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High Blood Sugar Symptoms You Shouldn't Ignore (Hyperglycemia)

04 Sep 2025 by Catherine Madaffari, M.D.

High Blood Sugar Symptoms You Shouldn't Ignore (Hyperglycemia)

High blood sugar, also known as hyperglycemia, occurs when your blood glucose levels are higher than the target range. It's a common issue for individuals with diabetes, but it can also affect people without a diabetes diagnosis. Recognizing the symptoms of high blood sugar is crucial for prompt management and preventing serious complications. This article delves into the key symptoms, potential causes, and how to address hyperglycemia effectively.

Understanding Hyperglycemia

Hyperglycemia happens when the body either doesn't produce enough insulin (a hormone that helps glucose enter cells for energy) or can't use insulin properly (insulin resistance). This leads to a buildup of glucose in the bloodstream. Prolonged high blood sugar can damage organs and tissues, making early detection paramount. The Ultimate Blood Sugar Diet Best Foods For Optimal Control

Key High Blood Sugar Symptoms to Watch For

Being aware of the following symptoms can help you identify hyperglycemia early and seek timely medical attention:

  • Frequent Urination (Polyuria): The kidneys try to flush out excess sugar by increasing urine production. This leads to more frequent trips to the bathroom, especially at night.
  • Increased Thirst (Polydipsia): Due to fluid loss from frequent urination, the body becomes dehydrated, triggering intense thirst.
  • Blurred Vision: High blood sugar can affect the lens of the eye, causing temporary blurry vision.
  • Fatigue and Weakness: When glucose can't enter cells for energy, you may feel tired and weak, even after adequate rest.
  • Headaches: High blood sugar levels can cause headaches and dizziness.
  • Slow-Healing Cuts and Sores: Elevated blood sugar can impair the body's natural healing process.
  • Dry, Itchy Skin: Dehydration and impaired circulation due to hyperglycemia can lead to dry and itchy skin.
  • Increased Hunger: Despite elevated blood sugar, cells may not be receiving enough energy, leading to increased hunger.
  • Unexplained Weight Loss: In some cases, especially with undiagnosed or poorly managed diabetes, the body might start breaking down muscle for energy, resulting in unexplained weight loss.
  • Recurrent Infections: High blood sugar can weaken the immune system, increasing susceptibility to infections.

Symptoms of Severe Hyperglycemia

When hyperglycemia becomes severe, it can lead to life-threatening conditions like diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). Be especially vigilant for these symptoms:

  • Fruity-Scented Breath (DKA): A sweet, fruity odor on the breath is a hallmark of DKA, caused by the breakdown of fat for energy.
  • Nausea and Vomiting (DKA): Stomach upset is common in DKA due to the buildup of ketones.
  • Shortness of Breath (DKA): Rapid, deep breathing (Kussmaul breathing) is a sign that the body is trying to expel excess carbon dioxide from the blood.
  • Stomach Pain (DKA): Abdominal pain can occur due to metabolic imbalances.
  • Confusion (HHS and DKA): Extreme hyperglycemia can affect brain function, leading to confusion and disorientation.
  • Loss of Consciousness (HHS and DKA): Severe cases can result in coma.

If you or someone you know experiences any of these severe symptoms, seek immediate medical attention.

Potential Causes of High Blood Sugar

Understanding the causes of hyperglycemia can help you take preventative measures:

  • Diabetes (Type 1 and Type 2): The most common cause of hyperglycemia is diabetes, where the body either doesn't produce enough insulin or can't use it effectively.
  • Missed or Insufficient Insulin Doses: Individuals with diabetes who rely on insulin may experience high blood sugar if they miss doses or don't take enough insulin to cover meals.
  • Dietary Choices: Consuming large amounts of sugary foods and carbohydrates can quickly raise blood sugar levels.
  • Lack of Physical Activity: Exercise helps improve insulin sensitivity and lowers blood sugar.
  • Illness and Infection: When you're sick, your body releases hormones to fight the infection, which can raise blood sugar levels.
  • Stress: Stress hormones can also increase blood sugar levels.
  • Certain Medications: Some medications, such as corticosteroids, can increase blood sugar.
  • Gestational Diabetes: This type of diabetes develops during pregnancy and typically resolves after childbirth.
  • Pancreatic Disorders: Conditions that affect the pancreas, such as pancreatitis or pancreatic cancer, can impair insulin production.

