This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.
WHAT YOU NEED TO KNOW:
What is diabetic hyperglycemia?
Diabetic hyperglycemia is a blood glucose (sugar) level that is higher than your diabetes care team provider recommends. You may not have any signs and symptoms. You may have increased thirst and urinate more often than usual.
What increases my risk for diabetic hyperglycemia?
- You do not follow your meal plan.
- You exercise less than usual.
- You do not take your insulin or diabetes medicine as directed.
- You have an illness, such as a cold, the flu, or pneumonia.
- You have an increased amount of stress.
Why is it important to manage diabetic hyperglycemia?
Over time, hyperglycemia can damage your nerves, blood vessels, tissues, and organs. Damage to arteries may increase your risk for heart attack and stroke. Nerve damage may also lead to other heart, stomach, and nerve problems. If diabetic hyperglycemia is not controlled, it can lead to diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar state (HHS). These are serious conditions that can become life-threatening.
How do I 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 care team provider if you continue to have trouble managing your blood sugar. He or she 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 care team 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.
How do I prevent diabetic hyperglycemia?
- Check your blood sugar levels regularly. Ask your care team 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.
- Get physical activity as directed. Physical activity, such as exercise, can help lower your blood sugar when it is high. It also can keep your blood sugar levels steady over time. Be active for at least 30 minutes, 5 days a week. Include muscle strengthening activities 2 days each week. Do not sit for longer than 30 minutes at a time. Work with your care team provider to create an activity 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 care team provider how to lower your blood sugar when you have ketones.
Call your local emergency number (911 in the US) for any of the following:
- You have a seizure.
- You begin to breathe fast or are short of breath.
- You become weak and confused.
When should I seek immediate care?
- Your blood sugar level is over 240 mg/dL and you have ketones in your urine.
- Your breath smells fruity.
- You have nausea and are vomiting.
- You have symptoms of dehydration, such as dark yellow urine, dry mouth and lips, and dry skin.
When should I call my care team provider?
- You continue to have higher blood sugar levels than your care team provider recommends.
- You have questions or concerns about your condition or care.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers 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.
© Copyright IBM Corporation 2020 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Learn more about Diabetic Hyperglycemia
- Diabetes, Type 1
- Diabetes, Type 2
- Diabetic Coma
- Diabetic Coma, in DM Type I
- Diabetic Coma, in DM Type II
- Diabetic Ketoacidosis
IBM Watson Micromedex
- Diabetes and your Skin
- Diabetic Gastroparesis
- Diabetic Ketoacidosis
- Diabetic Ketoacidosis in Children
- Hyperosmolar Hyperglycemic State
- Hypoglycemia in a Person with Diabetes
- Non Insulin Pen Devices for Diabetes
- Nondiabetic Hyperglycemia
- Type 1 Diabetes in Adults: New Diagnosis
- Type 1 Diabetes in Children
- Type 2 Diabetes in Adults: New Diagnosis
- Type 2 Diabetes in Children