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Published on: Sep 19, 2021
2 minute read
By: Second Medic Expert

What Is Hyperglycemia, And How Is It Controlled?

What is hyperglycemia, and how is it controlled?

Hyperglycemia is an elevated level of glucose in the blood. Diabetes mellitus and impaired insulin secretion are the most common causes, and it can be controlled through diet and exercise.

Diabetes management consists primarily of following a carefully planned individualized diet that helps prevent over-or under-nutrition as well as traditional diseases such as heart disease, stroke, certain cancers, high blood pressure, obesity, and others. Remaining physically active is also crucial to maintaining optimal wellness for people with diabetes--as well as those who want to keep their diabetes from getting worse!

Hyperglycemia is when your blood sugar levels are at least 120 mg/dL. This is classified as a non-ketotic diabetic coma. It can be controlled by eating healthy (eating fruit, vegetables, and sugars), regulating insulin infusions, and taking medications like metformin to decrease the amount of sugar in your bloodstream or sulfonylureas that stimulate the pancreas' beta cells to produce more insulin. Hyperglycemia is the result of too much glucose in your bloodstream. You can control it through diet and exercise, but diabetes treatment medication is often necessary.

Your body regulates blood sugar by releasing insulin when you eat carbohydrates. This makes cells release their energy stores to make up for what's consumed. When this isn't enough, insulin levels are boosted with medications, or doctors instruct patients to start injecting themselves with insulin instead." Hyperglycemia is a condition in which the blood sugar level becomes dangerously high. To control hyperglycemia, you can either reduce your food intake or increase your exercise. Both methods are effective at restoring the body's proper functioning and managing blood glucose levels.

Hyperglycemia is typically caused by diabetes, or more specifically by insulin problems, too much alcohol consumption, dehydration, or intense exercise. It's controlled by monitoring your blood sugar levels with a finger prick test looking for unhealthy spikes and rapid drops in blood sugar levels.

Hyperglycemia can generally be controlled with diet and lifestyle changes because it's primarily characterized by increased glucose levels in the bloodstream, not severe drops in glucose levels that typically happen for diabetes patients. This means that eating fewer carbs (especially refined sugars), exercising more often, and managing stress can usually regulate hyperglycemic symptoms like fatigue and headache without the need to take medication like insulin injections.

Hyperglycemia is controlled by diet and various drugs, such as insulin and Metformin. Hyperglycemia can be caused by not taking enough insulin or if you are eating food that contains sugars like candy, soda, cake, etc.

Some common causes for Hyperglycemia are eating too many high glycemic index foods, having inadequate control of type 1 diabetes through insulin injections, obesity, and childbirth.

Diabetics should monitor their blood sugar levels at least four times per day using a self-monitoring kit so that they can quickly treat it before it reaches very dangerous or even fatal levels. If you suspect you have hyperglycemia without checking your blood sugars yet take immediate steps to keep your glucose under control by drinking water, breaking carbohydrates up in small portions throughout the day to decrease spikes in insulin production, breaking down proteins in smaller doses

When the body metabolizes carbohydrates into glucose, any excess of this sugar in the bloodstream (and cells) will cause blood sugar levels to soar. There are four ways to reduce small amounts of hyperglycemia--medications like metformin or cromolyn sodium; physical activity; diet; and weight loss. Dietary restriction, for example by reducing carbohydrate intake, can lower blood sugar up to 60% (depending on how many carbohydrates you eat).

Controlling hyperglycemia is done by lowering the amount of glucose that enters the bloodstream, also known as prevention through healthy eating habits and regular physical activity. Controlling medication can be used to keep blood glucose levels within the normal range if they're too high or too low. For patients with diabetes, controlling insulin dosage or adding diabetes medications may help to control hyperglycemia more effectively than diet alone. It's important for people on any medication regime not to change the dosage on their own but instead check with their doctor first so as not to put themselves at risk for adverse side effects that may result from improperly regulated dosages.

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Difference Between Sadness and Depression: Understanding Normal Emotions vs Mental Illness

Feeling low or unhappy is a part of being human. However, not all low moods are the same. Many people confuse sadness with depression, which can delay proper support and treatment. Understanding the difference between sadness and depression is crucial for mental health awareness, early intervention and reducing stigma.

