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Warning Signs of High Blood Sugar (Hyperglycemia) You Shouldn't Ignore
18 Sep 2025 By Hasan A. Khamash, M.D.

Warning Signs of High Blood Sugar (Hyperglycemia) You Shouldn't Ignore

High blood sugar, also known as hyperglycemia, is a condition where there's an excessive amount of glucose circulating in the blood. This often occurs in people with diabetes, but it can also affect individuals with other underlying health issues. Recognizing the early warning signs of high blood sugar is crucial for preventing serious complications. Ignoring these signs can lead to severe health consequences, including damage to organs, increased risk of infections, and even life-threatening conditions.

Why Recognizing High Blood Sugar is Critical

Untreated hyperglycemia can have a cascading effect on your overall health. Chronically elevated blood sugar levels can damage blood vessels and nerves, leading to a range of complications such as:

  • Cardiovascular disease: Increased risk of heart attack and stroke.
  • Neuropathy: Nerve damage that can cause pain, numbness, and tingling in the extremities.
  • Nephropathy: Kidney damage that can eventually lead to kidney failure.
  • Retinopathy: Damage to the blood vessels in the retina, potentially leading to blindness.
  • Foot problems: Poor circulation and nerve damage can lead to foot ulcers and infections, sometimes requiring amputation.

Furthermore, acute episodes of hyperglycemia can lead to diabetic ketoacidosis (DKA), a life-threatening condition characterized by a buildup of ketones (acids) in the blood. This is particularly common in individuals with type 1 diabetes. In people with type 2 diabetes, severe hyperglycemia can lead to hyperosmolar hyperglycemic state (HHS), another serious condition involving dehydration and altered mental status. How Does Exercise Affect Blood Sugar A Guide For Persons With Diabetes

Therefore, recognizing the signs and symptoms of high blood sugar and taking prompt action is essential to prevent these complications. Let's delve into the warning signs you shouldn't ignore. Navigating A New Diagnosis A Guide For Persons With Diabetes

Key Warning Signs of High Blood Sugar

Here's a detailed breakdown of the signs and symptoms associated with high blood sugar. Keep in mind that some symptoms may be subtle initially, but they can become more pronounced as blood sugar levels remain elevated.

1. Frequent Urination (Polyuria)

This is one of the most common and noticeable signs of hyperglycemia. When your blood sugar is high, your kidneys try to flush out the excess glucose through urine. This leads to increased frequency of urination, particularly at night (nocturia). If you find yourself waking up multiple times during the night to urinate, it could be a sign of high blood sugar.

Example: "I used to sleep through the night, but lately I've been waking up 3-4 times to go to the bathroom. I thought it was just age, but my doctor checked my blood sugar and it was elevated."

2. Increased Thirst (Polydipsia)

As your body loses fluids through frequent urination, you'll naturally feel excessively thirsty. This intense thirst is another hallmark symptom of high blood sugar. No matter how much you drink, you may still feel dehydrated.

Example: "I constantly feel like I need to drink water, even after having a large glass. I carry a water bottle with me everywhere, and it still doesn't feel like enough."

3. Unexplained Weight Loss

High blood sugar can interfere with your body's ability to utilize glucose for energy. As a result, your body may start breaking down muscle and fat for fuel, leading to unintentional weight loss. This can occur even if you're eating normally or even more than usual.

Example: "I haven't changed my diet or exercise routine, but I've lost 10 pounds in the last month. I was initially happy about it, but now I'm concerned."

4. Blurred Vision

High blood sugar can affect the lenses of your eyes, causing them to swell and distort your vision. This can manifest as blurry vision, difficulty focusing, or seeing halos around lights. While these changes may be temporary, persistent high blood sugar can lead to long-term vision problems.

Example: "My vision has become blurry recently, and I'm having trouble reading street signs. I initially thought I needed new glasses, but it could be my blood sugar."

5. Fatigue

When your cells aren't getting the glucose they need for energy, you'll likely experience fatigue and lethargy. This fatigue can be persistent and debilitating, making it difficult to perform daily tasks.

Example: "I feel tired all the time, even after getting a full night's sleep. I lack the energy to do things I used to enjoy."

6. Slow-Healing Cuts and Sores

High blood sugar can impair your body's ability to heal wounds. Cuts, sores, and infections may take longer to heal than usual, increasing the risk of complications.

Example: "I got a small cut on my finger last week, and it's still not healing. Usually, these things heal within a few days."

7. Frequent Infections

Hyperglycemia can weaken your immune system, making you more susceptible to infections. You may experience frequent urinary tract infections, yeast infections, skin infections, or other types of infections.

Example: "I keep getting recurring yeast infections, which is unusual for me. My doctor suggested checking my blood sugar levels."

8. Dry, Itchy Skin

High blood sugar can lead to dehydration and poor circulation, which can contribute to dry, itchy skin. This itching can be intense and persistent, causing discomfort.

Example: "My skin has been incredibly itchy lately, especially on my legs and arms. Moisturizing doesn't seem to help much."

9. Numbness or Tingling in Hands and Feet

Prolonged high blood sugar can damage nerves (neuropathy), leading to numbness, tingling, or pain in the hands and feet. This condition can worsen over time and can significantly impact your quality of life.

