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Diabetic Hyperglycemia, Ambulatory Care

Diabetic hyperglycemia

is a blood glucose (sugar) level that is higher than your healthcare provider recommends. You may not have any signs and symptoms. You may have increased thirst and urinate more often than usual.

Seek immediate care for the following symptoms:

  • Shortness of breath
  • Breath that smells fruity
  • Nausea and vomiting
  • Symptoms of dehydration, such as dark yellow urine, dry mouth and lips, and dry skin

Manage diabetic hyperglycemia:

  • If you take diabetes medicine or insulin, take it as directed. Missed or wrong doses can cause your blood sugar to go up.
  • Tell your healthcare provider if you continue to have trouble managing your blood sugar. He may change the type, amount, or timing of your diabetes medicine or insulin. If you do not take diabetes medicine or insulin, you may need to start.
  • Work with your healthcare provider to develop a sick day plan. Illness can cause your blood sugar to rise. A sick day plan helps you control your blood sugar level when you are sick.

Prevent diabetic hyperglycemia:

  • Check your blood sugar levels regularly. Ask your healthcare provider how often to check your blood sugar and what your levels should be.
  • Follow your meal plan. Your blood sugar can go up if you eat a large meal or you eat more carbohydrates than recommended. Work with a dietitian to develop a meal plan that is right for you.
  • Exercise regularly to help lower your blood sugar when it is high. It can also keep your blood sugar levels steady over time. Exercise for at least 30 minutes, 5 days a week. Include muscle strengthening activities 2 days each week. Do not sit for longer than 90 minutes at a time. Work with your healthcare provider to create an exercise plan. Children should get at least 60 minutes of physical activity each day.
  • Check your ketones before exercise if your blood sugar level is above 240 mg/dl. Do not exercise if you have ketones in your urine, because your blood sugar level may rise even more. Ask your healthcare provider how to lower your blood sugar when you have ketones.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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