Signs of high blood sugar include increased thirst, frequent urination, tiredness, blurred vision and headaches; very high levels with nausea, vomiting, fruity-smelling breath, deep breathing or confusion can signal diabetic ketoacidosis and need emergency care. Signs of low blood sugar include shakiness, sweating, a fast heartbeat, hunger, dizziness, irritability and confusion, and it is most common in people taking insulin or certain diabetes medicines. For a low under 70 mg/dL, the 15-15 rule is to take 15 grams of fast-acting sugar, recheck after 15 minutes and repeat if needed. Call 911 for fainting, seizures or a low that does not improve, and see a doctor for frequent highs or lows.
Key takeaways
Thirst and urination can signal highs.
Shakiness and sweating can signal lows.
Use the 15-15 rule for lows.
Fruity breath and vomiting: emergency.
Fainting or seizures: call 911.
Knowing the signs of high and low blood sugar helps you act quickly.
High vs. low blood sugar
High blood sugar
Low blood sugar
Increased thirst
Shakiness
Frequent urination
Sweating, chills
Tiredness
Fast heartbeat
Blurred vision
Hunger, dizziness
Headache
Irritability, confusion
The 15-15 rule for lows
Take 15 grams of fast-acting sugar (4 oz juice or glucose tablets)
Wait 15 minutes and recheck
Repeat if still below 70 mg/dL
Eat a snack or meal once it is back in range
Call 911 for fainting, seizures, a low that does not improve, or high blood sugar with vomiting, fruity breath or confusion.
If you take diabetes medicines, talk to your doctor before adding any supplement, including GlycoFortin, as some ingredients may lower blood sugar.
Sources
CDC – "Low blood sugar (hypoglycemia)."
American Diabetes Association – "Hyperglycemia (high blood glucose)."
NIDDK – "Low blood glucose (hypoglycemia)."
Common questions
What are signs of low blood sugar?
Shakiness, sweating, a fast heartbeat, hunger and confusion.
What is the 15-15 rule?
Take 15 g of fast sugar, wait 15 minutes, recheck.
When is high blood sugar an emergency?
With vomiting, fruity breath, deep breathing or confusion.