what to do if your blood sugar is 406
Blood sugar over 400 mg/dL could mean you lot're at adventure of the potentially fatal diabetic ketoacidosis.
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If y'all have diabetes, it's very important to keep your blood saccharide, or glucose, levels within a healthy range.
Here'due south why: If your glucose levels dip too low, y'all tin can experience symptoms of hypoglycemia, which include shakiness, a rapid heartbeat and lightheadedness.
And if your claret carbohydrate levels swing besides high (chosen hyperglycemia), you could feel not just long-term health complications, just brusk-term problems like diabetic ketoacidosis (DKA), a serious condition that could possibly be fatal.
Find out what happens when your claret sugar levels are too loftier, as well every bit potential outcomes when they ascent above 400 milligrams per deciliter (mg/dL).
Warning
If your claret sugar is over 400 (or persistently college than 240), seek medical attending immediately, according to the Mayo Clinic.
What Are the Symptoms of Loftier Blood Carbohydrate?
In full general, the American Diabetes Association (ADA) recommends shooting for a blood sugar level of lxxx to 130 mg/dL before a repast and a level of less than 180 mg/dL after a repast. Still, because people'south target blood glucose levels can vary, it'due south best to work with your doctor or wellness care provider to determine the right numbers for you.
If your blood sugar levels are as well loftier, you can feel symptoms like frequent urination and increased thirst. Left untreated, hyperglycemia can develop into diabetic ketoacidosis, which occurs when your trunk is no longer able to utilize insulin to intermission down glucose for free energy.
Without insulin, your body begins to suspension down fats, triggering the production of chemicals called ketones, according to the ADA. Your body can't harbor too many ketones, so information technology tries to flush them out of the body through the urine — just because the trunk can't always eliminate them all, they tin can go along to build up, causing diabetic ketoacidosis.
Causes of Loftier Blood Sugar
High claret sugar can come about for a number of reasons. In general, though, if y'all have diabetes, you lot can experience high blood carbohydrate episodes because the insulin in your trunk isn't able to adequately regulate the amount of glucose in your blood, per the Mayo Clinic.
According to the Cleveland Clinic, there are other reasons your claret sugar can spike when you have diabetes, including:
- You lot're not taking the right dose of insulin or diabetes medication.
- The corporeality of carbohydrates y'all're eating isn't balanced with your insulin medication dosage.
- You're less physically active.
- Yous're physically or emotionally stressed.
- You're taking steroid medications.
- You're experiencing the dawn phenomenon, which is when your body produces a surge of hormones early in the morning.
High claret sugar can also occur if you don't accept diabetes, per the Cleveland Dispensary. Causes of these spikes tin can include:
- Endocrine conditions like Cushing syndrome
- Pancreatic diseases like pancreatitis and cystic fibrosis
- Certain medications like diuretics and steroids
- Gestational diabetes
- Side effects from surgery
How Do I Know if I'thou at Risk?
Testing your urine with a urine examination strip volition reveal the presence of ketones in your urine — high levels of these chemicals are a potential signal of diabetic ketoacidosis. Your md volition tell you when you lot should perform the test, but the ADA says that, in general, you may want to bank check your urine for ketones when your claret saccharide levels hit more than than 240 mg/dL.
Other symptoms of diabetic ketoacidosis include nausea, difficulty animate, an altered mental state and a fruity odour on the breath.
"In our clinic, if a person has claret sugar levels of over 300 mg/dL, we will check for urine ketones," says Susan Spratt, MD, an endocrinologist and associate professor of medicine at Knuckles University Schoolhouse of Medicine. "If their blood sugar levels are over 300 mg/dL — and certainly over 400 mg/dL — we're concerned that they may be going into diabetic ketoacidosis."
If your urine test reveals that ketones are present, call your doctor, who tin give you further instructions. You may demand to go to the emergency room to seek handling correct away. The ADA says that if you accept ketones present in the body, you lot shouldn't exercise. In this case, exercise can cause your blood carbohydrate levels to spike even higher.
If your claret sugar levels are over 400 mg/dL, you lot could as well be at risk for aridity, says Dr. Spratt. During treatment, your doctors will give you insulin to stabilize your claret sugar levels and replace whatever fluids you lot might take lost through urination or vomiting, according to the U.Southward. National Library of Medicine.
Alert
Without treatment, diabetic ketoacidosis can atomic number 82 to a diabetic blackout and death, and so if y'all have symptoms, seek immediate medical attending. Diabetes statistics show the status was the seventh leading crusade of death in the U.Southward. in 2017, co-ordinate to the ADA, and then it's important to go medical care right away.
Diabetes Numbers Warnings and Precautions
If your blood sugar reading is over 400 mg/dL, there is a chance that y'all accept a fake reading — particularly if you aren't experiencing whatever symptoms. For example, if there were food particles on your fingers or you used outdated or improperly stored test strips, yous might have gotten an inaccurate reading.
If you re-test your levels and your blood sugar is indeed in a higher place 400 mg/dL, follow the communication your doc has given yous — whether that includes taking extra insulin or drinking more water — and contact him or her for further treatment advice.
Hither's a nautical chart to help you make up one's mind if your blood carbohydrate levels are cause for business organisation:
| Low | 70 mg/dL |
| Normal (before a meal) | eighty to 130 mg/dL |
| Normal (ii hours after a repast) | Below 180 mg/dL |
| High | 180 mg/dL or higher |
| Dangerously high (seek medical attention) | 240 mg/dL or higher |
Source: National Institute of Diabetes and Digestive and Kidney Diseases. "Know Your Blood Sugar Numbers: Utilise Them to Manage Your Diabetes" and University of Michigan. "High Blood Saccharide (Hyperglycemia)"
Source: https://www.livestrong.com/article/535758-blood-glucose-levels-above-400/
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