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Symptoms of High Blood Sugar (Hyperglycemia) You Should Never Ignore

04 Sep 2025 by Shon E. Meek, M.D., Ph.D.

Symptoms of High Blood Sugar (Hyperglycemia) You Should Never Ignore

High blood sugar, or hyperglycemia, is a condition that occurs when there's too much glucose in the blood. This is commonly associated with diabetes, but it can also affect individuals without a diabetes diagnosis under certain circumstances. Recognizing the symptoms of high blood sugar is crucial for timely management and prevention of serious health complications. This article provides a comprehensive overview of the symptoms, risk factors, and necessary actions to take when experiencing hyperglycemia.

What is Hyperglycemia?

Hyperglycemia occurs when the body doesn't have enough insulin or when insulin isn't working properly to regulate blood glucose levels. Insulin is a hormone produced by the pancreas that helps glucose from food get into cells to be used for energy. When there isn't enough insulin, or when cells become resistant to insulin's effects, glucose builds up in the bloodstream, leading to hyperglycemia.

Common Symptoms of High Blood Sugar

The severity of hyperglycemia symptoms can vary from person to person. Mild to moderate hyperglycemia may not cause any noticeable symptoms, especially in the early stages. However, as blood sugar levels rise, several characteristic symptoms can manifest. It’s important to be aware of these indicators, as ignoring them can lead to more serious health issues.

Here are some of the most common symptoms of high blood sugar:

  • Frequent Urination (Polyuria): When blood sugar is high, the kidneys try to filter out the excess glucose. This results in increased urine production. Needing to urinate much more often than usual, especially at night, is a hallmark symptom.
  • Increased Thirst (Polydipsia): Excessive urination leads to dehydration, triggering intense thirst. No matter how much you drink, you may still feel thirsty.
  • Blurry Vision: High blood sugar can cause the lens of the eye to swell, resulting in temporary blurry vision. Prolonged periods of hyperglycemia can contribute to long-term vision problems.
  • Fatigue: The body is unable to effectively use glucose for energy when blood sugar is high, leading to feelings of tiredness and lethargy. Even after getting enough sleep, you may still feel exhausted.
  • Unexplained Weight Loss: In some cases, hyperglycemia can lead to weight loss despite normal or increased appetite. This occurs because the body starts breaking down muscle and fat for energy when glucose is unavailable.
  • Slow-Healing Cuts and Sores: High blood sugar can impair the body's ability to heal wounds, leading to slow-healing cuts, sores, and infections. This increases the risk of complications.
  • Dry, Itchy Skin: Dehydration caused by frequent urination can lead to dry, itchy skin. High blood sugar can also damage nerves, causing itching sensations.
  • Frequent Infections: Hyperglycemia weakens the immune system, making individuals more susceptible to infections, such as urinary tract infections (UTIs), yeast infections, and skin infections.

Less Common but Severe Symptoms

In more severe cases, hyperglycemia can cause more serious symptoms, which require immediate medical attention. These symptoms often indicate a state of diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar state (HHS), both of which are life-threatening complications of diabetes.

  • Nausea and Vomiting: Extremely high blood sugar levels can disrupt the digestive system, leading to nausea and vomiting.
  • Stomach Pain: Abdominal pain may accompany nausea and vomiting, especially in DKA.
  • Shortness of Breath: Rapid, deep breathing (Kussmaul breathing) is a sign of DKA, as the body tries to expel excess acid.
  • Fruity-Scented Breath: The breakdown of fat for energy in DKA produces ketones, which can cause the breath to smell fruity or like nail polish remover.
  • Confusion and Difficulty Concentrating: High blood sugar can affect brain function, leading to confusion, difficulty concentrating, and even loss of consciousness.

Risk Factors for Hyperglycemia

Several factors can increase the risk of developing hyperglycemia. Understanding these risk factors can help individuals take preventive measures and monitor their blood sugar levels more closely.

  • Diabetes: Type 1 and Type 2 diabetes are the most common causes of hyperglycemia. Individuals with diabetes are at risk of experiencing high blood sugar levels if they don't manage their condition effectively.
  • Family History of Diabetes: Having a family history of diabetes increases the risk of developing the condition and, subsequently, hyperglycemia.
  • Obesity: Excess weight, particularly around the abdomen, can lead to insulin resistance, increasing the risk of Type 2 diabetes and hyperglycemia.
  • Sedentary Lifestyle: Lack of physical activity can also contribute to insulin resistance and increase the risk of high blood sugar.
  • Certain Medications: Some medications, such as corticosteroids, diuretics, and certain antipsychotics, can raise blood sugar levels.
  • Stress: Physical and emotional stress can cause the body to release hormones that increase blood sugar.
  • Illness: Infections and other illnesses can disrupt blood sugar control and lead to hyperglycemia.
  • Gestational Diabetes: Pregnant women are at risk of developing gestational diabetes, which can cause high blood sugar during pregnancy.