Example: "I've been experiencing a tingling sensation in my feet, especially at night. It's uncomfortable and makes it hard to sleep."

10. Stomach Issues

Some individuals with high blood sugar may experience digestive issues such as nausea, vomiting, or abdominal pain. These symptoms can be more prominent during acute episodes of hyperglycemia.

Example: "I've been feeling nauseous and have had stomach cramps for the past few days. I thought it was food poisoning, but it could be my blood sugar."

Specific Warning Signs Related to Type 1 Diabetes and DKA

In individuals with type 1 diabetes, or those whose type 2 diabetes is uncontrolled, high blood sugar can quickly escalate into diabetic ketoacidosis (DKA). DKA is a medical emergency and requires immediate treatment. In addition to the general symptoms of hyperglycemia, the following signs may indicate DKA: The 7 Best Breakfasts To Prevent Mid Morning Blood Sugar Crashes

  • Fruity-smelling breath: This is caused by the presence of ketones in the breath.
  • Rapid, deep breathing: The body is trying to expel excess carbon dioxide to compensate for the acidic environment.
  • Confusion or difficulty concentrating: High ketone levels can affect brain function.
  • Abdominal pain: Ketones can irritate the stomach lining.
  • Nausea and vomiting: These symptoms are often severe in DKA.

If you suspect you or someone you know is experiencing DKA, seek immediate medical attention.

Specific Warning Signs Related to Type 2 Diabetes and HHS

In individuals with type 2 diabetes, severely elevated blood sugar can lead to hyperosmolar hyperglycemic state (HHS). HHS is another life-threatening condition that requires prompt treatment. In addition to the general symptoms of hyperglycemia, the following signs may suggest HHS:

  • Extreme thirst: Much more severe than regular polydipsia.
  • Dry, parched mouth: A sign of severe dehydration.
  • Warm, dry skin that does not sweat: Indicates severe dehydration.
  • Fever: Often present due to dehydration.
  • Confusion, drowsiness, or coma: The brain is severely affected by the high blood sugar and dehydration.
  • Vision loss

If you suspect you or someone you know is experiencing HHS, seek immediate medical attention.

What to Do If You Suspect High Blood Sugar

If you're experiencing any of the warning signs mentioned above, it's important to take action. Here's a step-by-step guide:

  1. Check your blood sugar: If you have a blood glucose meter, check your blood sugar levels immediately. Record the result and the time.
  2. Stay hydrated: Drink plenty of water to help flush out excess glucose.
  3. Adjust your medication (if applicable): If you have diabetes, follow your healthcare provider's instructions for adjusting your medication.
  4. Monitor your symptoms: Keep track of your symptoms and whether they're improving or worsening.
  5. Seek medical attention: If your blood sugar is consistently high, if you're experiencing symptoms of DKA or HHS, or if you're unsure about what to do, contact your healthcare provider immediately or go to the nearest emergency room.

Here's a table summarizing the main symptoms and actions to take:

| Symptom | Possible Cause | Action | |--------------------------|----------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------| | Frequent Urination | Kidneys trying to flush out excess glucose | Stay hydrated, check blood sugar. | | Increased Thirst | Fluid loss due to frequent urination | Drink plenty of water. | | Unexplained Weight Loss | Body breaking down muscle/fat for energy | Monitor weight, check blood sugar, consult doctor. | | Blurred Vision | High blood sugar affecting lens of the eye | Check blood sugar, consult eye doctor. | | Fatigue | Cells not getting enough glucose for energy | Check blood sugar, rest, consult doctor. | | Slow-Healing Wounds | High blood sugar impairing healing | Keep wounds clean, monitor healing, consult doctor. | | Frequent Infections | Weakened immune system due to high blood sugar | Practice good hygiene, consult doctor for treatment. | | Dry, Itchy Skin | Dehydration and poor circulation | Moisturize skin, stay hydrated. | | Numbness/Tingling | Nerve damage (neuropathy) | Consult doctor for management of neuropathy. | | Fruity Breath (DKA) | Ketones present in the breath | Seek immediate medical attention. | | Severe Thirst (HHS) | Extreme dehydration | Seek immediate medical attention. |

Preventing High Blood Sugar

Preventing high blood sugar is possible, especially through proactive lifestyle changes and regular monitoring:

  • Follow a healthy diet: Emphasize whole grains, lean proteins, fruits, vegetables, and healthy fats. Limit processed foods, sugary drinks, and excessive carbohydrates.
  • Exercise regularly: Aim for at least 30 minutes of moderate-intensity exercise most days of the week. Physical activity helps improve insulin sensitivity and lowers blood sugar levels.
  • Monitor your blood sugar: If you have diabetes, check your blood sugar regularly as recommended by your healthcare provider.
  • Take your medication as prescribed: If you have diabetes, adhere to your medication schedule and dosage.
  • Manage stress: Stress can affect blood sugar levels. Practice stress-reducing techniques like meditation, yoga, or spending time in nature.
  • Get regular checkups: See your healthcare provider regularly for checkups and screenings.

In conclusion, recognizing the warning signs of high blood sugar is essential for maintaining your health and preventing serious complications. By being vigilant and taking prompt action, you can effectively manage your blood sugar levels and lead a healthier life. Don't ignore these warning signs – your health depends on it!

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