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Recognizing Hyperglycemia: 10 Warning Signs Your Blood Sugar Is Too High
18 Sep 2025 By Meera Shah, M.B., Ch.B.

Recognizing Hyperglycemia: 10 Warning Signs Your Blood Sugar Is Too High

Hyperglycemia, also known as high blood sugar, occurs when there's too much glucose in the blood. It's a common concern for individuals with diabetes, but it can also affect people without a diagnosed condition under certain circumstances. Recognizing the warning signs of hyperglycemia is crucial for timely intervention, preventing serious complications. This article will delve into the top 10 warning signs of high blood sugar, explaining why they occur and what you should do if you experience them.

Why Monitoring Blood Sugar Matters:

Maintaining healthy blood sugar levels is essential for overall well-being. Chronically high blood sugar can lead to:

  • Diabetic Ketoacidosis (DKA): A life-threatening condition where the body produces ketones due to insufficient insulin.
  • Hyperosmolar Hyperglycemic State (HHS): Another dangerous condition characterized by extremely high blood sugar and dehydration.
  • Long-Term Complications: Over time, sustained hyperglycemia can damage the blood vessels, nerves, and organs, increasing the risk of heart disease, kidney disease, nerve damage (neuropathy), vision problems (retinopathy), and slow-healing sores.

Understanding and addressing hyperglycemia early can significantly reduce the risk of these complications.


1. Frequent Urination (Polyuria)

Explanation: One of the earliest and most common signs of hyperglycemia is the need to urinate frequently, especially at night (nocturia).

Why it happens: When your blood sugar levels are high, your kidneys work overtime to filter out the excess glucose from your blood. This process draws water from your body, leading to increased urine production and the need to urinate more often.

What to do: Monitor your urine output, especially if you notice a sudden increase. If frequent urination is accompanied by other symptoms on this list, check your blood sugar levels.

2. Excessive Thirst (Polydipsia)

Explanation: Closely linked to frequent urination, excessive thirst is another key indicator of hyperglycemia.

Why it happens: As your body loses fluids through frequent urination, you become dehydrated, triggering the thirst mechanism to replenish the lost fluids. Even after drinking plenty of water, the thirst may persist.

What to do: Pay attention to how much you're drinking and if you're consistently feeling thirsty even after consuming fluids. If you're experiencing unexplained, persistent thirst alongside other symptoms, measure your blood glucose.

3. Unexplained Fatigue and Weakness

Explanation: Feeling unusually tired and weak, even after adequate rest, can be a subtle but significant sign of hyperglycemia.

Why it happens: When your body can't effectively use glucose for energy due to insufficient insulin or insulin resistance, your cells are essentially starved of fuel. This leads to a feeling of fatigue, lethargy, and overall weakness. Unexpected Factors Affecting Your Blood Sugar Levels Beyond Food

What to do: Consider how long you have been feeling weak and tired. Rule out other potential causes like lack of sleep or physical overexertion. Then check your blood glucose, and consult your physician if these feelings continue.

4. Blurred Vision

Explanation: Changes in vision, particularly blurred vision, can occur due to fluctuations in blood sugar levels.

Why it happens: High blood sugar levels can cause the lens of your eye to swell, affecting your ability to focus properly. This can lead to temporary blurred vision. Prolonged hyperglycemia can also damage the small blood vessels in the retina, leading to long-term vision problems (diabetic retinopathy).

What to do: While occasional blurred vision can have other causes, persistent or sudden changes in your vision should be evaluated promptly, especially if you also have other signs of hyperglycemia. Consult with your doctor and ophthalmologist.

5. Slow-Healing Cuts and Sores

Explanation: Impaired wound healing is a common complication of hyperglycemia and can be an early warning sign that your blood sugar levels are consistently high.

Why it happens: High blood sugar affects the function of white blood cells, which are essential for fighting infection and repairing tissues. It also damages blood vessels, impairing blood flow and the delivery of nutrients to the wound site.

What to do: Pay close attention to any cuts, scrapes, or sores and how quickly they heal. If you notice that even minor wounds are taking longer than usual to heal, this warrants a blood sugar check.

6. Frequent Infections

Explanation: People with hyperglycemia are more susceptible to infections, including skin infections, urinary tract infections (UTIs), and yeast infections.

Why it happens: High blood sugar weakens the immune system, making it harder for your body to fight off bacteria and other pathogens. Bacteria and yeast also thrive in a glucose-rich environment.

What to do: If you find yourself experiencing frequent or recurring infections, consider whether your blood sugar might be elevated. Talk to your doctor to rule out other potential causes and discuss the possibility of checking your blood sugar levels.

