Monday, 21 April 2025

Diabetes In Summer Warning Symptoms: 7 Unusual Signs Your Blood Sugar Is Out of Control

From thehealthsite.com

Diabetes symptoms that appears during summer: Watch out for these 7 unusual symptoms that reveal your blood sugar is out of control. Don't ignore these hidden signs!

Diabetes Symptoms In Summer: As summer temperatures rise, our bodies react in more ways than we can ever think. But, for those who are living with diabetes or have high blood sugar levels, it may sound a bit off - but you are at high risk. The heat can silently amplify symptoms of high blood sugar, leaving you dealing with severe health issues. From severe summer fatigue, to excessive thirst -- your body may end up suffering a lot when you leave your blood sugar levels unchecked.

The first step to counter these problems, you must know what happens in the body when the blood sugar levels go out of control. In this article, we have compiled a list of the top 7 unusual yet important signs that your blood sugar levels might be too high this summer, even if you are feeling mostly fine. Whether you have diabetes, prediabetes, or are simply health-conscious, these red flags should not be ignored. Early recognition can help prevent more serious health issues and keep you feeling balanced, energetic, and safe all season long.

7 Warning Signs of High Blood Sugar You Should Never Ignore In Summer

Is your blood sugar levels way too high compared to what is recommended? Watch out for these warning signs in your body, especially during the summer months:

Unexplained Irritability or Mood Swings

It is one of the most common things to experience extreme fatigue and tiredness when the temperature around you is too high- in medical terms, this is what is called summer fatigue. While this is a common problem for many, the problem arises when this fatigue hits you every single day. High blood sugar doesn't just affect your body it can impact your brain too. In the summer heat, if you are feeling unusually cranky, anxious, or short-tempered without a clear reason, it could be more than just the weather.

Sweating Less Than Usual Despite Heat

While excessive sweating is a sign of something unusual happening within your body, experts also say that its not good for your health when you sweat less. Sweat is the body's natural way of cooling down, but high blood sugar can interfere with your body's ability to regulate temperature properly.

Why it happens: Nerve damage caused by prolonged hyperglycaemia (autonomic neuropathy) can affect your sweat glands, making it harder to sweat normally, even in hot temperatures.

Persistent Daytime Drowsiness

Summer heat naturally saps energy, but if you are witnessing an extreme drop in energy levels and feeling excessively tired after a full night's rest, it could be your blood sugar. Yes, you read that right! High blood sugar levels can make you feel tired and exhausted.

As experts explain, high glucose levels make your blood thicker, causing sluggish circulation and poor oxygen delivery to muscles and the brain. This leads to fatigue.

Recurring Gum Infections or Mouth Sores

The next warning sign that you should never ignore at any cost is recurring gum infections. As per studies, summer drinks, ice cream, and cold sodas are tempting, but sugar and heat together can spell trouble for oral health if blood sugar is high. These foods are high in glucose levels, which weakens the immune system and fuels bacterial growth in the mouth, making you more prone to gum inflammation or sores.

Unusually Blurry Vision

The next warning indicator that shouldn't be ignored is -- blurry vision or not having proper vision. While temporary eye strain is common in summer, it could also be a sign of blood sugar imbalance. This mainly happens due to the fact that when there is too much glucose in your body, it can cause the lens of the eye to swell, leading to blurry vision or difficulty focusing. Heat-induced dehydration can worsen this effect.

Leg Cramps or Tingling at Night

Muscle cramps are often mistaken as a sign of body weakness, arthritis, etc. But did you know that feeling tingling, burning, or cramps in your legs and feet at bedtime could be an indicator that your blood sugar levels are too high? It's easy to blame this on dehydration, but don't overlook the diabetic link.

Poor circulation and nerve damage from high blood sugar (diabetic neuropathy) can cause strange sensations in the limbs often worse in summer when circulation is taxed by heat.

Frequent Urination At Night

Many people associate frequent urination with summer dehydration or drinking too much water before bed but this could be a red flag. Excess glucose in the bloodstream pulls water from your cells, causing your kidneys to work overtime. You may wake up several times to urinate.

All the above warning signs mentioned above indicate that your blood sugar levels have gone out of control, and that you are on the verge of developing diabetes. It is important to fix this problem as uncontrolled or unchecked blood sugar levels can lead to kidney damage and severe heart health issues. "If you notice more than two of these symptoms consistently, it's wise to check your blood sugar levels and consult your healthcare provider. Uncontrolled hyperglycaemia can lead to serious complications if left untreated."

https://www.thehealthsite.com/diseases-conditions/diabetes-in-summer-warning-symptoms-7-unusual-signs-your-blood-sugar-is-out-of-control-1209662/

Sunday, 20 April 2025

Key signs of diabetes to spot as 30 million Americans living with silent killer

From msn.com/en-us

People are being urged to look out for seven critical signs of diabetes as the condition, often referred to as a silent killer, continues to affect escalating numbers in the US. Currently, over 29 million individuals in the US live with either type 1 or type 2 diabetes, with millions more not even aware they have the condition. 

