Signs of High Blood Sugar (Hyperglycemia) You Shouldn't Ignore
05 Sep 2025 Atul Jain, M.D., M.S.
Signs of High Blood Sugar (Hyperglycemia) You Shouldn't Ignore
High blood sugar, or hyperglycemia, occurs when there's too much glucose in the blood. This is a common issue for individuals with diabetes, but it can also affect those without a formal diagnosis. Recognizing the signs and symptoms of hyperglycemia is crucial for managing blood sugar levels and preventing potential health complications. Ignoring these warning signs can lead to severe, even life-threatening, conditions such as diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). This article will delve into the key indicators of high blood sugar that you should never ignore.
Common Symptoms of High Blood Sugar
Many of the initial symptoms of high blood sugar are mild and can be easily overlooked. However, persistent or worsening symptoms warrant immediate attention. It’s important to understand that the severity of symptoms can vary depending on how high your blood sugar levels are and how long they have been elevated. Here’s a detailed overview of the common signs and symptoms:
1. Increased Thirst (Polydipsia)
One of the most noticeable symptoms of hyperglycemia is excessive thirst. When blood sugar levels are high, the body attempts to flush out the excess glucose through urine. This process draws water from your tissues, leading to dehydration and a strong sensation of thirst.
2. Frequent Urination (Polyuria)
As mentioned above, the body tries to get rid of excess glucose by increasing urine production. This leads to more frequent trips to the bathroom, particularly at night (nocturia). If you find yourself waking up several times during the night to urinate, it could be a sign that your blood sugar levels are elevated.
3. Blurred Vision
High blood sugar can affect the lens of the eye, causing it to swell and temporarily distort your vision. This can result in blurred vision, difficulty focusing, or even changes in your eyeglass prescription. If you experience sudden or persistent blurred vision, it's essential to have your blood sugar levels checked.
4. Fatigue and Weakness
When your body can't use glucose properly for energy, it leads to fatigue and weakness. Even if you're getting enough sleep, high blood sugar can leave you feeling drained and lacking energy. This is because glucose is meant to fuel your cells; without it, the body struggles to function optimally.
5. Headaches
Elevated blood sugar levels can sometimes cause headaches. While headaches can be attributed to many factors, recurrent headaches coupled with other symptoms of hyperglycemia should raise a red flag.
6. Slow-Healing Cuts and Sores
High blood sugar can impair blood circulation and nerve function, which can slow down the healing process of cuts and sores. If you notice that wounds are taking longer than usual to heal, it could be a sign of underlying hyperglycemia. This is because high glucose levels can interfere with the body's natural healing mechanisms.
7. Dry and Itchy Skin
Dehydration caused by high blood sugar can lead to dry and itchy skin. The body pulls moisture from the skin to help process the excess glucose, resulting in dryness and irritation. This symptom can be especially noticeable in the legs and feet.
| Symptom | Explanation | Why It Matters | |----------------------|----------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------| | Increased Thirst | Body attempts to dilute and flush out excess glucose, leading to dehydration. | Could indicate significantly elevated blood sugar levels requiring immediate attention. | | Frequent Urination | Body excretes excess glucose through urine, leading to increased trips to the bathroom. | Especially concerning if it disrupts sleep (nocturia). | | Blurred Vision | High blood sugar affects the lens of the eye, causing temporary distortion. | Could lead to safety issues such as driving or operating machinery. | | Fatigue & Weakness | Body struggles to use glucose for energy, leading to feelings of tiredness. | Affects daily activities and overall quality of life. | | Headaches | Can be caused by high blood sugar levels. | Recurring headaches should be evaluated alongside other symptoms. | | Slow-Healing Wounds | Impaired circulation and nerve function due to high blood sugar hinders the healing process. | Increases risk of infection and complications. | | Dry & Itchy Skin | Dehydration caused by high blood sugar reduces moisture in the skin. | Causes discomfort and can lead to skin breakdown. |
Less Common But Serious Signs of High Blood Sugar
While the symptoms listed above are more common, there are some less frequent but equally serious signs of hyperglycemia that warrant immediate medical attention:
1. Nausea and Vomiting
Prolonged high blood sugar can lead to diabetic ketoacidosis (DKA), a serious complication more often associated with Type 1 diabetes but that can occur in Type 2 diabetes. Nausea and vomiting are early signs of DKA, indicating that the body is producing ketones, a byproduct of fat breakdown used as an alternative energy source when glucose is unavailable.
2. Abdominal Pain
Abdominal pain can also be a symptom of DKA. It is often accompanied by nausea and vomiting. This pain can be severe and should not be ignored.
