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As per available reports about 12 Relevant Journal, 15 Conferences, 14 National Symposiums are presently dedicated exclusively to Diabetic Hypoglycemia and about 25 articles are being published. Low blood sugar (hypoglycemia) can affect people who have diabetes. It occurs when there's too much insulin and not enough sugar (glucose) in your blood.
Hypoglycaemia is defined as blood sugar below 70 milligrams per decilitre (mg/dL) or 4 mill moles per litre (mmol/L). Several factors can cause hypoglycaemia in people with diabetes, including taking too much insulin or other diabetes medications skipping a meal, or exercising harder than usual. Hypoglycemia unawareness — Hypoglycemia unawareness occurs when you do not have the early symptoms of low blood sugar. As a result, you cannot respond in the early stages, and severe signs of low blood sugar, such as passing out or seizures are more likely. Being unaware of low blood sugar is a common occurrence, especially in people who have had type 1 diabetes for greater than 5 to 10 years. Hypoglycemia and hypoglycemia unawareness occur more frequently in people who tightly control their blood sugar levels with insulin (called intensive therapy).
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Scope and importance
It is very important that blood sugar levels are kept as close to normal as possible. For most people with diabetes, a healthy range is between 90 and 130 mg/dl before meals and less than 180 mg/dl at one to two hours after a meal (see chart below). A doctor or health care provider can tell a person with diabetes about how and when to test blood sugar. It is helpful to keep a record of blood sugar readings several times during the day.
Hyperglycaemia is the technical term for high blood glucose (blood sugar). High blood glucose happens when the body has too little insulin or when the body can't use insulin properly.
Causes of Hyperglycaemia
A number of things can cause hyperglycaemia:
• If you have type 1, you may not have given yourself enough insulin.
• If you have type 2, your body may have enough insulin, but it is not as effective as it should be.
• You ate more than planned or exercised less than planned.
• You have stress from an illness, such as a cold or flu.
• You have other stress, such as family conflicts or school or dating problems.
• You may have experienced the dawn phenomenon
Symptoms of Hyperglycaemia:
• High blood glucose
• High levels of sugar in the urine
• Frequent urination
• Increased thirst
Part of managing your diabetes is checking your blood glucose often. Ask your doctor how often you should check and what your blood glucose levels should be. Checking your blood and then treating high blood glucose early will help you avoid problems associated with hyperglycemia.
Treatment of Hyperglycemia
You can often lower your blood glucose level by exercising. However, if your blood glucose is above 240 mg/dl, check your urine for ketones. If you have ketones, do not exercise.
Exercising when ketones are present may make your blood glucose level go even higher. You'll need to work with your doctor to find the safest way for you to lower your blood glucose level.
Cutting down on the amount of food you eat might also help. Work with your dietitian to make changes in your meal plan. If exercise and changes in your diet don't work, your doctor may change the amount of medication or insulin or possibly the timing of when you take it.
Diabetes currently affects more than 382 million people worldwide and is expected to affect 592 million by 2035. 29.1 million Americans (9.3% of the population) have diabetes (both types) and as many as 2.5 million Americans currently live with type 1, insulin-dependent diabetes. 86 million Americans aged 20 or older are classified as prediabetic, including 51% of those aged 65 or older. Diabetes results in $245 billion annual U.S. healthcare costs, growing 8% each year and driven by complications of poor glucose control. Worldwide, costs of diabetes are estimated to account for 11% of total healthcare expenditures. Nearly 1 in every 400 children in the U.S. has type 1diabetes and is insulin-dependent. 26% of the U.S. population aged 65 or older has diabetes. Diabetes is a major cause of heart disease, stroke, kidney disease, blindness, and numerous other debilitating diseases and afflictions. It is the seventh leading cause of death in the U.S
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