Diabetes is typically a lifelong health issue causing elevated blood sugar levels. The vast majority, around 90 percent, suffer from type 2 diabetes, often linked to lifestyle choices such as excess weight and insufficient exercise.

Worrying statistics from the American Diabetes Association, show that of 38.4 million adults with diabetes in 2021, 29.7 million were diagnosed, and 8.7 million were undiagnosed. And around 1.2 million Americans are diagnosed with diabetes every year.

A further 97.6 million Americans in 2021 aged 18 and older had prediabetes - meaning they have a higher than normal blood sugar level but it's not high enough to be considered type 2 diabetes yet. On top of this, more than 73 percent of Americans are considered overweight - something that is a major risk factor for the condition.

                                                                                                                 © Getty

As with any condition, the sooner you spot the symptoms, the sooner you can get the treatment you need. But what are the key symptoms of diabetes?

The UK National Health Service (NHS) says you should visit your doctor if you experience any of the following symptoms of diabetes or prediabetes:

  • Blurred vision
  • Going to the toilet more often, particularly at night
  • Losing weight without trying
  • Feeling very thirsty
  • Genital itching or thrush
  • Cuts and wounds taking longer to heal
  • Feeling more tired, as your body can't get enough glucose into your cells for energy

A lesser-known sign of diabetes is a rash on the skin. There are several types of rash that occur in those with diabetes.

Bullosis diabeticorum - The Cleveland Clinic describes this as “painless blisters [that] may form on the backs of hands and feet and on the legs and forearms”. This condition often affects people with diabetic neuropathy - a condition where the nerves are damaged through diabetes.

Diabetes dermopathy - This is where the shins become covered in light-brown patches of scaly skin. They can often look like age spots and don’t require any treatment.

Digital sclerosis - This is a type of rash that appears if you have type 1 diabetes. It causes the skin to harden up and turn waxy on the back of the hands.

Necrobiosis lipoidica diabeticorum (NLD) - This is a lower leg rash that’s more often found in women. It can cause red, raised, and shiny patches of skin, with a yellow centre.

Diabetes prevalence is also an issue in the UK, where an alarming 4.3 million individuals have been diagnosed with diabetes, while an estimated 850,000 people could be living with the disease without realising. In response to these statistics, Diabetes UK CEO Chris Askew remarked: "These figures show we’re in the grip of a rapidly escalating crisis. Spiralling numbers of people are now living with type 2 diabetes and millions are at high risk of developing the condition."

https://www.msn.com/en-us/health/other/key-signs-of-diabetes-to-spot-as-30-million-americans-living-with-silent-killer/ar-AA1wLJRp?ocid=BingNewsVerp

Saturday, 19 April 2025

What is Considered Alarming in Prediabetes Blood Sugar

From diabetesincontrol.com

Introduction

Prediabetes blood sugar levels are a critical indicator of future health risks, particularly the potential progression to type 2 diabetes. For healthcare professionals and clinicians, identifying alarming blood glucose thresholds is essential in guiding early intervention. But when does a slightly elevated reading become cause for concern? Much like a warning light on a dashboard, these numbers signal an opportunity to act before greater damage occurs.

This article explores the ranges considered prediabetic, what levels raise red flags, and how to educate and treat patients at this pivotal stage.

Table of Contents

  • Understanding Prediabetes Blood Sugar Ranges
  • When Blood Sugar Becomes Alarming
  • Risks Associated with Elevated Levels
  • Treatment and Lifestyle Adjustments
  • Monitoring and Prevention Tactics
  • Conclusion and FAQs

Understanding Prediabetes Blood Sugar Ranges

Prediabetes is defined by blood sugar levels that are higher than normal but not yet in the diabetic range. The American Diabetes Association (ADA) classifies prediabetes with the following diagnostic criteria:

  • Fasting Plasma Glucose (FPG): 100–125 mg/dL
  • Hemoglobin A1c (HbA1c): 5.7%–6.4%
  • Oral Glucose Tolerance Test (OGTT): 140–199 mg/dL at 2 hours

These values signal insulin resistance and a breakdown in glucose regulation. Although these levels are not immediately life-threatening, they should not be dismissed. In fact, roughly 84 million adults in the U.S. have prediabetes, yet over 80% are unaware.