3. Shortness of Breath
Another sign of DKA is shortness of breath. The body tries to eliminate excess acid (ketones) by increasing the rate and depth of breathing. This is often referred to as Kussmaul breathing.
4. Fruity-Scented Breath
Ketones also produce a distinctive fruity odor on the breath, which is a telltale sign of DKA. If you notice this smell, seek medical attention immediately.
5. Confusion or Difficulty Concentrating
Extremely high blood sugar levels can affect brain function, leading to confusion, difficulty concentrating, and even altered mental status. This is particularly relevant in the hyperosmolar hyperglycemic state (HHS), a severe condition more often seen in Type 2 diabetes.
| Serious Symptom | Association | Explanation | Action Required | |-------------------------|---------------------------|----------------------------------------------------------------------------------|---------------------------------------| | Nausea & Vomiting | Diabetic Ketoacidosis (DKA) | Body produces ketones due to lack of insulin and uses fat for energy. | Seek immediate medical attention. | | Abdominal Pain | Diabetic Ketoacidosis (DKA) | Often accompanies nausea and vomiting. | Seek immediate medical attention. | | Shortness of Breath | Diabetic Ketoacidosis (DKA) | Body tries to eliminate excess acid through increased breathing rate. | Seek immediate medical attention. | | Fruity-Scented Breath | Diabetic Ketoacidosis (DKA) | Ketones produce a distinct fruity odor on the breath. | Seek immediate medical attention. | | Confusion/Concentration | Hyperosmolar Hyperglycemic State (HHS)/DKA | High blood sugar affects brain function. | Seek immediate medical attention. |
Risk Factors for Developing Hyperglycemia
Several factors can increase the risk of developing high blood sugar. Being aware of these can help in early detection and management:
1. Diabetes
The most significant risk factor for hyperglycemia is having diabetes (both Type 1 and Type 2). Individuals with diabetes either don't produce enough insulin (Type 1) or their bodies don't respond effectively to insulin (Type 2), both of which can lead to elevated blood sugar levels.
2. Poor Diet
A diet high in carbohydrates, particularly refined carbohydrates and sugary foods, can cause rapid spikes in blood sugar levels. Regular consumption of such foods increases the risk of developing hyperglycemia.
3. Lack of Physical Activity
Physical activity helps the body use glucose for energy and makes cells more sensitive to insulin. A sedentary lifestyle can contribute to insulin resistance and high blood sugar levels.
4. Certain Medications
Certain medications, such as corticosteroids, diuretics, and some antidepressants, can raise blood sugar levels. If you're taking these medications, it's important to monitor your blood sugar closely.
5. Stress
Stress can trigger the release of hormones that raise blood sugar levels. Chronic stress can lead to persistent hyperglycemia.
6. Illness
Illness, especially infections, can cause blood sugar levels to rise. This is because the body releases hormones to fight the infection, which can interfere with insulin's ability to lower blood sugar.
7. Pregnancy (Gestational Diabetes)
Some women develop gestational diabetes during pregnancy. This condition can cause high blood sugar levels and typically resolves after delivery. However, it increases the risk of developing Type 2 diabetes later in life. Feeling Tired It Could Be Your Blood Sugar Here S How To Check
| Risk Factor | Explanation | Management Strategy | |---------------------------|-----------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------| | Diabetes (Type 1 & 2) | Insufficient insulin production or insulin resistance leading to elevated blood sugar. | Regular blood sugar monitoring, insulin therapy or oral medications, lifestyle modifications. | | Poor Diet | High intake of refined carbohydrates and sugary foods causes rapid spikes in blood sugar. | Balanced diet with controlled carbohydrate intake, focus on whole foods, regular meal timings. | | Lack of Physical Activity | Sedentary lifestyle leads to insulin resistance and impaired glucose utilization. | Regular exercise, aiming for at least 150 minutes of moderate-intensity activity per week. | | Certain Medications | Corticosteroids, diuretics, and some antidepressants can elevate blood sugar levels. | Monitor blood sugar closely, discuss alternative medications with healthcare provider if possible. | | Stress | Triggers release of hormones that raise blood sugar levels. | Stress management techniques (e.g., meditation, yoga, deep breathing exercises), therapy if needed. | | Illness | Infections and other illnesses cause hormonal responses that interfere with insulin's ability to lower blood sugar. | Monitor blood sugar more frequently during illness, follow sick-day management guidelines provided by your healthcare provider. | | Gestational Diabetes | Develops during pregnancy, leading to high blood sugar levels. | Specialized diet, exercise, and potentially insulin therapy, close monitoring by healthcare provider. |
What to Do If You Suspect You Have High Blood Sugar
If you suspect you have high blood sugar, it's important to take prompt action:
1. Check Your Blood Sugar
If you have a blood glucose meter, check your blood sugar level immediately. Keep a record of your readings to share with your healthcare provider.
