Treatment FAQ

treatment for low blood sugar in diabetes how to treat

by Dr. Jermaine Cronin DVM Published 2 years ago Updated 2 years ago
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For low blood sugar between 55-69 mg/dL, raise it by following the 15-15 rule: have 15 grams of carbs and check your blood sugar after 15 minutes. If it's still below your target range, have another serving. Repeat these steps until it's in your target range.Mar 25, 2021

Medication

What should I do if I have symptoms of a low blood sugar level?

  • Check your blood sugar level, if possible. Your blood sugar level is too low if it is at or below 70 mg/dL.
  • Eat or drink 15 grams of fast-acting carbohydrate. Fast-acting carbohydrates will raise your blood sugar level quickly. ...
  • Check your blood sugar level 15 minutes later. ...
  • Teach people close to you how to use your glucagon kit. ...

Therapy

If your blood sugar is less than 70 milligrams per deciliter (mg/dl):

  • Eat 15 to 30 grams of carbohydrate (sample foods listed below)
  • 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.

Self-care

If your sugar levels are low (between 51 mg/dL to 70 mg/dL), you can follow the “15-15-15 Rule”:

  • Eat 15 g of a “fast-acting” carbohydrate (carbs that will raise your blood sugar relatively quickly). ...
  • After 15 minutes, retest your sugar levels.
  • If they are still low, eat 15 g more.

Nutrition

Yes, low blood sugar symptoms can cause problems such as hunger, nervousness, perspiration, dizziness and even confusion; if untreated, low blood sugar (also termed hypoglycemia) may result in unconsciousness, seizures, coma, or death. Low blood sugar levels begin at 70 mg/dL or less.

How do you fix low blood sugar?

What is the cure for low blood sugar?

How do you treat low blood sugar?

Is low blood sugar bad for diabetics?

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What are the steps in treating someone with low blood sugar?

How do I treat an episode of hypoglycemia?Eat or drink 15 grams of carbs to raise your blood sugar.After 15 minutes, check your blood sugar.If it's still below 70 mg/dL, have another 15 grams of carbs.Repeat until your blood sugar is at least 70 mg/dL.

How do you recover from low blood sugar quickly?

What foods can help raise blood sugar fast?a piece of fruit, like a banana, apple, or orange.2 tablespoons of raisins.15 grapes.1/2 cup apple, orange, pineapple, or grapefruit juice.1/2 cup regular soda (not sugar-free)1 cup fat-free milk.1 tablespoon honey or jelly.15 Skittles.More items...•

Is banana good for low blood sugar?

(That's what “hypoglycemia” means.) Glucose is the body's main source of energy. In most people, blood sugar levels should be within a range of 70 to 99 milligrams per deciliter (mg/dL). Most healthy people only need a quick high-carb snack, such as an apple or banana, to help get their blood sugar back up to normal.

Which fruit increases sugar level?

Some commonly eaten fresh fruits may raise your blood sugar more quickly than others. These include figs, grapes, mangos, cherries and bananas. Eat them in moderation and in the suggested serving size of one small fruit or 1/2 cup.

What to do if your blood sugar is too low?

If your blood sugar is still too low, eat or drink something sugary again. Repeat this pattern until your blood sugar is above 70 mg/dL (3.9 mmol/L). When you feel better, have a snack or a meal to keep your blood sugar from dropping again.

What happens if you have low blood sugar?

If you do, you may cause your blood sugar level to rise too high, which will make you feel thirsty and tired.

What is glucagon used for?

Glucagon is a hormone that raises blood sugar quickly. It can be lifesaving if someone isn't alert enough to eat or drink something to raise his or her blood sugar. Glucagon is available only by prescription. Glucagon comes in an emergency syringe kit or as a nasal treatment.

How to raise blood sugar quickly?

Then eat or drink something that's mostly sugar or carbohydrates to raise your blood sugar level quickly. Pure glucose — found in tablets, gels and other forms — is the preferred treatment. Foods with more fat, such as chocolate, don't ...

How long after giving glucagon can you eat?

When given to someone who is unconscious, the person should be turned on his or her side to prevent choking in case of vomiting. About 15 minutes after getting glucagon, the person should be alert and able to eat. If someone doesn't respond within 15 minutes, call emergency medical care.

Do you need insulin if you eat a snack?

