A Biased View of Hyperglycemia (High Blood Sugar) - Managing Side Effects

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Up to 10% of people who have diabetes have Type 1. It’s usually diagnosed in children and young adults (but can develop at any age). It was once better known as “juvenile” diabetes. People with Type 1 diabetes need to take insulin every day. This is why it is also called insulin-dependent diabetes.

This is the most common type of diabetes. Up to 95% of people with diabetes have Type 2. It usually occurs in middle-aged and older people. Other common names for Type 2 include adult-onset diabetes and insulin-resistant diabetes. Your parents or grandparents may have called it “having a touch of sugar.” This type is the stage before Type 2 diabetes.

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This type develops in some women during their pregnancy. Gestational diabetes usually goes away after pregnancy. However, if you have gestational diabetes you're at higher risk of developing Type 2 diabetes later on in life. Less common types of diabetes include: These are rare inherited forms of diabetes accounting for up to 4% of all cases.

Some 7. 3 million adults aged 18 and older (about 1 in 5) are unaware that they have diabetes (just under 3% of all U.S. adults). The number of people who are diagnosed with diabetes increases with age. More than 26% of adults age 65 and older (about 1 in 4) have diabetes.

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You may not have any symptoms at all or may not notice them since they develop slowly over several years. Symptoms usually begin to develop when you’re an adult, but prediabetes and Type 2 diabetes is on the rise in all age groups. You typically will not notice symptoms. Your obstetrician will test you for gestational diabetes between 24 and 28 weeks of your pregnancy.

There are three tests that can measure your blood glucose level: fasting glucose test, random glucose test and A1c test. This test is best done in the morning after an eight hour fast (nothing to eat or drink except sips of water). This test can be done any time without the need to fast.

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7% ​ 5. 7 - 6. 4%6. 5% or higher, Less than 140140-199200 or higher There are two blood glucose tests if you are pregnant. With a , you drink a sugary liquid and your glucose level is checked one hour later. You don’t need to fast before this test.

If your healthcare provider suspects Type 1 diabetes, blood and urine samples will be collected and tested. The blood is checked for autoantibodies (an autoimmune sign that your body is attacking itself). The urine is checked for the presence of ketones (a sign your body is burning fat as its energy supply).

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weight loss, exercise, healthy diet) to prevent or delay developing Type 2 diabetes. Additional specific testing advice based on risk factors: Test in children and young adults who have a family history of diabetes. Less commonly, older adults may also develop Type 1 diabetes. Therefore, testing in adults who come to the hospital and are found to be in diabetic ketoacidosis is important.

Test adults age 45 or older, those between 19 and 44 who are overweight and have one or more risk factors, women who have had gestational diabetes, children between 10 and 18 who are overweight and have at least two risk factors for type 2 diabetes. Test all pregnant women who have had a diagnosis of diabetes.

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With this test, you prick the side of your finger, apply the drop of blood to a test strip, insert the strip into the meter and the meter will show your glucose level at that moment in time. Your healthcare provider will tell you how often you’ll need to check your glucose level.

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Continuous glucose monitoring uses a tiny sensor inserted under your skin. You don't need to prick your finger. Instead, the sensor measures your glucose and can display results anytime during the day or night. Ask your healthcare provider about continuous glucose monitors to see if this is an option for you.

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Hyperglycemia is defined as: A blood glucose level greater than 125 mg/d, L while in the fasting state (nothing to eat or drink for at least eight hours). or A blood glucose level greater than 180 mg/d, L one to two hours after eating. How is diabetes treated? Treatments for diabetes depend on your type of diabetes, how well controlled your blood glucose level is and your other existing health conditions - kidney disease.

Your pancreas no longer makes insulin. If you have this type, your treatments can include medications (both for diabetes and for conditions that are risk factors for diabetes), insulin and lifestyle changes such as losing weight, making healthy food choices and being more physically active. If you have prediabetes, the goal is to keep you from progressing to diabetes.

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Many of the strategies used to prevent diabetes are the same as those recommended to treat diabetes (see prevention section of this article). If you have this type and your glucose level is not too high, your initial treatment might be modifying your diet and getting regular exercise. If the target goal is still not met or your glucose level is very high, your healthcare team may start medication or insulin.

Slows down the release of glucose from your liver (extra glucose is stored in your liver). Blocks the breakdown of carbohydrates in your stomach or intestines so that your tissues are more sensitive to (better react to) insulin. Helps rid your body of glucose through increased urination. What oral medications are approved to treat diabetes? Over 40 medications have been approved by the Food and Drug Administration for the treatment of diabetes.

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Examples include colestipol (Colestid®), cholestyramine (Questran®) and colesevelam (Welchol®). This medication lowers the amount of glucose released by the liver. An example is bromocriptine (Cyclocet®). Many oral diabetes medications may be used in combination or with insulin to achieve the best blood glucose control (diabetic neuropathy). Some of the above medications are available as a combination of two medicines in a single pill.

Always take your medicine exactly as your healthcare prescribes it. Discuss your specific questions and concerns with them. What insulin medications are approved to treat diabetes? There are many types of insulins for diabetes. If you need insulin, you healthcare team will discuss the different types and if they are to be combined with oral medications.

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There are also insulins that are combined with a GLP-1 receptor agonist medication (e. g. Xultophy®, Soliqua®). How is insulin taken? How many different ways are there to take insulin? Insulin is available in several different formats. You and your healthcare provider will decide which delivery method is right for you based on your preference, lifestyle, insulin needs and insurance plan.

The needle is then removed leaving only the flexible tube under the skin. You replaces the cannula every two to three days. Another type of insulin pump is attached directly to your skin and does not use tubes. This system uses an insulin pump linked to a continuous glucose monitor.