ARFP

Autumn Road Family Practice

904 Autumn Road, #200

Little Rock, AR 72211

High Blood Sugar (Hyperglycemia)

What is hyperglycemia?

Hyperglycemia means high blood sugar.  A blood sugar level of more than 115 mg/dl before breakfast (fasting) is high.  If your blood sugar testing before meals is often more than 140 then it is too high.  If your A1c is more than 8%, then your blood sugar is staying too high too much of the time.  An adjustment in your overall diabetes treatment plan is needed.

What causes high blood sugar?

All the things that increase blood sugar can cause your blood sugar to go too high.  Skipping your diabetes medication, less activity than usual or eating more than you usually do will cause your blood sugar to go too high.  Stress or other illness can also cause your blood sugar levels to go up.

How will I feel when my blood sugar is too high?

Most of the time you will not feel anything special if your blood sugar is high.  Sometimes you may feel like when you first found out you had diabetes.  You might

  • go to the bathroom more often
  • feel weak and tired
  • have blurry vision
  • have a dry mouth
  • be extra thirsty

If your blood sugar has been high for a few days you may feel extra hungry or even dizzy.  If it goes higher you may be confused.  This can be an emergency situation and you need to see a doctor right away.  Very high blood sugar can cause you to pass out just like very low blood sugar.

How can hyperglycemia be treated?

If your blood sugar is too high, think back about what has happened and how it could have been prevented.  Blood sugar might be higher when you are stressed, or not on your usual schedule, or not using your meal or exercise plan faithfully.  Once you get back on your plan, your blood sugar levels should get back in your goal range.

If your fasting (before-breakfast) blood sugar stays at 140 or more or if you are feeling symptoms of high blood sugar, call the doctor.  Your treatment plan may need to be adjusted.  If your blood sugar is rising more each day for several days, drink plenty of extra water and call for an appointment to see the doctor.

How can I tell the difference between high and low blood sugar?

Usually only some diabetes pills or insulin shots will cause low blood sugar reactions.  If you are not on medications for diabetes then most likely any symptoms you feel will be from high blood sugar.

The best way to tell the difference is to test your blood sugar level.