Treating Type 2 Diabetes Without Surgery Or Drugs | Pankaj “Jay” Pasricha, M.B.B.S., M.D. [0c0810]

2025-07-18

Post Time: 2025-07-18

High blood sugar, also known as hyperglycemia, is a common concern for individuals with type 2 diabetes and prediabetes. Understanding what high blood sugar feels like and looks like can help in timely management and prevention of complications. It's crucial to recognize the signs because prolonged elevated blood sugar levels can have serious long-term effects on your health. In this article, we will delve into the symptoms and observable signs that indicate high blood sugar, and what you should do about it. Recognizing these signs early can empower you to take control of your health.

Understanding the Basics: What Causes High Blood Sugar?

Before diving into the symptoms, it's helpful to understand the root causes of hyperglycemia. High blood sugar occurs when your body doesn’t produce enough insulin (in the case of type 1 diabetes), or when the body doesn’t use insulin properly (as seen in type 2 diabetes). Insulin is a hormone that helps glucose, a type of sugar, move from your blood into your cells for energy. Several factors can influence blood sugar levels:

  • Diet: Consuming large amounts of carbohydrates, especially simple sugars, can cause a rapid increase in blood glucose.
  • Lack of physical activity: Exercise helps your body utilize glucose for energy, so a sedentary lifestyle can contribute to hyperglycemia.
  • Stress: Psychological or physical stress can trigger the release of hormones that elevate blood sugar levels.
  • Illness: When you are sick, your body often increases the production of glucose to fight the illness, which can lead to higher blood sugar levels.
  • Medications: Some medications, like corticosteroids, can also cause blood glucose levels to rise.
  • Dehydration: Lack of fluid in the body can cause the blood to have a more concentrated sugar level.

By identifying these triggers, you can be more aware and proactive in managing your blood sugar. For example, those prone to high blood sugar may benefit from following a low-carb diet plan.

Physical Symptoms of High Blood Sugar

One of the most important steps is recognizing the common physical symptoms. These are signs your body is telling you it's struggling with elevated blood glucose:

  • Increased Thirst (Polydipsia): Feeling unusually thirsty despite drinking fluids is a classic sign. High blood glucose causes the body to pull water from the tissues to try and dilute it, hence leading to the feeling of thirst.
  • Frequent Urination (Polyuria): This goes hand in hand with increased thirst. Your body tries to flush out excess glucose through the urine, leading to more frequent trips to the bathroom, particularly at night (Nocturia).
  • Fatigue: You might feel constantly tired or lethargic even after getting sufficient rest. Your body is unable to efficiently use the glucose for energy, which results in persistent fatigue.
  • Blurred Vision: High blood sugar can affect the lens and fluids in the eyes, causing temporary blurred vision. The high glucose levels draw fluid from the lens, affecting its ability to focus correctly.
  • Headaches: Frequent or persistent headaches can accompany high blood sugar. The lack of glucose to the brain causes headache as one of its effects.
  • Slow Wound Healing: Elevated glucose levels can impair your body's ability to repair wounds and fight off infections. Cuts and bruises can take longer to heal than usual.
  • Dry Mouth: The increased thirst from high blood sugar also results in a feeling of dryness in the mouth.
  • Unexplained Weight Loss: In some cases, particularly if you have undiagnosed or poorly managed diabetes, you may experience weight loss despite an increased appetite. This is because your body isn't effectively using glucose for fuel and might start breaking down fat and muscle for energy.
  • Skin Problems: Itching, dryness or dark patches on the skin (acanthosis nigricans) can indicate high blood sugar. High sugar level can also damage the nerves of the skin and can cause skin conditions like bacterial or fungal infections.
  • Recurrent Infections: Such as urinary tract infections (UTIs), yeast infections and skin infections become more prevalent with chronic high blood sugar.
  • Nerve Damage: Nerve pain (neuropathy), tingling, and numbness especially in feet and hands can result from long periods of high blood sugar.
Symptom Description Possible Mechanism
Increased Thirst (Polydipsia) Feeling unusually thirsty, even after drinking fluids High glucose pulls water from tissues to dilute the bloodstream.
Frequent Urination (Polyuria) Needing to urinate more often, especially at night The body attempts to flush out excess glucose through urine.
Fatigue Constant tiredness, lethargy The body is unable to effectively utilize glucose for energy.
Blurred Vision Difficulty focusing, vision appearing hazy High blood sugar affects the eye lens and fluids, causing focus issues.
Headaches Frequent or persistent headaches The lack of enough glucose to the brain
Slow Wound Healing Cuts and wounds taking longer than usual to heal High glucose impedes the body’s ability to repair tissues.
Dry Mouth Feeling of dryness in the mouth Related to increased urination and general dehydration caused by high blood sugar.
Unexplained Weight Loss Weight loss despite a normal or increased appetite The body breaks down muscle and fat when it cannot use glucose.
Skin Problems Skin conditions such as dryness, itching, dark patches or fungal/bacterial infections High blood glucose damages skin nerve endings and make them prone to infections
Recurrent Infections More prone to infections, like urinary tract or skin infections High glucose impairs immune function
Nerve Damage Nerve pain (neuropathy), tingling, and numbness especially in feet and hands High glucose can cause damage to nerves.

