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Hyperglycemia……Myth’s & Realities: Fawad Aly Shah

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Hyperglycemia is exactly the opposite of hypoglycemia. Blood glucose generally considered ‘up’ when it is 160 mg/dl or above diabetic’s glucose level. Hyperglycemia is simply defined as “a state in which diabetic is suffering with high level of blood glucose”. Many diabetics do not experience vital physical symptoms that may indicate the high blood sugar level. But high level of blood sugar over a long period of time is dangerous. Possible physical symptoms are thirst, fatigue, frequent urination or blurred vision, with or without symptoms the best way is still the test of A1c which gives clear cut indication about overall blood glucose level.

For diabetics who used insulin, the major cause offawad-aly-shah high blood glucose might be insufficient amount of insulin. For those are who take a diabetes pill, it may mean that they need to combine that pill to another or with insulin to nullify hyperglycemia.

Causes of hyperglycemia according to researchers are as follows, too much food consumption. It is either due to increased portion size or due to changing food habits or food choices. Consumption of high-fat foods are also one major contributing factor. Too little physical activity also increases the risk of hyperglycemia. It is either of two reasons, one is decreased or elimination of physical activity by the diabetic or he has put a very little effort in exercising. Diabetes pills, irregular insulin intake, also lead towards hyperglycemia in patients. Leaving prescribed dosage or due to injecting insulin into the same area over and over again is another major cause. Bad or spoiled insulin may harm the diabetic badly. Unusual illness, infection, injury or surgery also increases the chances of hyperglycemia in diabetics. Incorrect and or inaccurate glucose monitoring technique also contributes to it. Make sure that drop of blood is not too small. Always use correct technique. Do clean the meter on regular basis. Never exposed you strips to very hot or cold temperatures or never kept them in airtight, dry container.

If diabetic is on insulin and still his blood glucose levels are not in normal range he must need adjustments in his insulin doses, before making any adjustments following questionnaire will a must to ask:

  • Did you eat too much without adjusting your insulin dose?
  • Did you make mistakes in measuring or timing your present insulin does?
  • Have you gained weight?

If all of your answers are in affirmation you need instant changes into your insulin plan. Diabetic ketoacidosis is very severe stage of hyperglycemia. It is happened because there is not enough insulin available for the body to use glucose for energy, it then leads to the production of ketones, which build up in blood and spill into urine. The combination of high blood glucose and ketones lead to the serous life threatening condition ‘ketoacidosis’. It is more likely to occur in type-1 diabetes but type-2 patients are also at risk if their sugar level by pass 250 mg/dl level for several days. Any illness, like flu, injury, surgery or dental problems can lead to ketoacidosis if blood sugar levels are not maintained as prescribed. Ketoacidosis is termed as medical emergency. Its symptoms include frequent urination, thirst or hunger, nausea, stomach pain, vomiting, chest pain, rapid shallow breathing and difficulty staying awake. If any diabetic experience these symptoms it is necessary to take immediate medical help.

Despite the best intentions of diabetic, not every day will go smoothly in his diabetes treatment program. Do not be surprised if your blood sugar level goes up or down. It can happen even if your diabetes care is well look after. By learning about early signs about high blood sugar level and enhancing his diabetes knowledge a diabetic can make proper adjustment before the occurrence of more serious problems.

References:
      www.howstuffworks.com
      www.aadenet.org
      www.niddk.nih.gov
      www.diabetes.org
      www.joslin.org
      www.webmed.com


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