What To Do When You Experience Symptoms

If you experience symptoms of high blood sugar, it's important to take action to bring your blood sugar levels back to a healthy range. How To Manage Blood Sugar Spikes After Meals Pro Tips And Tricks

  1. Check Your Blood Sugar: Use a blood glucose meter to check your blood sugar level. If it's consistently high (above your target range), take appropriate measures.
  2. Follow Your Diabetes Management Plan: If you have diabetes, follow your prescribed medication schedule, diet plan, and exercise regimen.
  3. Drink Plenty of Water: Staying hydrated can help flush out excess glucose and prevent dehydration.
  4. Exercise (If Appropriate): If your blood sugar is only mildly elevated and you're feeling well, light exercise may help lower it. However, avoid exercise if you have ketones in your urine or if your blood sugar is very high (over 250 mg/dL), as it could make the condition worse. Consult your doctor on a safe exercise regimen based on your condition.
  5. Contact Your Healthcare Provider: If your blood sugar remains high despite taking these measures, or if you experience severe symptoms, seek medical attention immediately.

When to Seek Emergency Medical Care

Certain symptoms warrant immediate medical care, as they may indicate a life-threatening condition such as DKA or HHS.

  • Severe Vomiting and Inability to Keep Fluids Down
  • Difficulty Breathing or Rapid, Deep Breathing
  • Confusion or Loss of Consciousness
  • Severe Abdominal Pain
  • Fruity-Scented Breath

These symptoms require immediate medical attention to prevent serious complications and ensure the best possible outcome.

Preventing High Blood Sugar

For individuals with diabetes, careful management of their condition is essential for preventing hyperglycemia. For those without diabetes, lifestyle modifications can reduce the risk.

  • Follow a Healthy Diet: Choose foods that are low in added sugars, saturated fats, and refined carbohydrates. Focus on eating whole grains, fruits, vegetables, and lean protein.
  • Engage in Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity exercise per week.
  • Maintain a Healthy Weight: Losing even a small amount of weight can significantly improve insulin sensitivity and blood sugar control.
  • Monitor Blood Sugar Levels Regularly: If you have diabetes or are at risk of developing it, check your blood sugar levels as recommended by your doctor.
  • Manage Stress: Practice relaxation techniques, such as yoga, meditation, or deep breathing, to help manage stress levels.
  • Get Enough Sleep: Aim for 7-8 hours of quality sleep each night.
  • Stay Hydrated: Drink plenty of water throughout the day.

Complications of Untreated Hyperglycemia

Untreated hyperglycemia can lead to serious long-term complications that affect various organs and systems in the body. It’s crucial to manage high blood sugar effectively to minimize these risks.

Here are some of the long-term complications of untreated hyperglycemia:

  • Cardiovascular Disease: High blood sugar can damage blood vessels, increasing the risk of heart disease, stroke, and peripheral artery disease.
  • Nerve Damage (Neuropathy): High blood sugar can damage the nerves throughout the body, leading to numbness, tingling, pain, and loss of sensation, particularly in the hands and feet.
  • Kidney Damage (Nephropathy): The kidneys filter waste from the blood. High blood sugar can damage the kidneys' filtering units, leading to kidney disease and, eventually, kidney failure.
  • Eye Damage (Retinopathy): High blood sugar can damage the blood vessels in the retina, the light-sensitive tissue at the back of the eye, leading to vision problems and blindness.
  • Foot Problems: Nerve damage and poor circulation in the feet can lead to ulcers, infections, and, in severe cases, amputation.
  • Skin Conditions: High blood sugar can increase the risk of bacterial and fungal infections of the skin.
  • Cognitive Impairment: Studies suggest a link between high blood sugar and cognitive decline, including an increased risk of Alzheimer's disease and dementia.
  • Gastroparesis: High blood sugar can damage the nerves that control stomach emptying, leading to nausea, vomiting, bloating, and abdominal pain.

Blood Sugar Level Chart

Understanding blood sugar ranges is crucial for managing hyperglycemia. Here's a general chart, but individual targets may vary based on age, health conditions, and other factors. Always consult your doctor for personalized guidance. What Is A Normal Blood Sugar Level For Non Diabetics The Definitive Guide

Blood Sugar Level Range (mg/dL) Interpretation
Fasting Blood Sugar (Before Breakfast) * Normal: Less than 100 * Prediabetes: 100-125 * Diabetes: 126 or higher (on two separate tests) Measures blood sugar after an overnight fast.
2-Hour Postprandial (After Meal) * Normal: Less than 140 * Prediabetes: 140-199 * Diabetes: 200 or higher Measures blood sugar 2 hours after starting a meal.
A1C (Average Blood Sugar Over 2-3 Months) * Normal: Less than 5.7% * Prediabetes: 5.7%-6.4% * Diabetes: 6.5% or higher Provides an overview of blood sugar control over time.

Important Note: This table is for informational purposes only and should not be used for self-diagnosis. Always consult with a healthcare professional for personalized recommendations.

Conclusion

Recognizing and addressing the symptoms of high blood sugar is vital for preventing serious health complications. Whether you have diabetes or are at risk, understanding the signs and symptoms, adopting healthy lifestyle habits, and monitoring blood sugar levels are essential steps. If you experience persistent symptoms of hyperglycemia, seek medical attention promptly to ensure proper diagnosis and management. Early intervention can help protect your health and prevent long-term damage. A1C Vs Fasting Glucose Which Blood Sugar Test Is Better

References and Further Reading