Table of ContentsView AllTable of ContentsCauses and Risk FactorsSymptomsTreatmentComplicationsSummary

Table of ContentsView All

View All

Table of Contents

Causes and Risk Factors

Symptoms

Treatment

Complications

Summary

Hypoglycemia and hyperglycemia refer to blood sugar levels that are too low or too high, respectively. A fasting blood sugar level below 70 milligrams per deciliter (mg/dL) is referred to as hypoglycemia, while a fasting blood sugar level over 125 mg/dL is called hyperglycemia.

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HypoglycemiaUnbalanced dietSkipping mealsExerciseMedicationsHyperglycemiaFamily historyMedicationsMajor illnessSmokingInjury

HypoglycemiaUnbalanced dietSkipping mealsExerciseMedications

Unbalanced diet

Skipping meals

Exercise

Medications

HyperglycemiaFamily historyMedicationsMajor illnessSmokingInjury

Family history

Major illness

Smoking

Injury

Hyperglycemia Causes

Hyperglycemia occurs when there is too much sugar in the blood. This happens either when your body has too littleinsulin(the hormone that transports glucose into the blood) or if your body can’t use insulin properly like in the case of type 2 diabetes.

The causes of hyperglycemia in people with diabetes include:

Other possible causes of hyperglycemia include:

Can You Have High Blood Sugar Without Diabetes?

Hypoglycemia Causes

Hypoglycemia occurs when there is too much insulin in the body, resulting in low blood sugar levels. It is common in people with type 1 diabetes, and it can occur in people with type 2 diabetes taking insulin or certain medications.

For people without diabetes, hypoglycemia is rare.Causes of hypoglycemia in people without diabetes can include:

For people with diabetes, accidentally injecting the wrong insulin type, too much insulin, or injecting directly into the muscle (instead of just under the skin) can cause low blood sugar.

Other causes of hypoglycemia in people with diabetes include:

HyperglycemiaFatigueVision changesExcessive thirstFruity breathIncreased hungerNausea, vomitingHypoglycemiaHeadacheShakingSweatingHungerFast heartbeat

HyperglycemiaFatigueVision changesExcessive thirstFruity breathIncreased hungerNausea, vomiting

Fatigue

Vision changes

Excessive thirst

Fruity breath

Increased hunger

Nausea, vomiting

HypoglycemiaHeadacheShakingSweatingHungerFast heartbeat

Headache

Shaking

Sweating

Hunger

Fast heartbeat

Hyperglycemia Symptoms

While hyperglycemia symptoms can start small and insignificantly, the longer your blood sugar is high, the worse these symptoms can become. Typically, hyperglycemia starts withfatigue, headache, frequent urination, and increased thirst. Over time, symptoms can progress tonauseaand vomiting, shortness of breath, and coma.

Recognizing the symptoms of high blood sugar and treating them early are key to avoiding serious complications.

Symptoms of High Blood Sugar in People Without Diabetes

Hypoglycemia Symptoms

Hypoglycemia symptoms also tend to start slowly and may not be recognized at first, but without treatment, symptoms tend to become more serious.

The common symptoms related to low blood sugar include shakiness, hunger, fast heart rate (tachycardia), and sweating. They also can include irritability, inability to concentrate, and dizziness.

If your blood sugar levels are dangerously low (below 54 mg/dL), severe symptoms can occur. These symptoms can include confusion, behavioral changes, slurred speech, clumsy movements,blurred vision, seizures, and loss of consciousness.

HyperglycemiaFast-acting insulinRegular exercise planWeight lossExerciseSurgeryEating carbohydrates in moderationHypoglycemia15 grams of carbohydrateGlucose tabletsMedicationsDietary changes

HyperglycemiaFast-acting insulinRegular exercise planWeight lossExerciseSurgeryEating carbohydrates in moderation

Fast-acting insulin

Regular exercise plan

Weight loss

Surgery

Eating carbohydrates in moderation

Hypoglycemia15 grams of carbohydrateGlucose tabletsMedicationsDietary changes

15 grams of carbohydrate

Glucose tablets

Dietary changes

Hyperglycemia Treatments

For nonemergency episodes of hyperglycemia, a person can turn to fast-acting insulin to reduce blood sugar. Another quick way to lower blood sugar is with exercise.

Prevention should come first to ensure these spikes in blood sugar don’t happen to begin with. Some ways to ensure that blood sugar stays level and doesn’t go too high include following a regular exercise plan and eating a balanced diet. Maintaining a healthy weight, quitting smoking, and limiting alcohol intake can help prevent future hyperglycemic episodes.

How to Lower Your Blood Sugar Immediately

Hypoglycemia Treatments

Glucagon can be used along with emergency treatment to manage low blood sugar.It comes in liquid form in a prefilled syringe or an auto-injector device for you to inject just under the skin. Glucagon is also available as a powder that can be mixed with a provided liquid to be injected into the skin, muscle, or vein. It also is available as a nasal spray.