If you normally take insulin with food, you generally don't need additional insulin if you're eating a snack after having a low blood sugar. If you're going to eat a meal, however, you may need a reduced dose of insulin to ensure that your blood sugar doesn't rise too quickly. If you have symptoms of low blood sugar but can't check your blood sugar ...

Can diet soft drinks cause hypoglycemia?

Foods with more fat, such as chocolate, don't raise blood sugar as quickly. And diet soft drinks cannot be used to treat an episode of hypoglycemia because they don't have any sugar.

Where to keep glucose tabs?

Keep glucose tabs or other quick carbs handy at your bedside, in your pocket or purse, at your desk, in the glove compartment, and where you exercise. Use them automatically and allow time for your glucose to correct before eating more.

How to get rid of low carbs?

Here are some tips: 1 Use glucose tabs instead of something yummier. Not only do they work fastest, but they’re not as tempting to overeat, and it’s easy to track the carbs by the number of tablets you eat. Smarties or Sweet Tarts, made of glucose or actually dextrose that is two glucose molecules hooked together, are optimal and less expensive options. 2 Fix every low immediately at the first CGM alert before it turns really bad. Speedy treatment reduces the release of stress hormones and minimizes rebound highs.

What is the sugar in the blood?

The “sugar” in the blood is glucose. Dextrose, a double glucose molecule found in Dex4, Glucolift, BD Glucose tablets, and in candies like Sweet Tarts and Smarties rapidly resupplies glucose. Glucose and dextrose reach the blood as 100 percent glucose, making them ideal choices for hypoglycemia.

How long to wait to drive after low glucose?

Check your CGM or test your glucose 20 minutes after treating a low to ensure it has risen. After a moderate to severe low glucose, wait for 30 to 45 minutes before driving or operating machinery. Coordination and thinking take longer to return to normal than the return to normal glucose in the blood.

Is table sugar made of glucose?

Table sugar is made of one glucose molecule and one fructose molecule and has only half as much glucose as glucose tabs. Fruit juices, like orange juice, contain a bit less glucose, take longer to raise the glucose, and are often over-consumed.

How to lower blood sugar in diabetics?

Physical activity. Exercise has many benefits. The tricky thing for people with type 1 diabetes is that it can lower blood sugar in both the short and long-term. Nearly half of children in a type 1 diabetes study who exercised an hour during the day experienced a low blood sugar reaction overnight.

Why is my blood sugar low?

One reason newer insulins are preferred over NPH and regular insulin is that they’re less likely to cause blood sugar lows , particularly overnight. Insulin pumps may also reduce the risk for low blood sugar. Accidentally injecting the wrong insulin type, too much insulin, or injecting directly into the muscle (instead of just under the skin), can cause low blood sugar.

Why do people with hypoglycemia need to take extra care to check blood sugar frequently?

People with hypoglycemia unawareness need to take extra care to check blood sugar frequently. This is especially important prior to and during critical tasks such as driving. A continuous glucose monitor (CGM) can sound an alarm when blood sugar levels are low or start to fall.

What is glucagon used for?

Glucagon is used to treat someone with diabetes when their blood sugar is too low to treat using the 15-15 rule.

What does it mean when your blood sugar is high?

Other causes of symptoms. Other people may start to have symptoms of hypoglycemia when their blood sugar levels are higher than 70 mg/dL. This can happen when your blood sugar levels are very high and start to go down quickly. If this is happening, discuss treatment with your diabetes care team.

How long does it take for blood sugar to rise?

Treatment—The "15-15 Rule". The 15-15 rule—have 15 grams of carbohydrate to raise your blood sugar and check it after 15 minutes. If it’s still below 70 mg/dL, have another serving. Repeat these steps until your blood sugar is at least 70 mg/dL.

How many carbs should a child have to fix low blood sugar?

Young children usually need less than 15 grams of carbs to fix a low blood sugar level: Infants may need 6 grams, toddlers may need 8 grams, and small children may need 10 grams. This needs to be individualized for the patient, so discuss the amount needed with your diabetes team.

What is hypoglycemia?

Hypoglycemia occurs when the levels of glucose (sugar) in your blood are too low. It is a complication that can affect people with diabetes, but it can also be caused by reasons not related to diabetes, such as alcohol, side effects of certain medications, anorexia, or diseases such as hepatitis or kidney problems.

What causes low blood sugar in people with diabetes?

In diabetes, the body is either not producing insulin (type 1) or not using it efficiently (type 2). Insulin is a hormone that is normally released by the pancreas to help the body take the sugar ingested from food and move it into cells to be used for energy.