Managing High Blood Sugar

Effective hyperglycemia management depends on the underlying cause and individual circumstances. Here are some general strategies: What Is The Prediabetes Range Understanding Your Blood Sugar Diagnosis

  • Monitor Blood Sugar Regularly: If you have diabetes, check your blood sugar as directed by your healthcare provider.
  • Follow Your Meal Plan: Stick to a balanced diet that limits sugary foods and refined carbohydrates. Work with a registered dietitian or diabetes educator to create a personalized meal plan.
  • Exercise Regularly: Aim for at least 150 minutes of moderate-intensity aerobic activity each week.
  • Take Medications as Prescribed: If you have diabetes, take your insulin or other diabetes medications as prescribed by your doctor.
  • Stay Hydrated: Drink plenty of water to help flush out excess sugar.
  • Manage Stress: Practice relaxation techniques, such as deep breathing, meditation, or yoga, to help reduce stress levels.
  • Adjust Insulin Doses (if applicable): Work with your doctor to adjust your insulin doses as needed, especially during illness or periods of increased stress.
  • Seek Medical Attention for Infections: Treat infections promptly to prevent them from further elevating blood sugar.

When to Seek Medical Advice

It's crucial to consult a healthcare professional if you experience persistent hyperglycemia, especially if you have diabetes or other underlying medical conditions. Seek immediate medical attention if you experience symptoms of severe hyperglycemia, such as:

  • Fruity-scented breath
  • Nausea and vomiting
  • Shortness of breath
  • Confusion
  • Loss of consciousness

Diagnostic Tests for Hyperglycemia

Several diagnostic tests can help determine if you have hyperglycemia:

  • Fasting Plasma Glucose (FPG) Test: Measures your blood sugar after an overnight fast. A result of 126 mg/dL or higher indicates diabetes.
  • Oral Glucose Tolerance Test (OGTT): Measures your blood sugar two hours after drinking a sugary solution. A result of 200 mg/dL or higher indicates diabetes.
  • A1C Test: Measures your average blood sugar levels over the past 2-3 months. An A1C of 6.5% or higher indicates diabetes.
  • Random Plasma Glucose Test: Measures your blood sugar at any time of day, without fasting. A result of 200 mg/dL or higher, along with symptoms of hyperglycemia, may indicate diabetes.

Complications of Untreated Hyperglycemia

Prolonged, uncontrolled hyperglycemia can lead to a variety of serious complications, including:

  • Cardiovascular Disease: Increased risk of heart attack, stroke, and peripheral artery disease.
  • Nerve Damage (Neuropathy): Numbness, tingling, and pain in the hands and feet, as well as digestive problems.
  • Kidney Damage (Nephropathy): Can lead to kidney failure.
  • Eye Damage (Retinopathy): Can lead to vision loss and blindness.
  • Foot Problems: Increased risk of infections, ulcers, and amputation.
  • Skin Conditions: Increased susceptibility to bacterial and fungal infections.
  • Hearing Impairment: Higher risk of hearing loss.
  • Alzheimer's Disease: Some studies suggest a link between diabetes and an increased risk of Alzheimer's disease.

Preventing High Blood Sugar

Preventing hyperglycemia involves making healthy lifestyle choices:

  • Maintain a Healthy Weight: Being overweight or obese increases the risk of insulin resistance.
  • Eat a Balanced Diet: Focus on whole grains, fruits, vegetables, and lean protein.
  • Exercise Regularly: Physical activity helps improve insulin sensitivity and lowers blood sugar.
  • Limit Sugary Drinks and Foods: Avoid sugary sodas, juices, and processed foods.
  • Manage Stress: Practice stress-reduction techniques.
  • Get Enough Sleep: Aim for 7-8 hours of sleep per night.
  • If you have diabetes, follow your healthcare provider's recommendations for managing your condition.

Understanding Blood Sugar Levels

It's important to know your target blood sugar range and understand how different factors can affect your levels. Blood sugar levels are typically measured in milligrams per deciliter (mg/dL). The Normal Blood Sugar Chart For Men And Women

Here is a general guideline for blood sugar levels:

  • Fasting Blood Sugar: 70-99 mg/dL (normal), 100-125 mg/dL (prediabetes), 126 mg/dL or higher (diabetes)
  • 2 Hours After Eating: Less than 140 mg/dL (normal), 140-199 mg/dL (prediabetes), 200 mg/dL or higher (diabetes)
  • A1C: Less than 5.7% (normal), 5.7-6.4% (prediabetes), 6.5% or higher (diabetes)

Consult with your healthcare provider to determine your individual target blood sugar range.

Managing High Blood Sugar: A Quick Guide

Below is a quick summary of key steps to manage high blood sugar effectively.

Action Description
Check Blood Sugar Regular monitoring is key. Know your target range.
Adjust Medication Consult your doctor about appropriate adjustments.
Hydrate Drink plenty of water to help flush out excess sugar.
Exercise Light activity can help lower blood sugar levels.
Monitor Diet Avoid sugary drinks and refined carbohydrates.
Seek Medical Advice Contact your doctor if levels remain persistently high.

Conclusion

Recognizing the symptoms of high blood sugar and taking prompt action is essential for preventing serious complications. By understanding the causes of hyperglycemia, making healthy lifestyle choices, and working closely with your healthcare provider, you can effectively manage your blood sugar levels and maintain optimal health. Remember that this information is for general knowledge and should not substitute for professional medical advice.

References and Further Reading