Because the progression from prediabetes to type 2 diabetes is not inevitable, clinicians have a window of opportunity to intervene.

When Blood Sugar Becomes Alarming

Not all prediabetic blood sugar readings warrant the same level of concern. However, repeated or rising trends in the upper thresholds should catch a clinician’s attention. The most alarming signals include:

  • FPG approaching or exceeding 125 mg/dL
  • HbA1c above 6.2% (especially if trending upward)
  • OGTT results above 190 mg/dL

Moreover, significant postprandial spikes or variability in glucose levels could indicate the pancreas is struggling to manage carbohydrate loads. Patients who present these signs often benefit from immediate dietary and pharmacological intervention.

Additionally, alarming blood sugar levels in patients with other risk factors—such as obesity, hypertension, dyslipidemia, or a family history of diabetes—amplify concern. For example, a patient with an HbA1c of 6.3% who is also overweight may be on the fast track to full-blown diabetes without aggressive intervention.

Risks Associated with Elevated Levels

Even within the “prediabetic” range, elevated blood sugar causes physiological damage. Studies have shown that beta-cell function begins to deteriorate at FPG levels as low as 110 mg/dL. Furthermore, prediabetes increases the risk for:

  • Cardiovascular disease
  • Kidney damage
  • Peripheral neuropathy
  • Retinopathy

Patients may also report symptoms that resemble early-stage diabetes: fatigue, increased thirst, or mild vision changes. While often subtle, these symptoms are indicative of systemic stress.

Additionally, branded medications such as Jardiance (empagliflozin) and Rybelsus (semaglutide), initially used for type 2 diabetes, are being investigated for their potential in delaying or preventing disease progression in prediabetic populations.

Treatment and Lifestyle Adjustments

Treatment for prediabetes focuses primarily on lifestyle change, though pharmacologic options are gaining traction. The Diabetes Prevention Program (DPP) demonstrated that lifestyle interventions could reduce diabetes risk by up to 58%.

Key interventions include:

  • Weight loss (5–10%)
  • 150 minutes of moderate exercise per week
  • A Mediterranean or low-carb diet
  • Sleep optimization and stress reduction

However, in cases where lifestyle adjustments are insufficient or the patient’s risk is high, metformin may be prescribed. This is particularly effective for patients under 60 with BMI >35 or women with a history of gestational diabetes.

For clinicians, reinforcing these changes with regular follow-ups, coaching, or referrals to nutritionists improves compliance and outcomes.

Monitoring and Prevention Tactics

Continuous monitoring allows for timely feedback and early detection of worsening trends. Many providers now recommend:

  • Quarterly HbA1c testing for high-risk individuals
  • Fasting blood glucose monitoring biannually
  • Home glucose testing in cases of rapid weight gain or other metabolic concerns

Digital tools like Dexcom G7 or FreeStyle Libre 3 offer non-invasive monitoring and data sharing that can improve engagement. Clinicians should also consider digital health platforms and behavioural apps for coaching, food logging, and goal setting.

Importantly, educate patients about target ranges and why staying within them matters. Connecting metrics to personal goals—like energy, longevity, or fertility—helps motivate lasting change.

Conclusion

Prediabetes is not a benign diagnosis. As a precursor to type 2 diabetes, elevated prediabetes blood sugar levels present an opportunity for proactive, targeted care. By recognizing alarming values early and applying personalized interventions, clinicians can slow or even prevent the development of type 2 diabetes and its complications.

FAQs

What fasting blood sugar level is considered prediabetic?
A fasting blood sugar level between 100–125 mg/dL is classified as prediabetic.

At what point is prediabetes blood sugar alarming?
Blood sugar values near the upper limits—such as FPG of 125 mg/dL or HbA1c over 6.2%—may indicate imminent progression to diabetes.

Can prediabetes be reversed?
Yes. Through weight loss, diet, exercise, and sometimes medication, many patients can return to normal glucose levels.

Should clinicians prescribe medication for prediabetes?
In high-risk patients or those failing lifestyle interventions, metformin is a common first-line pharmacologic option.

Where can patients find support for managing prediabetes?
Platforms like health.healingwell.com offer community forums and educational resources to support patients.


Disclaimer

“This content is not medical advice. For any health issues, always consult a healthcare professional. In an emergency, call 911 or your local emergency services.”

https://www.diabetesincontrol.com/what-is-considered-alarming-in-prediabetes-blood-sugar/ 

What is Type 5 diabetes? New form of disease recognised after decades of debate

From the-independent.com

This form of diabetes is rare and inherited by birth 

A new type of diabetes that’s linked not to obesity but to malnutrition has been officially recognised, decades after it was first observed in developing countries.

