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What to Do When a Diabetic Attack or Emergency Strikes – Verywell Health

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Carisa D. Brewster is a freelance journalist with over 20 years of experience writing for newspapers, magazines, and digital publications. She specializes in science and healthcare content.
Do-Eun Lee, MD, has been practicing medicine for more than 20 years, and specializes in diabetes, thyroid issues and general endocrinology. She currently has a private practice in Lafayette, California. 
Diabetes is a chronic condition where the blood sugar level is too high. Insulin, a hormone produced by the pancreas, removes sugar from the blood and moves it into cells for the body to use. In people with type 1 diabetes, their pancreas doesn’t make any insulin; in those with type 2 diabetes, it doesn’t make enough.
Healthy blood sugar levels are between 60 and 140 mg/dL. A blood glucose of above 140 mg/dL is considered too high, and one that’s below 60 mg/dL is too low. Having high blood sugar for a long period of time puts people with diabetes at risk for other health problems, such as kidney disease, heart disease, stroke, and nerve damage. Another common issue that people living with diabetes face is diabetic emergencies.
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A diabetic emergency happens when blood sugar is too high or too low for too long. This is a life-threatening condition that requires immediate medical treatment. There are a few types of diabetic emergencies, and some conditions may increase the risk of a diabetic emergency.
Diabetic ketoacidosis (DKA) occurs when the body begins burning fat, instead of sugar, for fuel. This happens when there isn’t enough insulin to deliver sugar to cells for energy. To make up for this, the liver begins breaking down fat too quickly for the body to process. This can lead to a buildup of ketones (a type of acid) in the blood, which can become poisonous.
Symptoms of DKA can include:
DKA is most common in individuals with type 1 diabetes. It can sometimes be the first sign of type 1 in those who are not diagnosed. Causes of DKA in type 1 diabetes include infection, injury, serious illness, missed insulin doses, or stress due to surgery.
DKA is less common in people with type 2 diabetes. If it occurs, it is typically less severe. Causes of DKA in type 2 diabetes include uncontrolled high blood sugar for a long period of time, missing medicine doses, or a severe illness or infection.
When you eat too much sugar, the excess is stored in the muscles and liver. When blood sugar decreases, the liver releases what it has stored, raising the amount of sugar in the blood. For some, especially those with diabetes, their blood sugar doesn’t go up enough and is below 70 mg/dL, causing hypoglycemia, or low blood sugar.
Possible symptoms of hypoglycemia include:
Hypoglycemia can happen to anyone, but for people with diabetes, hypoglycemia can occur as a side effect of the medicine they’re taking. Eating foods high in carbohydrates usually helps raise your blood sugar to normal levels. If hypoglycemia happens too often, they need to consult with their healthcare provider to see if they need to change their treatment plan.
Hyperglycemia is blood glucose greater than 125 mg/dL while fasting, which is defined as not eating for at least eight hours. It can occur in people with diabetes if they’re eating too many carbohydrates, taking their medicine incorrectly, or their medication is not as effective as it should be. Stress and the dawn phenomenon, a surge of hormones that lead to high blood sugar in the morning, could also lead to hyperglycemia.
 Symptoms of hyperglycemia can include:
Hyperglycemic hyperosmolar syndrome (HHS) can occur if you have a high blood sugar level for a long time. Signs of HHS can include:
HHS usually develops in people who do not have their type 2 diabetes under control and who have an infection, stopped taking their medications, have a heart attack or stroke, or take medicine that can cause this condition, such as steroids and diuretics.
High blood sugar can negatively affect the immune system. It can lower the ability of white blood cells to come to the site of an infection and kill what is causing the infection. Nerve damage and difficulty breaking down and storing fats can contribute to an increased risk of infection.
People with type 1 or type 2 diabetes are vulnerable to infections that can become life threatening, including:
Signs of infection can include fever, chills, sore throat or mouth sores, redness or swelling, or pain with urination.
A diabetic coma, where a person passes out due to extremely low or high blood sugar, is an emergency that requires immediate medical attention. Because extreme hypoglycemia or hyperglycemia can cause a diabetic coma, symptoms of these two conditions could be signs of a diabetic coma.
Other circumstances can also increase the risk of diabetic coma, such as:
