Hypoglycemia or hyperglycemia which one is dangerous? Which one can be controlled? And how it can be controlled?
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Low blood glucose is usually unpleasant, with the most common symptoms including feeling shaky, sweaty and having one's heart pound. The most common reasons for hypoglycemia are too much diabetes medicine, too little food or a delayed meal, or too much or unplanned activity. A less common, but occasional cause for hypoglycemia, is drinking alcoholic beverages. Most hypoglycemia is mild with recognizable symptoms. If quickly and appropriately treated, it is more of an inconvenience than a cause for alarm. However, severe hypoglycemia that causes mental confusion, antagonistic behaviors, unconsciousness, or seizures is a reason for alarm. We define severe hypoglycemia as the point at which you are not able to independently treat yourself. It is dangerous and to be avoided! Not because hypoglycemia, in itself, is fatal. That is very, very rare. What is dangerous is what might happen as a result of the hypoglycemia. The biggest danger is a motor vehicle accident caused, for example, by passing out at the wheel, swerving into on-coming traffic, hitting a tree, or running stop signs. Sometimes people are seriously injured in other types of accidents related to hypoglycemia, such as falling down stairs. It is equally important to avoid unconsciousness and seizures caused by hypoglycemia, not only because of the increased risk for accidents, but because of the potential for brain damage related to repeated severe hypoglycemia. Hyperglycemia can be serious if: ? Blood glucose levels stay high for extended periods of time - this can lead to the development of long term complications ? Blood glucose levels rise dangerously high - this can lead to short term complications In the short term Short term complications of very high blood sugar levels include ketoacidsosis and hyperosmolar hyperglycemic nonketotic syndrome. Ketoacidosis is a dangerous complication that mainly affects people with type 1 diabetes but can also affect some people with type 2 diabetes that are dependent on insulin. The risk of ketoacidosis becomes significant if blood glucose levels rise above 15 mmol/l (270 mg/dl). There is a higher risk of ketoacidosis if a dose of insulin is missed or during periods of illness. A dangerous complication known as hyperosmolar hyperglycemic nonketotic syndrome can affect people with diabetes if blood glucose levels remain very high, above 33 mmol/l (600 mg/dl) for an extended period of time. In the longer term Regularly having high blood glucose levels for long periods of time increases the risk of organ damage occurring which can lead to health problems that are commonly referred to as the long term complications of diabetes. Try to keep as close to the HbA1c target of 48 mmol/mol (6.5%) as this will reduce the chances of developing diabetes complications. When aiming to achieve or get close to this target, ensure you do not put yourself at a high risk of regular or severe hypos
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Both are not good. Hypoglycemia is acute event and hyperglycemia takes few days to develop. Hypoglycemia requires immediate correction and can be corrected in short time if diagnosis is correct.
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