The International Diabetes Federation (IDF) this month officially recognised the disease as "Type 5 diabetes" or Maturity Onset Diabetes of the Young (Mody).

The rare form of diabetes is believed to affect about 25 million people globally, and is caused by malnutrition-induced low insulin production among lean and malnourished teenagers and young adults in low and middle-income households, according to reports.

The new disease, distinct from Type 1 and 2 diabetes, was officially recognised through a vote on 8 April at the IDF's World Diabetes Congress in Bangkok, Thailand following years of debate over its identification.

Meredith Hawkins, professor of medicine at Albert Einstein College of Medicine, said malnutrition-related diabetes “has historically been vastly underdiagnosed and poorly understood”.

"The IDF’s recognition of it as ‘Type 5 diabetes’ is an important step toward raising awareness of a health problem that is so devastating to so many people."

Type 5 diabetes is a rare, inherited form of the disease that develops in the early teens or 20s in people who have a genetic mutation passed from parent to child. If a parent has the affected gene, their children have a 50 per cent chance of also being carriers.

It is not caused by being obese or through lifestyle choices. Mody is estimated to affect up to 25 million people globally, mainly young men in Asia and Africa with a body mass index less than 19kg/m2, according to experts.

Nihal Thomas, professor of endocrinology at Christian Medical College in India and a member of the Type 5 Diabetes Working Group, said the disease causes pancreatic beta cells to function abnormally, which leads to insufficient production of insulin. “Due to the lack of formal recognition, this condition has been understudied and misdiagnosed,” he was quoted by The Indian Express as saying.

Mody was first described in Jamaica in 1955. Three decades later, the World Health Organization officially classified “malnutrition-related diabetes mellitus” as a distinct diabetes type, before dropping the category in 1999 due to a lack of evidence.

Patients are often misdiagnosed as having Type 1 diabetes despite the fact that providing them too much insulin can rapidly prove fatal, Dr Hawkins told Medscape Medical News.

"Malnutrition-related diabetes is more common than tuberculosis and nearly as common as HIV/AIDS, but the lack of an official name has hindered efforts to diagnose patients or find effective therapies," Dr Hawkins said.

Dr Hawkins said she first learned of malnutrition-related diabetes in 2005 while teaching at global health meeting, when doctors from multiple countries told her they were seeing patients with "an unusual form of diabetes".

"The patients were young and thin, which suggested that they had Type 1 diabetes, which can be managed with insulin injections to regulate blood sugar levels. But insulin didn't help these patients and in some cases caused dangerously low blood sugar," she said, according to Medical Express.

The patients did not seem to have Type 2 diabetes either, with is typically associated with obesity, she said, adding: "It was very confusing."

Dr Hawkins founded Einstein's Global Diabetes Institute in 2010, which began leading international efforts to uncover the underlying metabolic defects that leads to malnutrition-related diabetes. More than a decade later in 2022, Dr Hawkins and her colleagues at the Christian Medical College demonstrated that this form of diabetes was fundamentally different from Type 1 and 2.

She said people with this form of diabetes have a profound defect in the capacity to secrete insulin, which wasn't recognised before. "This finding has revolutionised how we think about this condition and how we should treat it."

Doctors worldwide are still unsure how to treat these patients, who often don't live for more than a year after diagnosis, according to Dr Hawkins.

She added that to manage Type 5 diabetes, the patients should include much higher amounts of protein and lower amounts of carbohydrates in their diet, while paying attention to deficient micronutrients. "But this needs to be carefully studied now that there is global will and an official mandate from [IDF] to do so.”

https://www.the-independent.com/news/health/diabetes-type-5-signs-symptoms-treatment-malnutrition-b2735523.html

Monday, 14 April 2025

Type 1 Diabetes: Family-Friendly Meal Planning

From health.clevelandclinic.org

Focus on balanced meals, smart snacks, consistent eating and choice-driven conversations 

When your child is living with Type 1 diabetes (T1D), meal planning can become a central focus. Creating a family-friendly meal plan not only can help manage your child’s blood sugar levels, but it can also ensure that your entire family enjoys nutritious and delicious meals together without compromising on the kinds of food you all know and love.

Paediatric registered dietitian Jennifer Hyland, RD, CSP, LD, shares the importance of meal planning, how to get buy-in from your child and what foods you should focus on or avoid.


Preparing for a Type 1 diabetes meal plan

When kids are diagnosed with T1D, parents or caregivers are often concerned that they won’t be able to eat all the foods they used to. But this isn’t the case. In reality, kids will just need to make certain lifestyle adjustments, like taking the appropriate dosage of insulin to account for all the carbohydrates they’re consuming.

