Diff: Hyperglycaemia
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Hyperglycaemia, also known as high blood sugar, is a condition characterized by elevated levels of sugar (glucose) in the blood. It primarily affects individuals with diabetes and can have serious implications if left untreated. |
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'''Hyperglycaemia''' is high blood glucose. It mainly affects people with diabetes and can become serious if it is not recognised and treated. |
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== Symptoms of High Blood Sugar == |
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The symptoms of high blood sugar often develop gradually and may become noticeable when the blood sugar levels reach a significant elevation. Common symptoms include: |
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Blood glucose rises when there is not enough effective insulin to move glucose from the blood into cells. A short rise may happen after food or illness, but persistent or very high glucose can damage the body and may lead to emergencies such as diabetic ketoacidosis. |
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# Excessive thirst |
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# Frequent urination |
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# Fatigue or feeling weak |
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# Blurred vision |
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# Unexplained weight loss |
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== Blood Glucose Levels == |
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Blood glucose targets vary depending on the person, the type of diabetes, age, treatment, pregnancy status, and advice from the diabetes care team. |
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It's important to note that these symptoms may vary from person to person, and some individuals may not experience any noticeable symptoms at all. |
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The NHS gives general guide levels for high blood sugar in diabetes, including: |
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== Causes of High Blood Sugar == |
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High blood sugar levels in individuals with diabetes can be caused by various factors, including: |
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* HbA1c of 48 mmol/mol or over, also written as 6.5%. |
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* Fasting glucose over 7 mmol/L. |
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* Home testing over 7 mmol/L on waking or before eating. |
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* Home testing over 11 mmol/L at least 90 minutes after eating. |
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# Illness or infection: When the body is fighting an illness or infection, it can trigger the release of stress hormones, leading to elevated blood sugar levels. |
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# Inadequate insulin dose: Insufficient insulin administration, whether through injections or other delivery methods, can result in high blood sugar levels. |
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# Poor medication management: Failure to take prescribed diabetes medications or incorrect timing or dosages can contribute to hyperglycaemia. |
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# Inadequate dietary choices: Consuming excessive amounts of sugary or starchy foods can cause a spike in blood sugar levels. |
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# Physical inactivity: Lack of regular physical activity can impair insulin utilization, leading to elevated blood sugar levels. |
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# Emotional stress: Stressful situations can cause hormonal changes that affect blood sugar regulation. |
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These are guide levels, not personal targets. People with diabetes should follow the plan agreed with their care team. |
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== Managing High Blood Sugar == |
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If you have diabetes, it's essential to take steps to lower your blood sugar levels and prevent complications. Here are some strategies to manage high blood sugar: |
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== Symptoms == |
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Symptoms usually develop gradually and may include: |
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* Follow your prescribed diabetes treatment plan: Take your medications as directed by your healthcare provider, including insulin injections or oral medications. |
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* Monitor your blood sugar levels: Regularly check your blood glucose levels using a glucometer or other recommended methods. This will help you track your progress and make necessary adjustments to your treatment plan. |
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* Make dietary modifications: Limit your intake of sugary and starchy foods, opting for a balanced diet that includes whole grains, lean proteins, fruits, and vegetables. Consult a registered dietitian for personalized dietary guidance. |
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* Engage in regular physical activity: Incorporate regular exercise into your routine, as physical activity can help lower blood sugar levels and improve insulin sensitivity. Consult your healthcare provider for appropriate exercise recommendations. |
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* Manage stress: Find healthy ways to cope with stress, such as practicing relaxation techniques, engaging in hobbies, or seeking support from loved ones or mental health professionals. |
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* Maintain regular healthcare appointments: Regularly visit your healthcare provider for comprehensive diabetes care. They can monitor your blood sugar levels, assess your overall health, and provide guidance on managing high blood sugar effectively. |
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* Feeling very thirsty. |
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* Urinating a lot. |
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* Feeling weak or tired. |
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* Blurred vision. |
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* Losing weight. |
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* Recurrent infections, depending on the situation. |
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== Complications of High Blood Sugar == |
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Persistent high blood sugar levels can lead to various complications, including: |
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Some people have high glucose without obvious symptoms, especially if the rise is mild or gradual. |
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# Diabetic ketoacidosis (DKA): When blood sugar levels remain consistently high, the body may break down fat for energy, producing ketones as a by-product. Excessive ketones can lead to DKA, a serious and potentially life-threatening condition. |
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# Long-term complications: Uncontrolled high blood sugar over time can damage blood vessels and organs, increasing the risk of heart disease, stroke, kidney disease, nerve damage (neuropathy), and vision problems (retinopathy). |
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== Causes == |
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Common causes in people with diabetes include: |
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== When to Seek Medical Attention == |
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If you are experiencing symptoms of high blood sugar and have not been diagnosed with diabetes, or if your blood sugar remains elevated despite efforts to lower it, it is important to contact your healthcare provider for further evaluation and guidance. |
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* Being unwell or having an infection. |
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* Stress. |
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* Eating more sugary or starchy food than usual. |
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* Being less active than usual. |
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* Missing doses of diabetes medicine. |
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* Diabetes medicine not working well enough. |
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* Taking medicines such as steroids. |
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* Recent surgery or another physical stress. |
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Additionally, individuals with diabetes should be aware of the signs of diabetic ketoacidosis, such as persistent nausea and vomiting, fruity-scented breath, difficulty breathing, and confusion. If you experience these symptoms, seek immediate medical attention. |
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== Management == |
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Management depends on the person's diabetes plan and how high the glucose level is. General measures may include checking blood glucose, taking prescribed diabetes medicine as advised, following sick-day rules, drinking enough fluids, avoiding excess sugary or starchy food, and contacting the diabetes care team if levels remain high. |
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Remember, managing high blood sugar is crucial for maintaining overall health and preventing complications associated with diabetes. By closely following your treatment plan and adopting a healthy lifestyle, you can effectively manage your blood sugar levels and lead a fulfilling life with diabetes. |
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People should not skip or change prescribed diabetes medicine unless advised by a doctor or diabetes care team. |
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== Complications == |
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High glucose can cause serious problems if it stays high for a long time or becomes very high. Possible complications include: |
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* Peripheral neuropathy. |
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* Diabetic retinopathy. |
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* Heart disease and stroke. |
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* Kidney disease. |
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* Diabetic ketoacidosis, especially in people with type 1 diabetes but possible in other situations. |
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A high ketone level in blood or urine can be a warning sign of diabetic ketoacidosis. NHS advice is to seek urgent help if high blood sugar is accompanied by symptoms such as vomiting, stomach pain, fast breathing, drowsiness, confusion, fruity-smelling breath, or high ketones. |
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== Related Pages == |
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* [[Diabetes Mellitus]] |
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* [[Hypoglycemia|Hypoglycaemia]] |
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== References == |
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* [https://www.nhs.uk/conditions/high-blood-sugar-hyperglycaemia/ NHS: High blood sugar] |
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* [https://www.nhs.uk/conditions/diabetes/ NHS: Diabetes] |
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* [https://www.nhs.uk/conditions/type-1-diabetes/ NHS: Type 1 diabetes] |
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* [https://www.nhs.uk/conditions/type-2-diabetes/ NHS: Type 2 diabetes] |
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[[Category:Health]] |
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[[Category:Medicine]] |