It's important to note that these symptoms may vary from person to person. Some individuals may not notice symptoms until their blood sugar levels are dangerously high, highlighting the importance of regular monitoring for individuals at risk.

Observable Signs of High Blood Sugar

In addition to subjective symptoms, there are some observable signs of high blood sugar:

  • Fruity-smelling breath: This symptom can be indicative of ketoacidosis, a dangerous complication of high blood sugar often found in those with diabetes. It occurs when the body starts burning fat for energy in the absence of glucose, leading to a buildup of ketones.
  • Dehydration: You might notice dry skin and mouth, cracked lips and sunken eyes. This is due to the excessive loss of fluid through frequent urination and lack of fluid intake.
  • Skin Discoloration: Darkening of the skin at the neck and other body folds can be a sign of insulin resistance and elevated blood sugar.
  • Increased rate of breathing: A high glucose can lead to an increase in respiratory rate.

These physical signs, combined with reported symptoms, can paint a clearer picture of potential high blood sugar levels.

When to Seek Medical Attention

If you experience any of these symptoms and suspect you may have high blood sugar, it is crucial to seek medical advice promptly. Early diagnosis and management of diabetes and prediabetes are important for preventing serious health complications. It’s also particularly important to be aware of more serious signs that indicate diabetic ketoacidosis (DKA), a medical emergency that includes:

  • Nausea and Vomiting: If you find it hard to hold down food or fluids, you should seek immediate medical care.
  • Stomach Pain: This pain, accompanied by nausea, may indicate diabetic ketoacidosis.
  • Confusion: Difficulty understanding, remembering, or disorientation is an emergency sign that needs immediate treatment.
  • Rapid breathing
  • Fruity-smelling breath: A distinctive smell on your breath that smells like nail polish remover.

Actionable Steps When Experiencing Symptoms

  • Monitor Blood Sugar Regularly: Those with diabetes or prediabetes should monitor their blood sugar frequently, as recommended by their healthcare provider.
  • Review Medications: Check with a doctor if any new medications have been started. Some medications can raise blood glucose.
  • Adjust Your Diet: Make sure your meals are properly balanced with low glycemic index and plenty of fiber.
  • Stay Hydrated: Drinking water can help regulate blood sugar levels and reduce the risk of complications.
  • Stay Active: Regular exercise improves the body’s ability to use glucose. Even a short walk can help to lower blood sugar.
  • See a Doctor: Seek medical attention and follow your doctor’s advice

Key Takeaways

Recognizing what high blood sugar looks like is the first step in managing your health. It is not always enough to depend solely on physical symptoms, so it is crucial to check blood sugar levels at regular intervals, and especially when experiencing signs of hyperglycemia. The symptoms such as increased thirst, fatigue, and frequent urination can all indicate high blood glucose levels. Being aware of these symptoms and taking appropriate action can make a significant difference in your health outcome.

If you are at risk, it is vital to maintain regular check-ups with healthcare professionals, stick to recommended treatments, and remain proactive in your lifestyle choices to keep blood sugar levels within a healthy range and to avoid the long term complications of hyperglycemia. This will help you live a healthy and active life.

Jay Pasricha talks about an experimental, noninvasive technique that may blood sugar 102 after eating deliver some of the blood sugar spiking foods benefits best treatment for low blood sugar of gastric bypass surgery. For more information please visit:
Treating Type 2 Diabetes without Surgery or Drugs | Pankaj “Jay” Pasricha, M.B.B.S., M.D.
Treating Type 2 Diabetes Without Surgery Or Drugs | Pankaj “Jay” Pasricha, M.B.B.S., M.D. [0c0810]