“When a child is diagnosed with diabetes, everything is focused on food because they can’t eat food without getting their medicine,” notes Hyland. “Eating with intention and healthy eating is always something we strive for. But regardless of what they eat, they have to manage their diabetes correctly.”

There’s no single diabetes diet that works across the board. But you’ll still want to find ways to be consistent and make sure every meal is healthy and well-balanced.

“The basics around family meal planning are about eating consistently every three or four hours throughout the day with regular meals and snacks,” explains Hyland. “This is advice I would give to anyone, with or without diabetes.”

Here are some helpful strategies to make family meal planning a success.

Focus on a well-rounded meal plan

“When you’re building a meal, you want to balance every plate with various nutrients,” recommends Hyland. “You want to have carbs, protein, healthy fats and something with colour like fruits and vegetables that provide fibre.”

Fibre, in particular, is really important when your child is living with T1D because fibre helps keep them full and slows down how fast their blood sugar rises.

Other examples of foods you should include regularly are:

  • Carbs like brown rice, whole grain breads and pastas
  • Fruits like grapes, apples, strawberries and melon
  • Vegetables like broccoli, carrots, green beans, celery and cucumber
  • Protein like chicken, eggs, hummus and fish
  • Healthy fats like avocado, salmon and nuts/nut butters

Keep concentrated sweets to a minimum

Staying away from sugary drinks is one of the largest challenges for kids, but these often have the highest risk for raising your child’s blood sugar levels, along with concentrated sweets like candy.

In general, Hyland says kids can enjoy foods with sugar in moderation as long as they take the right amount of insulin required for that amount of carbohydrates. But she also strongly recommends avoiding beverages with pure sugar unless they’re having them with a meal. These include:

“If they have juice in the middle of the day by itself, there aren’t any nutrients there to buffer that increase in their blood sugar,” she clarifies. “But if they have it with a meal, you get that fiber, protein and fat — along with the insulin — to help make sure their blood sugars don’t rise so fast.”

Build healthy meals for the entire family

Singling out your child as the only family member with a healthy meal plan can be detrimental to their mental and emotional health. Instead, get the whole family on board and create meals with everyone in mind. “If there are two kids in a family and one has diabetes and the other doesn’t, they should still be eating the same way,” stresses Hyland. “Really, it’s about finding ways to eat healthy and that’s going to be good for your entire family.”

Give your child choices

“Consider giving them options and alternatives and let them pick what they want at a meal within reason,” advises Hyland. This not only gives your child a chance to get excited about mealtime, but it also sets them up for the long-term accountability they need to have when managing their condition in the future.

“Ask them if they want pasta or tacos,” she illustrates. “If they want pasta, you know you still need a protein to go along with those carbs, so ask them if they want meatballs or chicken.”

Make room for foods that don’t require insulin

Some foods don’t require insulin if they’re minimally processed and don’t have carbs. So, consider including snacks throughout the day like:

  • Hard-boiled eggs
  • String cheese
  • Raw veggies
  • Almonds

But never leave out carbs completely

Still, Hyland emphasizes that it’s so very important for kids to avoid things like the keto diet, where carbs are extremely limited or avoided completely. Although it sounds like a good idea because kids usually hate shots, their growing bodies still need carbs in order to continue growing.

“If growing children aren’t getting enough carbs, they could have issues with weight gain over time, as well as concerns for nutrient deficiencies,” she continues. “I want kids to have carbs with every meal.”

Young kids should tell you when they’re eating

One of the benefits of being a little kid is that you can sometimes get away with grazing or snacking all day, every day. But if your kid has Type 1 diabetes, they should let you know when they’re eating and what they’re eating at all times, at least when they’re younger. This helps with the appropriate administration of insulin and also helps your kid increase their awareness around the ways food directly affects their bodies.

“Every time they eat now, they have to take their insulin. They can’t just freely eat throughout the day,” states Hyland. “This can be hard because we don’t want to over-focus on food and have them obsess over it. But it’s important for kids to understand the safety behind it.”

Next steps

Transitioning is hard, especially for kids living with T1D. Part of their journey will be centred around educating them about their condition and this new reality. Working with a paediatric dietitian can help ensure they’re getting all the right nutrients they need to live a long, healthy life. You may even want to consider finding a therapist who can help make sure they’re OK as they process all these changes.

“A lot of kids don’t pay attention to the food they eat until they have to,” recognizes Hyland. “So, encouraging them and listening to their concerns at every step of this process is really important.”

https://health.clevelandclinic.org/type-1-diabetes-diet