How can I prevent low blood sugar?

The best way for anyone to prevent hypoglycemia is to constantly monitor their blood sugar levels and to stay alert for early symptoms such as sweating, trembling/shaking, and hunger. Eating small meals regularly (rather than 3 large meals) and avoiding sugary foods are good ways to keep sugar levels in check.

How can I treat low blood sugar quickly?

If you feel symptoms of low blood sugar, test your levels with a blood glucose monitor as soon as possible. If your sugar levels are low (between 51 mg/dL to 70 mg/dL), you can follow the “15-15-15 Rule”:

What is the best treatment for low blood sugar?

In the case of low blood sugar, that’s the opposite of what you want. The most commonly recommended treatment for low blood sugar is glucose tablets or glucose gel. And let me tell you, those glucose tablets aren’t the tastiest things in the world.

What is considered low blood sugar?

To answer that question, we first need to know what’s considered low blood sugar or hypoglycemia. The American Diabetes Association (ADA) defines hypoglycemia as anytime your blood sugar is lower than the healthy range.

What happens if your blood sugar is 80?

If your blood sugar is greater than 80 mg/dL, but you’re feeling symptoms of hypoglycemia: If your blood sugar is greater than 80 mg/dL, you’re likely experiencing these symptoms due to rapidly changing blood sugar levels and don’t require quick-acting carbohydrates.

What is the best liquid carbohydrate for hypoglycemia?

If your blood sugar has dropped below 55 mg/dL, you need quick, rapid-acting liquid carbohydrates. There should be no fiber, fat, or protein present. Grape juice is one of the highest carbohydrate-filled juices and is my choice for myself and clients experiencing this severity of hypoglycemia.

Do you need fast acting carbohydrates?

Essentially, you want fast-acting carbohydrates, which are simple sugars with little to no fiber. You also want to avoid high fat foods. The fat that will often stabilize blood sugars after meals can actually delay how quickly your body absorbs those needed simple carbohydrates. In the case of low blood sugar, that’s the opposite of what you want.

Is peanut butter low in blood sugar?

At this point, your blood sugar is still not technically low, by definition. However, this may be lower than you’re comfortable with. Any form of starch — in this case, crackers — will help gradually raise your blood sugar just slightly, and the fat and protein in the peanut butter will sustain those levels.

Call 911 if

A person who has low blood sugar not related to diabetes loses consciousness.

2. Follow Up

If non-diabetic hypoglycemia is recurrent, see a health care provider. The health care provider will do tests to help determine the cause.

How to stabilize blood sugar?

Repeat these steps until the blood sugar is above 70 mg/dL (3.9 mmol/L). Have a snack or meal. Once your blood sugar is normal, eating a snack or meal can help stabilize it and replenish your body's glycogen stores.

What is the treatment for severe hypoglycemia?

Hypoglycemia is considered severe if you need help from someone to recover. For example, if you can't eat, you might need glucagon injection or intravenous glucose. In general, people with diabetes who are treated with insulin should have a glucagon kit for emergencies.

How to treat hypoglycemia?

Immediate treatment. If you have symptoms of hypoglycemia, do the following: Eat or drink 15 to 20 grams of fast-acting carbohydrates. These are sugary foods without protein or fat that are easily converted to sugar in the body. Try glucose tablets or gel, fruit juice, regular — not diet — soft drinks, honey, and sugary candy.

How to prevent recurrent hypoglycemia?

Depending on the underlying cause, treatment may involve: Medications. If a medication is the cause of your hypoglycemia, your doctor will likely suggest changing or stopping the medication or adjusting the dosage. Tumor treatment.

What to do if you don't have glucagon?

If there's no glucagon kit available or you don't know how to use it, call for emergency medical help.

What to do if you have type 1 diabetes?

If you haven't been diagnosed with diabetes, make an appointment with your primary care doctor.

Can you fast if you have hypoglycemia?

If you don't have signs and symptoms of hypoglycemia during your initial visit with your doctor, he or she might have you fast overnight or longer. This will allow low blood sugar symptoms to occur so that he or she can make a diagnosis.

What are the best ways to treat diabetes?

Treatment. Depending on what type of diabetes you have, blood sugar monitoring, insulin and oral medications may play a role in your treatment. Eating a healthy diet, maintaining a healthy weight and participating in regular activity also are important factors in managing diabetes.