7. Dry, Itchy Skin

Explanation: Hyperglycemia can lead to dry and itchy skin, even in the absence of other skin conditions. Your Complete Guide To The Blood Sugar Test And What Levels Mean

Why it happens: High blood sugar can draw moisture away from the skin, leading to dehydration and dryness. Poor circulation due to blood vessel damage can also contribute to dry, itchy skin.

What to do: While dry skin can be caused by many factors, if you have persistently dry and itchy skin despite using moisturizers, and you are experiencing other symptoms on this list, it might be related to high blood sugar.

8. Tingling or Numbness in Hands and Feet (Neuropathy)

Explanation: While typically a later-stage complication, tingling, numbness, or pain in the hands and feet (peripheral neuropathy) can sometimes be an early indicator of nerve damage due to high blood sugar.

Why it happens: Prolonged exposure to high blood sugar levels can damage the small blood vessels that supply the nerves, leading to nerve damage and impaired nerve function. Recognizing Hypoglycemia 6 Low Blood Sugar Symptoms To Know

What to do: Any new or worsening symptoms of tingling, numbness, or pain in the hands and feet should be evaluated by a doctor to determine the underlying cause and initiate appropriate treatment.

9. Unexplained Weight Loss

Explanation: In some cases, hyperglycemia can lead to unintentional weight loss, especially in individuals with uncontrolled type 1 diabetes.

Why it happens: When the body can't use glucose for energy, it starts breaking down muscle and fat for fuel. This can lead to a loss of weight, even if you are eating normally or even more than usual. Glucose is also lost in the urine, contributing to calorie loss.

What to do: Unexplained weight loss should always be investigated by a doctor to rule out underlying medical conditions, including diabetes.

10. Increased Hunger (Polyphagia)

Explanation: Even though blood sugar is high, cells aren't receiving glucose for energy, causing increased hunger.

Why it happens: The body's cells aren't getting the energy they need because the glucose can't enter them effectively (either due to lack of insulin or insulin resistance). This leads to persistent feelings of hunger, even after eating.

What to do: Consider how much you have been eating versus your normal intake. If your hunger is noticeably increased along with some other symptoms mentioned in the article, be sure to check your glucose levels.


What to Do If You Suspect Hyperglycemia

If you experience several of these warning signs, it's important to take action:

  1. Check Your Blood Sugar: If you have a blood glucose meter, check your blood sugar level immediately.
  2. Hydrate: Drink plenty of water to help flush out excess glucose and prevent dehydration.
  3. Follow Your Diabetes Management Plan: If you have diabetes, follow your prescribed medication schedule and dietary recommendations.
  4. Contact Your Healthcare Provider: If your blood sugar is consistently high or if you experience severe symptoms such as nausea, vomiting, abdominal pain, or confusion, seek immediate medical attention.

Prevention is Key:

Maintaining a healthy lifestyle, including a balanced diet, regular physical activity, and proper medication management (if you have diabetes), is the best way to prevent hyperglycemia. Regular check-ups with your doctor can help monitor your blood sugar levels and identify any potential problems early on.

Table: Hyperglycemia Symptoms and Actions

| Symptom | Explanation | Action | | ---------------------- | ---------------------------------------------------------------- | --------------------------------------------------------------------------------- | | Frequent Urination | Kidneys filter excess glucose, drawing water from the body | Monitor urine output; check blood sugar levels | | Excessive Thirst | Body tries to replenish fluids lost through frequent urination | Track fluid intake; check blood sugar levels | | Fatigue/Weakness | Cells are starved of energy due to inefficient glucose utilization | Rule out other causes; check blood glucose | | Blurred Vision | High blood sugar affects lens of the eye | Consult doctor/ophthalmologist; check blood sugar levels | | Slow-Healing Wounds | High blood sugar impairs immune function and blood flow | Monitor wounds; check blood sugar levels | | Frequent Infections | Weakened immune system makes you more susceptible to infections | Consult doctor; check blood sugar levels | | Dry, Itchy Skin | High blood sugar dehydrates the skin | Moisturize skin; check blood sugar levels | | Tingling/Numbness | Nerve damage due to high blood sugar | Consult doctor; nerve conduction tests may be required | | Unexplained Weight Loss| Body breaks down muscle/fat for energy due to glucose utilization failure | Consult doctor to rule out underlying causes and determine if you should check your glucose level. | | Increased Hunger | Body seeks for more glucose, although there is already too much glucose in the blood. | Rule out other causes; check blood glucose if the feelings continue. |

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