High blood glucose, also known as hyperglycemia, can cause major health
complications in people with diabetes. Several factors can contribute to
hyperglycemia—including poor food and physical activity choices, illness or
disease, or not getting the right dosage of glucose-lowering medication.
Regular blood sugar testing is helpful for people with diabetes, because
many people do not feel symptoms of high blood sugar. Short-term symptoms of
high blood sugar include:
- excessive thirst
- excessive urination
- increased urination at night
- blurry vision
- sores that won’t heal
If you experience symptoms of hyperglycemia, it’s
important that you check your blood glucose levels. Untreated high blood sugar
can lead to acute complications, such as diabetic ketoacidosis, and chronic
complications, such as eye, kidney, or heart disease and/or nerve damage.
the Symptoms of Hyperglycemia?
Hyperglycemia rarely causes noticeable symptoms. Symptoms can develop over
several days or weeks, and the longer the condition is left untreated, the more
severe the problem may become. The signs and symptoms of hyperglycemia include:
- blood glucose level greater than 180 mg/dL
- blurry vision
- difficulty concentrating
- frequent urination
- high blood glucose
- high levels of sugar in the urine
- increased fatigue
- increased thirst
- weight loss
A number of conditions or factors can contribute to hyperglycemia,
- being less active than normal
- eating more carbohydrates than usual without adequate
- having more stress than usual—from an illness or from
outside sources such as family conflict, relationship problems, or
financial concerns (illness and stress can trigger hormones that can cause
your blood sugar to rise)
- taking less diabetes medication than normal
- not injecting insulin properly or using expired insulin
- skipping or forgetting insulin or medicine
An important part of managing your diabetes is checking your blood glucose
level often—and then recording that number in a notebook or blood glucose log
so you and your doctor can monitor your treatment plan. Knowing when your blood
glucose levels are getting out of your target range can help you get blood
sugar back under control before more significant problems arise.
Exercise is one of the best and most effective ways to keep your blood glucose
levels where they should be, and lower them if they get high. If you are on medications that increase
insulin, be sure to talk to your healthcare team to decide the best times to
exercise. If you have complications such
as nerve or eye damage, talk to your healthcare team about exercises that are
best for your situation.
An important note: If your blood glucose is above 240 mg/dl, it’s vital that
you check your urine for ketones. If you have ketones, do not exercise. Do not
exercise if your blood glucose is above 300 mg/dL even without ketones. Call
your doctor instead. Exercising when ketones are in your body may cause your
blood glucose level to go even higher.
Analyze Your Eating
Meet with a dietitian or nutritionist and work together to construct a
healthy, interesting selection of meals that can help prevent higher blood
Depending on your personal health history and your experiences with
hyperglycemia, your doctor may wish to change the amount, type, or timing of
your diabetes medication. Do not adjust your medicines without first
talking to your doctor or nurse educator.
In rare cases, emergency treatment is needed to lower your blood sugar. This
type of treatment usually includes replacing fluids lost during excessive
urination; electrolyte replacement, to replace minerals in your body lost as a
result of inadequate insulin; and insulin therapy, to reverse the buildup of
ketones in your blood.
If you have a history of hyperglycemia, talk with your doctor about safe,
practical ways to control your blood glucose. Cutting back on the amount of
certain foods you eat might help, as can changing your medication or insulin.
What Are the Complications of Hyperglycemia?
Untreated and chronic hyperglycemia can cause serious complications. These
- nerve damage (neuropathy)
- kidney damage (nephropathy) or kidney failure
- cardiovascular disease
- eye disease (retinopathy)
- foot problems caused by damaged nerves and poor blood
- skin problems, such as bacterial and fungal infections
If your blood sugar goes high enough or is too high for a prolonged period
of time, you may begin developing symptoms of two serious conditions. They are:
This is a buildup of ketones in your blood and urine. It can be poisonous
and might lead to a life-threatening diabetic coma.
Diabetic Hyperosmolar Syndrome
If insulin is present but not working properly, blood glucose levels may get
as high as 600 mg/dL. The body cannot use glucose or fat for energy, so the
glucose is dumped into the urine, which causes more-frequent urination. If left
untreated, hyperosmolar syndrome may lead to life-threatening dehydration and
How Is Hyperglycemia Prevented?
Good diabetes management and careful monitoring of your blood glucose are
both very effective means for preventing hyperglycemia—or stopping it before it
Test and record your blood glucose levels on a regular basis each day. Share
this information with your doctor at every appointment.
Know how many carbohydrates you’re eating in a day, and strive to stay in
the range approved by your doctor or nurse educator. Keep this information with
your blood sugar levels.
Be Diabetes Smart
Have a plan of action for if and when your blood glucose reaches certain
levels. Take your medication as prescribed, being consistent about the amount
and timing of your meals and snacks.
Medical bracelets or necklaces can help alert emergency responders to
your diabetes if there is a greater problem.