Diabetic Emergency: What to Do When Blood Sugar Spikes or Crashes
When someone with diabetes faces a diabetic emergency, a sudden, life-threatening change in blood sugar levels that requires immediate action. Also known as insulin reaction, it can mean your blood sugar drops too low (hypoglycemia) or climbs too high (hyperglycemia), leading to confusion, seizures, or even coma. This isn’t just a scare story—it’s a real risk for millions, and knowing the signs could save a life.
A hypoglycemia, a dangerous drop in blood glucose below 70 mg/dL hits fast. You might feel shaky, sweaty, dizzy, or suddenly hungry. Your heart races. If you don’t eat sugar fast, you can pass out. Kids and older adults are especially vulnerable. On the flip side, hyperglycemia, a sustained high blood sugar above 250 mg/dL creeps up slowly. Thirst, frequent urination, blurry vision, and fatigue build over hours or days. Left untreated, it can lead to diabetic ketoacidosis, a toxic buildup of acids in the blood from lack of insulin, which is a hospital-level emergency with fruity-smelling breath, nausea, and rapid breathing.
What connects these? Insulin. Too little, and sugar piles up. Too much, and it crashes. People on insulin or certain oral meds are at highest risk. But even those managing with diet and exercise can slip into trouble—especially if they skip meals, over-exercise, or get sick. The key isn’t perfection. It’s awareness. Keep fast-acting sugar (glucose tablets, juice, candy) on you. Wear a medical ID. Teach family and coworkers what to do if you can’t speak for yourself.
You won’t find magic fixes here, but you will find real-world knowledge from posts that cover how medications interact with blood sugar, what symptoms get ignored until it’s too late, and how to spot trouble before it escalates. Whether you’re managing diabetes yourself or helping someone who does, the next few articles give you the tools to act fast, stay calm, and avoid the hospital.
Diabetic ketoacidosis is a life-threatening condition that requires immediate hospital care. Learn the early warning signs, how it's treated in the hospital, and how to prevent it before it becomes an emergency.