In India, mental health conditions are often misunderstood, with emotional distress frequently dismissed as temporary sadness.

What Is Sadness?

Sadness is a normal human emotion.

It usually occurs due to:

loss or disappointment
relationship issues
failure or stress
temporary life challenges

Sadness serves a psychological purpose, allowing individuals to process emotions and adapt.

Key Characteristics of Sadness

Sadness is:

situational
temporary
emotionally painful but manageable
responsive to support and positive events

A person experiencing sadness can still function, enjoy moments and feel hopeful.

What Is Depression?

Depression is a medical condition classified as a mood disorder.

It affects:

emotions
thinking patterns
behaviour
physical health

According to WHO, depression is one of the leading causes of disability worldwide.

Core Symptoms of Depression

Depression involves a combination of symptoms such as:

persistent low mood
loss of interest or pleasure
fatigue
sleep disturbances
appetite changes
feelings of worthlessness
difficulty concentrating

These symptoms last at least two weeks or longer.

Duration: A Key Difference

One major difference lies in duration.

Sadness:

lasts hours or days
improves with time

Depression:

lasts weeks or months
persists despite positive events

Duration helps distinguish emotional response from illness.

Impact on Daily Functioning

Sadness:

allows continuation of work and relationships
may reduce motivation temporarily

Depression:

interferes with work, studies and relationships
reduces self-care and productivity

Functional impairment is a defining feature of depression.

Emotional Experience: Sadness vs Depression

Sadness:

allows emotional range
moments of joy still occur

Depression:

creates emotional numbness
joy and interest disappear

People with depression often describe feeling empty rather than sad.

Physical Symptoms in Depression

Depression is not only emotional.

Physical symptoms include:

chronic fatigue
body aches
headaches
digestive issues

ICMR mental health studies highlight the physical burden of depression.

Thought Patterns and Self-Perception

Sadness:

thoughts remain realistic
self-worth is preserved

Depression:

negative self-talk dominates
feelings of guilt and worthlessness increase

These cognitive changes deepen emotional suffering.

Risk Factors for Depression

Factors increasing depression risk include:

chronic stress
trauma
family history
medical illnesses
hormonal changes

NFHS-5 data indicates rising mental health concerns among young adults.

Can Sadness Turn Into Depression?

Yes, prolonged or unresolved sadness can progress into depression.

This is more likely when:

stressors are ongoing
support systems are weak
coping mechanisms are limited

Early emotional support can prevent progression.

When to Seek Professional Help

Seek help if:

low mood lasts more than two weeks
daily functioning is affected
sleep and appetite are disturbed
thoughts of self-harm occur

Early care leads to better outcomes.

Treatment Differences

Sadness:

improves with rest, support and time

Depression:

requires psychotherapy
may need medication
benefits from structured care

WHO emphasises early treatment to reduce disability.

Role of Social Support

Support systems help both conditions but are essential for recovery.

Depression recovery improves with:

understanding family
supportive workplaces
accessible mental healthcare

Stigma reduction is key.

Mental Health Awareness in India

Mental health remains underdiagnosed in India.

NITI Aayog reports:

limited access to mental health services
low awareness
high stigma

Education helps bridge this gap.

Importance of Early Recognition

Recognising depression early:

prevents worsening
reduces suicide risk
improves quality of life

Delay increases suffering and complications.

Supporting Someone With Depression

Helpful actions include:

listening without judgement
encouraging professional help
avoiding minimising feelings

Compassion is more effective than advice.

Conclusion

Understanding the difference between sadness and depression is essential for emotional wellbeing and mental health care. Sadness is a natural, temporary response to life events, while depression is a serious medical condition that affects thoughts, emotions and daily functioning. Recognising the signs early and seeking appropriate help can prevent long-term suffering and promote recovery. Mental health deserves the same attention and care as physical health.

References

World Health Organization (WHO) – Depression and Mental Health Disorders
Indian Council of Medical Research (ICMR) – Mental Health Research and Burden
National Family Health Survey (NFHS-5) – Mental Health Indicators
Lancet – Depression, Disability and Public Health
NITI Aayog – National Mental Health Policy and Awareness Reports
Statista – Global and Indian Mental Health Trends

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