Signs And Symptoms Of Hyperglycemia
Friday, 3 November 2017
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Hyperglycemia,is a condition in
which excessive amounts of glucose circulating in the blood plasma. This
generally glucose level higher than 11.1mmol/l (200 mg/dl), but symptoms may
not be felt until a higher value such as 15-20 mmol/l (~ 250-300 mg/dl).
Signs and symptoms (Hyperglycemia) |
A
subject with a consistent range between ~ 5.6 and ~ 7 mmol/l (100-126 mg/dl)
(American Diabetes Association Guidelines) are considered Hyperglycemia or high
blood sugar levels, while above 7 mmol/l (126 mg/dl) is generally held to have
diabetes. Chronic levels exceeding 7 mmol/l (125 mg/dl) can result in damage to
the organ.
Definition of Hyperglycemia
This is important for patients to monitor their glucose
levels at home to find out which unit of measurement kits that they use.
Glucose levels measured by either:
• Millimoles per liter (mmol/l) is the standard SI unit
is used in most countries around the world.
• milligrams per deciliter (mg/dl) is used in some
countries like the United States, Japan, France, Egypt and Colombia. This can
be obtained approximately by multiplying mmol/L of 18.
Scientific journals are moving towards the use of
mmol/l; Some journals now use mmol/l as the primary unit but quote mg/dl in
parentheses.
Glucose levels vary before and after meals, and in
several times a day; the definition of "normal" varies among medical
professionals. In General, the normal range for most people (fasting adults)
was approximately 80-110 mg/dl or mmol/l. 4-6 (where 80 mg/dl is the
"optimal".) A subject with a consistent range above 126 mg/dl or 7
mmol/l is generally believed to have high blood sugar, while a consistent range
below70 mg/dl or 4 mmol/l are considered hypoglycemic. In people fasting plasma
blood glucose, adults must not exceed 126 mg/dL. Sustained higher levels of
blood sugar cause damage to blood vessels and organs are in supply, which leads
to complications of diabetes.
High blood sugar or Hyperglycemia Chronicle can be
measured via the HbA1c test.The definition of acute hyperglycemia varies
according to the study, with mmol/l level of 8-15.
Signs and symptoms Hyperglycemia
While the Hyperglycemia is generally benign and without
symptoms arise. Blood glucose levels can rise well above normal for a
significant period without producing permanent effects or symptoms. However,
chronic hyperglycemia at a rate more than a little above normal can produce
serious complications are very diverse over the years, including kidney damage,
nerve damage, heart damage, damage to the retina or damage the feet. Diabetic
neuropathy may be the result of long-term high blood sugar.
In diabetes mellitus (by far the most common cause of
high blood sugar or Hyperglycemia Chronicle), treatment by controlling blood
glucose levels approaching normal, to avoid serious long-term complications.
This is done with a combination of proper diet, regular exercise, and by other
drugs such as insulin or Metformin, etc.
Acute hyperglycemia involves a very high glucose level
is a medical emergency and can rapidly produce serious complications (such as
loss of fluids through the osmotic diuresis). It is most often seen in people
who suffer from insulin-dependent diabetes, uncontrolled.
The following symptoms may be associated with high
blood sugar or Hyperglycemia acute or chronic, with three stacked triad classic
hyperglycemia:
• Polifagia-frequent hunger
• Polydipsia-frequent thirst, especially excessive
thirst
• Poliuria-increased volume of urination
• Blurred vision
• Fatigue (drowsiness) [clarification needed]
• Weight loss
• A poor wound healing (cuts, scrapes, etc.)
• Dry mouth
• Dry or itchy Skin
• Tingling in the foot or the heel
• Erectile dysfunction
• Recurrent infections, infections of the outer ear
• Cardiac Arrhythmia
• Fainting
• Comma
• Seizures
Frequent hunger without other symptoms can also
indicate that the blood sugar levels are too low. This can occur when a person
has diabetes uses too much insulin or oral hypoglycemic drugs. The results of
blood sugar levels decrease to below the normal range results in the starvation
response appears. Hunger is not usually evident as in type I diabetes, but oral
hypoglycemic medication prescription makes it difficult to control it.
