarâ means for people without diabetes:
- A normal âfastingâ blood glucose taken first thing in the morning after waking up is 99 mg/dL or lower.
- A random blood glucose test taken anytime of the day without regard to the last time youâve eaten should be under 200 mg/dL.
If you have diabetes , your doctor will discuss specific blood sugar goals with you. These goals can vary based on a variety of factors.
Correcting High Blood Sugar Levels With Insulin
If you take insulin, one way to reduce blood sugar is to inject insulin.
However, be careful as insulin can take 4 hours or longer to be fully absorbed, so you need to make sure you take into account how much insulin you may already have in your body that is yet to be absorbed by the blood. Insulin that is yet to be absorbed by the blood is called active insulin.
If you decide to correct with insulin, watch you dont over correct as this can lead to hypoglycemia and can be dangerous, particularly so before bed.
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Use Your Plate As A Portion Guide
If measuring or weighing food isnt appealing, try using your plate or bowl as a portion control guide.
This can help you determine the optimal macronutrient ratio for a well-balanced meal.
A rough guide for each meal is:
- Vegetables or salad: Half a plate
- High-quality protein: Quarter of a plate this includes meat, poultry, fish, eggs, dairy, tofu, beans and pulses
- as whole grains and starchy vegetables
- High-fat foods: Half a tablespoon including cheese, oils and butter
Remember that this is a rough guide, as people have different dietary needs. For example, those who are more physically active often require more food.
As vegetables and salad are naturally low in calories but high in fiber and other nutrients, filling up on these may help you avoid overeating calorie-dense foods.
If you want extra guidance, some manufacturers sell portion-control plates.
Summary Using a plate as a guide for portion control can help you curb total food intake. You can divide your plate into sections based on different food groups.
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Blood Ketone Meters For Testing At Home
To test the ketones in your blood, you will need a blood ketone meter and a kit that includes the lancet pen and ketone test strips. These meters also read blood glucose test strips. Results download to your computer.
Other brands and models may be available, including but not limited to:
- Precision Xtra: This meter from Abbott Diabetes Care can store up to 450 measurements and will display your blood glucose averages over different time periods. You need to enter a code to switch from glucose testing to ketone testing. Users seem happier with the Precision brand, and researchers find it to be the more accurate. The strips require 1.5 microliters of blood. It also features a backlit display.
- This meter from Nova Biomedical is often provided free with the purchase of two boxes of test strips. You don’t have to enter a code to switch it from blood glucose to ketone testing it does that automatically when you insert a ketone test strip. If you are using it primarily for blood glucose, it will remind you to test for ketones if your blood sugar level is 250 mg/dL or higher. The test strips for the Nova Max are less expensive but also flimsier and give more error messages, requiring retesting. The strips require less blood than the Precision strips, only 0.3 microliters.
When To Contact Your Doctor
Hyperglycemia can turn into a medical emergency like DKA and HHS that requires immediate intervention by your doctor or a local emergency department. If you have two blood sugar readings of 300 mg/dL or more, or have blood sugar above your target range for more than a week, seek immediate medical help.
Signs of hyperglycemia include:
- Stomach pain, nausea, or vomiting
- Shortness of breath
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What Causes A Low Blood Sugar Level
In people with diabetes, the main causes of a low blood sugar level are:
- the effects of medicine especially taking too much insulin, medicines called sulfonylureas , medicines called glinides , or some antiviral medicines to treat hepatitis C
- skipping or delaying a meal
- not eating enough carbohydrate foods in your last meal, such as bread, cereals, pasta, potatoes and fruit
- exercise, especially if it’s intense or unplanned
- drinking alcohol
Sometimes there’s no obvious reason why a low blood sugar level happens.
Very occasionally, it can happen in people who do not have diabetes.
How Is It Determined If The Dawn Phenomenon Or Somogyi Effect Is Causing The High Blood Sugar Levels
Your doctor will likely ask you to check your blood sugar levels between 2 a.m. and 3 a.m. for several nights in a row. If your blood sugar is consistently low during this time, the Somogyi effect is suspected. If the blood sugar is normal during this time period, the dawn phenomenon is more likely to be the cause.
Some additional clues that the Somogyi effect may be the cause include nightmares, restless sleep and overnight sweating as these are all signs of low blood sugar levels.
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Preventing High Blood Sugars
Everyone with diabetes experiences high blood sugars sometimes there are simply too many variables in the human body out of your control to prevent them altogether.
That being said, there are a few guidelines we can all follow to minimize the frequency of high blood sugars:
- Avoid full-sugar beverages including soda, juice, coffee drinks, iced tea, etc.
- Choose your carbohydrates carefully starchy carbs from pasta, candy, bread, desserts, etc. will spike your blood sugar the most
- Take your medications as prescribed and contact your healthcare team if you miss a dose to determine if you can take it late
- Exercise daily even a 20-minute walk makes a big difference on a daily basis
- Drink plenty of water to prevent dehydration
And of course, if youre experiencing high blood sugars are a daily basis and youre unsure of the cause, talk to your healthcare team about making adjustments in your diabetes management regimen. A slight increase in your medications can have a big impact!
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How Is Hhns Different From Diabetic Ketoacidosis
DKA is also a serious condition and potentially life-threatening if not treated promptly. In contrast to HHNS, DKA is almost exclusively a condition that occurs in people with type 1 diabetes.
A lack of insulin causes a build-up of glucose in the blood that cannot get into the cells of the body to be used for energy. The body compensates by looking for an alternative energy source in stored fat. When stored fat is used for energy it creates a toxic waste product called ketones, which can poison the body.
HHNS does not produce ketones, and the symptoms of DKA are different, including:
- Breath that has a fruity odor
- Labored breathing
- A rapid and weak pulse
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