To avoid low blood sugar symptoms and complications, discuss any changes and concerns with your healthcare provider. Some ways to avoid low blood sugar include keeping emergency medication orglucose tabletson hand, discussing your condition with loved ones, empowering them to assist you if needed, and wearing a medical identification card in case of an emergency.

If you don’t feel better after three tries of the 15-15 rule or if your symptoms get worse, call your healthcare provider or 911. Healthcare providers can use a medication called glucagon. They inject it with a needle or squirt it up your nose.

HyperglycemiaEye damageKidney damagePeripheral neuropathy (nerve damage outside the brain and spinal cord) and autonomic neuropathy (damage to nerves controlling involuntary bodily functions)HypoglycemiaSeizuresLoss of consciousnessFalls or accidentsDeath

HyperglycemiaEye damageKidney damagePeripheral neuropathy (nerve damage outside the brain and spinal cord) and autonomic neuropathy (damage to nerves controlling involuntary bodily functions)

Eye damage

Kidney damage

Peripheral neuropathy (nerve damage outside the brain and spinal cord) and autonomic neuropathy (damage to nerves controlling involuntary bodily functions)

HypoglycemiaSeizuresLoss of consciousnessFalls or accidentsDeath

Seizures

Loss of consciousness

Falls or accidents

Death

Hyperglycemia Complications

Complications of hyperglycemia can affect various body systems, from your eyes to your nerves. Additionally, ongoing high blood sugar can lead to worsening heart disease and peripheral arterial disease.

Treatment and outlook depend on the person’s individual needs and circumstances. If hyperglycemia happens during pregnancy, it is considered serious since it can cause damage to the fetus and mother.

Pregnancy can change how the body regulates blood sugar levels. Gestational diabetes is a complication of pregnancy and should be closely monitored.

Parents of children experiencing high blood sugar should work closely with a healthcare provider. High blood sugar, especially when chronic, is a sign of worsening diabetes.

Hypoglycemia Complications

Low blood sugar levels can lead to serious complications as well. The most common complications of severe hypoglycemia include seizures, loss of consciousness, and death.It should also be noted that people experiencing low blood sugar can fall or have accidents due to the shakiness and dizziness that the condition causes.

What is a Dangerous Blood Sugar Level?

Hyperglycemia and hypoglycemia both can cause symptoms and serious complications if left untreated. While they can’t be completely prevented, symptoms can be managed so you can get your blood sugar back to normal when they do occur.

Blood sugar levels may be out of sight, out of mind for people without diabetes. However, it’s still important to know the signs of hyperglycemia or hypoglycemia so you can take action or seek help immediately when symptoms start. Symptoms are treatable without medical attention most of the time, but if symptoms recur, aren’t changing with treatment, or become severe, talk to your healthcare provider.

6 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Diabetes Association.Hyperglycemia (high blood glucose).Kumar JG, Abhilash KP, Saya RP, Tadipaneni N, Bose JM.A retrospective study on epidemiology of hypoglycemia in Emergency Department.Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):119-124. doi:10.4103/2230-8210.195993American Diabetes Association.Hypoglycemia (low blood sugar).National Institute of Diabetes and Digestive and Kidney Diseases.Low blood glucose (hypoglycemia).MedlinePlus.Glucagon injection.MedlinePlus.Long-term complications of diabetes.

6 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Diabetes Association.Hyperglycemia (high blood glucose).Kumar JG, Abhilash KP, Saya RP, Tadipaneni N, Bose JM.A retrospective study on epidemiology of hypoglycemia in Emergency Department.Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):119-124. doi:10.4103/2230-8210.195993American Diabetes Association.Hypoglycemia (low blood sugar).National Institute of Diabetes and Digestive and Kidney Diseases.Low blood glucose (hypoglycemia).MedlinePlus.Glucagon injection.MedlinePlus.Long-term complications of diabetes.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

American Diabetes Association.Hyperglycemia (high blood glucose).Kumar JG, Abhilash KP, Saya RP, Tadipaneni N, Bose JM.A retrospective study on epidemiology of hypoglycemia in Emergency Department.Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):119-124. doi:10.4103/2230-8210.195993American Diabetes Association.Hypoglycemia (low blood sugar).National Institute of Diabetes and Digestive and Kidney Diseases.Low blood glucose (hypoglycemia).MedlinePlus.Glucagon injection.MedlinePlus.Long-term complications of diabetes.

American Diabetes Association.Hyperglycemia (high blood glucose).

Kumar JG, Abhilash KP, Saya RP, Tadipaneni N, Bose JM.A retrospective study on epidemiology of hypoglycemia in Emergency Department.Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):119-124. doi:10.4103/2230-8210.195993

American Diabetes Association.Hypoglycemia (low blood sugar).

National Institute of Diabetes and Digestive and Kidney Diseases.Low blood glucose (hypoglycemia).

MedlinePlus.Glucagon injection.

MedlinePlus.Long-term complications of diabetes.

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