Polydipsia and poliuria occurs when blood glucose
levels rise high enough to produce excess glucose excretion through the
kidneys, leading to the presence of glucose in urine. This produces osmotic
diuresis.
Signs and symptoms of Ketoacidosis diabetikum could include:
• Ketoacidosis
• Kussmaul hyperventilation: rapid breathing
• confusion or decreased level of consciousness
• Dehydration because glikosuria and osmotic diuresis
• acute Hunger and/or thirst
• Smelly breath
• the decline in cognitive function, along with an
increased feeling of sad and anxiety
Causes Hyperglycemia
Diabetes mellitus
In diabetes mellitus, high blood sugar is usually
caused by low levels of insulin (type 1 Diabetes mellitus) and/or resistance to
insulin at the cellular level (Diabetes mellitus type 2), depending on the type
and State of the disease. Lower insulin levels and/or insulin resistance
prevent the body from converting glucose into glycogen (a source of starch such
as energy stored mostly in the liver), which in turn makes it difficult or not
able to remove excess glucose from the blood. With normal glucose levels,the
total amount of glucose in the blood at any given moment only enough to provide
energy for the body for 20-30 minutes, so glucose levels should be
appropriately managed by the internal control mechanisms of the body. When the
mechanism is failing in a way that allows glucose to rise to normal levels,
high blood sugar is the result.
Medicinal Drugs
Certain medications increase the risk of disease high
blood sugar, including corticosteroids, octreotide, beta blockers, thiazide
diuretics, epinefrin, niacin, pentamidin, protease inhibitors, L-asparaginase,
and some drugs antipsychotic. Acute administration of stimulants such as
amphetamines usually results in high blood sugar; Chronicuse, however,
resulting in hypoglycemia. Some new, such as psychotropic medication Zyprexa
(Olanzapine) and Cymbalta (Duloxetine), can also cause high blood
sugarsignificantly.
Critical Illness
The majority of patients suffering from acute stress
such as stroke or heart attack may develop signs of Hyperglycemia or high blood
sugar, even in the absence of a diagnosis of diabetes. (Possible stroke or
heart attack caused by inducing high blood sugar and diabetes are undiagnosed.)
Human and animal research suggests that this is not benign, and effect of
stress Hyperglycemia is associated with a high risk of death after a stroke and
a heart attack.
The following conditions also may be a cause of high
blood sugar in the absence of diabetes. 1) Thyroid dysfunction, adrenal, pituitary
and pituitary gland. 2) Various diseases of the pancreas. 3) Blood glucose
Increase the weight can be seen in certain infections and sepsis. 4) Intracranial
disease (often overlooked) can also cause high blood sugar. Encephalitis, brain
tumors (mainly located near the pituitary gland), brain bleeds, and meningitis
is a prime example.
Complications of Hyperglycemia
High blood sugar can be a serious problem if not
treated in time. In the untreated hyperglycemia, a condition called
Ketoacidosis (in contrast to ketosis) can happen. Ketoacidosis occurs when the
body does not have enough insulin. Without insulin, the body is unable to
utilize the glucose to fuel for energy, so the body begins to break down fat
for energy.
Ketoacidosis is a life-threatening condition that
requires immediate treatment. Symptoms include: shortness of breath, breath
that smells fruity, nausea and vomiting, and the mouth is very dry. Chronic
hyperglycemia (high blood sugar) hurt in patients without a history of heart
disease or diabetes and is highly associated with heart attacks and death in
subjects without coronary heart disease or a history of heart failure.
Treatment Of Hyperglycemia
The treatment of high blood sugar needs to address the
cause, such as diabetes. Acute hyperglycemia can be treated by administering
insulin directly in many cases. Severe high blood sugar can be treated with
oral hypoglycemic therapy and lifestylemodification
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