What to do if you have high blood sugar:
- Call the doctor to see if a change in medication is needed.
- Check your blood glucose regularly.
- Drink more water to help remove excess sugar from your blood through urine.
- Do moderate exercise.
- Reduce food portions in the meals that follow.
Diabetic ketoacidosis (DKA) happens when high levels of ketones, build up in your blood. Ketones are produced when there's a shortage of insulin in the body and the body breaks down fat for energy. This happens because the body is unable to use glucose when there is little or no insulin and it is forced to burn fat.
Signs and symptoms of this condition include difficulty breathing, rapid breathing or shortness of breath with a fruity smelling breath; nausea, vomiting, urine or blood ketones; and a high blood glucose level.
Diabetic ketoacidosis is an emergency condition that needs immediate attention. It usually requires treatment in the hospital. You should call a medical emergency phone number or go to the nearest hospital when you suspect you have DKA.
You can detect this condition by taking a simple urine test that is available from pharmacies to check for ketones. Ask your healthcare provider for further blood glucose and ketone testing guidelines when you have detected ketones in your urine.
Hyperosmolar hyperglycemic state (HHS) is an emergency condition usually seen in older people with very high blood glucose. Typically, an underlying illness such as pneumonia, a urinary tract or other infection, or failure to follow a diabetes treatment plan triggers the problem.
HHS causes severe dehydration, and, if left untreated, can lead to seizures, coma and even death. Other signs and symptoms include increased urination, extreme thirst, fever and vision changes.
HHS is an emergency condition that needs immediate attention. You should call a medical emergency phone number for help or go to the nearest hospital.
To help prevent this condition, check your blood glucose regularly and more often when you’re sick. Talk with your healthcare provider about when and how often to test during illness.