How to treat type 1 diabetes?

Treatment for type 1 diabetes involves insulin injections or the use of an insulin pump, frequent blood sugar checks, and carbohydrate counting. Treatment of type 2 diabetes primarily involves lifestyle changes, monitoring of your blood sugar, along with diabetes medications, insulin or both.

How to do a glucose challenge?

You'll begin the glucose challenge test by drinking a syrupy glucose solution. One hour later, you'll have a blood test to measure your blood sugar level. A blood sugar level below 140 mg/dL (7.8 mmol/L) is usually considered normal on a glucose challenge test, although this may vary at specific clinics or labs.

What does A1C mean?

It measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells. The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. An A1C level of 6.5% or higher on two separate tests indicates that you have diabetes.

How does exercise affect blood sugar?

Exercise lowers your blood sugar level by moving sugar into your cells, where it's used for energy. Exercise also increases your sensitivity to insulin, which means your body needs less insulin to transport sugar to your cells .

How to control blood sugar in a newborn?

In addition to maintaining a healthy diet and exercising, your treatment plan may include monitoring your blood sugar and, in some cases, using insulin or oral medications .

What blood test is used to determine blood sugar levels?

Tests for type 1 and type 2 diabetes and prediabetes. Glycated hemoglobin (A1C) test. This blood test, which doesn't require fasting, indicates your average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells.

What is the best treatment for severe hypoglycemia?

Treat severe hypoglycemia with glucagon. If you develop severe hypoglycemia, you may be too confused or disoriented to eat or drink. In some cases, you may develop seizures or lose consciousness. If this happens, it’s important for you to receive glucagon treatment.

How to treat hypoglycemia?

You can treat the early symptoms of hypoglycemia by eating fast-acting carbohydrates. Eat or drink about 15 grams of fast-acting carbs, such as: glucose tablets or glucose gel. 1/2 cup of fruit juice or non-diet soda. 1 tablespoon of honey or corn syrup. 1 tablespoon of sugar dissolved in water.

What to do if your blood sugar is 70?

You’ll need treatment if your blood sugar has dropped to 70 mg/dL or lower. If you don’t have a glucose meter or monitor available, call your doctor to receive treatment as soon as possible. Contact your doctor or go to the hospital right away if treatment doesn’t help and your symptoms aren’t improving.

What are the symptoms of hypoglycemia?

blurred vision. tingling around your mouth. headache. clumsiness. slurred speech. Severe hypoglycemia may cause: seizures or convulsions. loss of consciousness. Use a glucose meter or continuous glucose monitor to check your blood sugar level if you think you’re experiencing hypoglycemia.

What happens if your blood sugar is too low?

If you live with type 1 diabetes, you’re likely aware that when your blood sugar level drops too low, it causes a condition known as hypoglycemia. This happens when your blood sugar falls to 70 milligrams per deciliter (mg/dL) or less. If left untreated, hypoglycemia can cause seizures and loss of consciousness.

What happens if glucagon doesn't work?

But if this doesn’t work, or you become disoriented, develop seizures, or lose consciousness , you need glucagon treatment. Ask your doctor for more information about glucagon emergency kits and glucagon nasal powder. Last medically reviewed on October 1, 2019.

How to get blood sugar back to normal?

1 tablespoon of honey or corn syrup. 1 tablespoon of sugar dissolved in water. After about 15 minutes, check your blood sugar level again. If it’s still too low, eat or drink another 15 grams of fast-acting carbs. Repeat these steps until your blood sugar returns to the normal range.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Mild cases of hypoglycemia can be treated with small doses of glucose. Frequent episodes of hypoglycemia require medical help.
Medication

Sugar: In small doses to treat mild cases.

Glucose

Therapy

Hormone therapy:(Glucagon) To treat severe cases.

Self-care

Always talk to your provider before starting anything.

  • Stick to the prescribed dose of antidiabetics
  • Take the medications on time
  • Do not take extra dose of medicine to compensate for a missed dose

Nutrition

Foods to eat:

  • Choose complex carbohydrates like whole-wheat bread, broccoli, legumes, brown rice over simple carbohydrates
  • Lean protein
  • Foods with low glycemic index score

Foods to avoid:

  • Processed and refined sugars
  • Foods high in saturated fats or trans fats

Specialist to consult

Diabetologist
Specializes in the treatment of diabetes mellitus.
Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.

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