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

What Is Hyperglycemia, And How Is It Controlled?

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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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Shortness of Breath Causes: From Common Triggers to Serious Health Conditions

Shortness of breath, medically known as dyspnea, is a symptom that ranges from mild discomfort during exertion to a distressing sensation of not getting enough air. In India, increasing air pollution, lifestyle diseases and respiratory infections have made breathlessness a frequent complaint across age groups. Understanding shortness of breath causes is essential to identify when it is harmless and when it signals a medical emergency.

 

What Is Shortness of Breath?

Shortness of breath refers to difficulty breathing or a feeling of air hunger.

It may present as:

  • rapid breathing

  • shallow breathing

  • tightness in the chest

  • inability to take a deep breath

The sensation can develop suddenly or gradually.

 

Common and Benign Causes of Shortness of Breath

Physical Exertion

During exercise, the body demands more oxygen.

Temporary breathlessness during:

  • climbing stairs

  • running

  • heavy physical work

is normal and resolves with rest.

 

Anxiety and Panic Attacks

Stress and anxiety alter breathing patterns.

Symptoms include:

  • rapid breathing

  • chest tightness

  • dizziness

These episodes often resolve with calming techniques.

 

Respiratory Causes of Shortness of Breath

Asthma

Asthma causes airway narrowing and inflammation.

Symptoms include:

  • wheezing

  • chest tightness

  • breathlessness during exertion or at night

Asthma is a leading cause of chronic breathlessness.

Chronic Obstructive Pulmonary Disease

COPD includes chronic bronchitis and emphysema.

Risk factors include:

  • smoking

  • indoor air pollution

  • occupational exposure

WHO identifies COPD as a major cause of breathlessness in adults.

 

Respiratory Infections

Infections such as pneumonia and bronchitis reduce lung capacity.

Breathlessness may be accompanied by:

  • cough

  • fever

  • chest pain

Severe infections require urgent treatment.

 

Heart-Related Causes of Shortness of Breath

Heart Failure

The heart fails to pump blood efficiently.

This leads to:

  • fluid accumulation in lungs

  • breathlessness on exertion

  • breathlessness while lying flat

ICMR data shows heart disease as a major contributor to unexplained breathlessness.

 

Coronary Artery Disease

Reduced blood supply to the heart can cause:

  • breathlessness

  • chest discomfort

  • fatigue

This may occur even without chest pain in some individuals.

 

Blood and Metabolic Causes

Anemia

Low hemoglobin reduces oxygen delivery.

Common symptoms include:

  • fatigue

  • breathlessness on mild activity

  • pale skin

NFHS-5 highlights anemia as highly prevalent in India.

 

Thyroid Disorders

Hyperthyroidism increases metabolic demand, causing breathlessness.

Hypothyroidism may contribute indirectly through weight gain and reduced stamina.

 

Lung Circulation Disorders

Pulmonary Embolism

A blood clot in the lungs causes sudden, severe breathlessness.

This is a medical emergency and may be accompanied by:

  • chest pain

  • coughing blood

  • fainting

Immediate treatment is critical.

 

Lifestyle-Related Causes

Obesity

Excess body weight restricts lung expansion.

Breathlessness occurs due to:

  • increased oxygen demand

  • reduced lung volumes

Weight management improves breathing efficiency.

 

Sedentary Lifestyle

Poor physical conditioning reduces respiratory muscle strength.

Even mild exertion may cause breathlessness.

 

Environmental and Occupational Factors

Air Pollution

Pollutants irritate airways and reduce lung function.

Urban populations experience higher rates of breathlessness.

Workplace Exposure

Dust, chemicals and fumes increase respiratory risk.

Protective measures are essential in high-risk occupations.

When Shortness of Breath Is a Warning Sign

Seek urgent care if breathlessness:

  • starts suddenly

  • worsens rapidly

  • occurs at rest

  • is associated with chest pain, bluish lips or confusion

These may indicate life-threatening conditions.

 

How Shortness of Breath Is Diagnosed

Evaluation may include:

  • physical examination

  • chest imaging

  • blood tests

  • lung function tests

  • heart evaluation

Diagnosis focuses on identifying the root cause.

 

Preventive Measures and Lifestyle Care

Prevention includes:

  • regular physical activity

  • pollution protection

  • smoking cessation

  • weight control

  • managing chronic conditions

Preventive healthcare reduces long-term risk.

 

Importance of Early Medical Evaluation

Delayed diagnosis can worsen outcomes, especially in:

  • heart disease

  • lung infections

  • anemia

Early care improves treatment success.

 

Conclusion

Shortness of breath causes range from temporary exertion and anxiety to serious heart, lung and blood disorders. While occasional breathlessness may be harmless, persistent or sudden symptoms should never be ignored. Understanding the underlying causes and seeking timely medical evaluation can prevent complications and save lives. Paying attention to changes in breathing is an essential step toward protecting overall health and wellbeing.

 

References

  • Indian Council of Medical Research (ICMR) – Respiratory and Cardiac Health Reports

  • World Health Organization (WHO) – Breathlessness and Chronic Disease Guidelines

  • National Family Health Survey (NFHS-5) – Anemia and Respiratory Health Data

  • Lancet – Dyspnea Evaluation and Outcomes Research

  • NITI Aayog – Non-Communicable Disease Prevention Reports

  • Statista – Respiratory Disease and Air Pollution Trends

See all

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