2. Stay Hydrated

Drink plenty of water to help flush out excess glucose and prevent dehydration.
3. Adjust Medication (If Applicable)
If you have diabetes, follow your healthcare provider's instructions for adjusting your medication. Do not make changes to your medication regimen without consulting with a healthcare professional. The Top 15 Diabetic Diet Foods For Stable Blood Glucose Bg Control
4. Monitor Symptoms Closely
Keep a close eye on your symptoms. If they worsen or if you develop any of the serious symptoms mentioned above (nausea, vomiting, abdominal pain, shortness of breath, fruity-scented breath, confusion), seek immediate medical attention.
5. Seek Medical Advice
Even if your symptoms are mild, consult with your healthcare provider to determine the underlying cause and develop a management plan. They may recommend lifestyle changes, medication adjustments, or further testing to assess your overall health.
Preventing High Blood Sugar
Preventing hyperglycemia involves making healthy lifestyle choices and managing underlying medical conditions effectively:
1. Follow a Healthy Diet
Focus on a diet rich in fruits, vegetables, whole grains, and lean protein. Limit your intake of refined carbohydrates, sugary drinks, and processed foods.
2. Exercise Regularly
Aim for at least 150 minutes of moderate-intensity exercise per week. Regular physical activity helps improve insulin sensitivity and lowers blood sugar levels.
3. Monitor Your Blood Sugar Regularly
If you have diabetes, monitor your blood sugar levels regularly as directed by your healthcare provider. This helps you understand how your body responds to different foods and activities and allows you to make timely adjustments to your treatment plan.
4. Manage Stress
Practice stress-reducing techniques such as meditation, yoga, or deep breathing exercises.
5. Get Enough Sleep
Aim for 7-8 hours of quality sleep per night. Lack of sleep can affect insulin sensitivity and raise blood sugar levels. Normal Blood Sugar Range A Definitive Chart For Adults
6. Maintain a Healthy Weight
If you are overweight or obese, losing even a small amount of weight can improve insulin sensitivity and lower blood sugar levels.
7. Regular Medical Check-ups
See your healthcare provider regularly for check-ups and screenings. Early detection and management of underlying medical conditions can help prevent hyperglycemia.
| Prevention Strategy | Actionable Steps | Benefits | |-------------------------------|------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------| | Healthy Diet | Increase intake of fruits, vegetables, whole grains, and lean protein; limit refined carbs, sugary drinks, processed foods. | Stabilizes blood sugar levels, promotes overall health, reduces risk of complications. | | Regular Exercise | Aim for at least 150 minutes of moderate-intensity activity per week. | Improves insulin sensitivity, lowers blood sugar, aids in weight management. | | Monitor Blood Sugar | Regularly check blood sugar levels as directed by healthcare provider. | Provides insights into how body responds to different factors, allows for timely adjustments to treatment plan. | | Manage Stress | Practice stress-reducing techniques such as meditation, yoga, or deep breathing. | Lowers stress hormones, stabilizes blood sugar levels, improves mental well-being. | | Get Enough Sleep | Aim for 7-8 hours of quality sleep per night. | Improves insulin sensitivity, regulates blood sugar levels, supports overall health. | | Maintain Healthy Weight | Lose weight if overweight or obese through diet and exercise. | Improves insulin sensitivity, lowers blood sugar, reduces risk of associated complications. | | Regular Medical Check-ups | Attend routine check-ups and screenings with healthcare provider. | Early detection and management of underlying conditions, personalized advice on prevention strategies. |
Conclusion
Recognizing the signs and symptoms of high blood sugar is crucial for maintaining your health and preventing serious complications, particularly if you have diabetes or risk factors for developing the condition. By paying attention to these warning signs, taking prompt action, and adopting preventive strategies, you can effectively manage your blood sugar levels and improve your overall well-being. Remember, if you suspect you have hyperglycemia, consult with your healthcare provider for personalized guidance and support.
References and Further Reading
- the pedagogy of the pump training a new insulin pump user YbcXxm
- the complete guide to the fasting blood sugar test preparation and results 7DX9sg
- your complete guide to the normal blood sugar range after eating Na2veR
- the ultimate guide to your a1c chart levels and what it means tA5SBY
- best foods to help you control your blood sugar ijoD9O