Critical Warning Signs in Type 1 Diabetes Management

Essential Guide for Recognizing and Responding to Diabetes Emergencies

Endocrinology

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Last updated: Mar 24, 2025

Hyperglycemia (High Blood Sugar)

Key Warning Signs

  • Excessive thirst
  • Frequent urination
  • Blurred vision
  • Fatigue
  • Dry mouth and skin
  • Fruity-smelling breath

Emergency Indicators

  • Blood glucose >250 mg/dL
  • Presence of ketones in urine
  • Persistent vomiting
  • Confusion or disorientation

Hypoglycemia (Low Blood Sugar)

Immediate Warning Signs

  • Shakiness or trembling
  • Sweating
  • Rapid heartbeat
  • Anxiety or nervousness
  • Hunger
  • Pale skin

Severe Symptoms

  • Confusion
  • Seizures
  • Loss of consciousness
  • Blood glucose <70 mg/dL

Diabetic Ketoacidosis (DKA)

Early Warning Signs

  • High blood sugar levels
  • Excessive thirst and urination
  • Nausea and vomiting
  • Abdominal pain

When to Seek Emergency Care

  • Difficulty breathing
  • Severe abdominal pain
  • Mental status changes
  • High levels of ketones

Prevention and Monitoring

Daily Management

  • Regular blood glucose monitoring
  • Proper insulin administration
  • Consistent meal timing
  • Physical activity monitoring

Emergency Kit Essentials

  • Glucose tablets or gel
  • Glucagon injection kit
  • Blood glucose meter
  • Ketone testing supplies

Emergency Contact Information

  • Keep emergency contacts readily available
  • Wear medical ID jewelry
  • Have healthcare provider's contact information accessible
  • Know nearest emergency facility location

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