Diabetic ketoacidosis or hypoglycemia are more likely to cause a diabetic coma in those with type 1 diabetes, while HHS places people with type 2 diabetes more at risk of this condition.
You should call your healthcare provider or 911 if you have diabetes and the following:
Preeclampsia is pregnancy-induced high blood pressure (hypertension) and liver or kidney damage. It often occurs after the 20th week of pregnancy. The risk of preeclampsia is two to four times higher among people with type 1 or type 2 diabetes.
The exact cause of preeclampsia is unknown. It is estimated to occur in about 3% to 7% of all pregnancies. 
Women with preeclampsia often do not feel sick, but symptoms could include:
Even when diabetes is controlled, high blood sugar can still damage the blood vessels and nerves of the heart over the years. The longer you have diabetes, the higher the chances that you will develop heart disease. This increases the risk of heart attack or stroke.
Signs of a heart attack can include:
Women are more likely to experience nausea or vomiting, back or jaw pain, and shortness of breath as heart attack symptoms.
Signs of a stroke are:
If you experience any of these symptoms, call 911 immediately.
To avoid a diabetic emergency, you must manage your diabetes as well as possible. Check your blood sugar often, and get into the habit of recognizing the early signs that levels are rising or dropping toward a dangerous range.
Other tips to prevent a diabetic emergency include:
It’s also a good idea to carry snacks that you can eat to quickly get sugar into your blood to treat hypoglycemia. These might include raisins, candy, or glucose tablets.
For hyperglycemia, exercise will lower your blood sugar, but if your blood sugar is above 240 mg/dL, you need to check your urine for ketones. Exercising with a high ketone level will raise your blood sugar even higher.
If you are pregnant, your healthcare provider may recommend that you take daily low-dose aspirin to help prevent preeclampsia and its related complications.
Managing diabetes and the possibility of diabetic emergencies can feel overwhelming, but these emergencies are largely preventable by keeping your condition under control.
Eating healthy, taking medicines as prescribed, exercising regularly, and recognizing the early signs of rising or falling blood sugar levels can help you keep these emergencies at bay and become prepared in the event that they do occur.
We know healthy eating is key to help manage diabetes, but that doesn’t make it easy. Our free nutrition guide is here to help. Sign up and receive your free copy!
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National Institutes of Health. What is diabetes? Updated December 2016.
American Diabetes Association. Hypoglycemia (low blood sugar).
MedlinePlus. Diabetic ketoacidosis. Updated January 26, 2020.
National Institute of Diabetes and Digestive and Kidney Diseases. Hypoglycemia. Updated August 2020.
American Diabetes Association. Hyperglycemia (high blood sugar).
MedlinePlus. Diabetic hyperglycemic hyperosmolar syndrome. Updated January 26, 2020.
Stoner GD. Hyperosmolar hyperglycemic state. Am Fam Physician. 2017;96(11):729-736.
Carey IM, Critchley JA, DeWilde S, Harris T, Hosking FJ, Cook DG. Risk of infection in type 1 and type 2 diabetes compared with the general population: a matched cohort study. Diabetes Care. 2018;41(3):513-521. doi:10.2337/dc17-2131
Centers for Disease Control and Prevention. Know the signs and symptoms of an infection. Updated November 10, 2020.
Cleveland Clinic. Diabetic coma. Updated December 2, 2020.
Weissgerber TL, Mudd LM. Preeclampsia and diabetes. Curr Diab Rep. 2015;15(3):9. doi:10.1007/s11892-015-0579-4
MedlinePlus. Preeclampsia. Updated May 4, 2021.
National Institute of Diabetes and Digestive and Kidney Diseases. Diabetes, heart disease, and stroke. Updated February 2017.
American Heart Association. Heart attack symptoms in women. Updated July 31, 2015.
Centers for Disease Control and Prevention. Stroke signs and symptoms. Updated August 28, 2020.
American Diabetes Association. Eating well.
U.S. Preventive Services Task Force. Aspirin use to prevent preeclampsia and related morbidity and mortality: U.S. Preventive Services Task Force recommendation statement. Published September 28, 2021.

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What Is Kefir? Types, Nutrition Facts, Health Benefits, Recipe – Everyday Health

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Sick of Greek yogurt? Then it’s time to give kefir a shot. The superfood (slash super drink) is a cross between yogurt and milk in terms of thickness. And just like its dairy-aisle relatives, it’s an excellent source of calcium.
But kefir has even more going for it. It’s a fermented beverage, which means it’s loaded with good-for-your-gut probiotics.
Here, learn more about kefir, its history, how it became a trendy item, and the health benefits it may offer.
Kefir is a fermented milk drink that can be made from any type of milk — goat, cow, coconut, rice, soy, sheep, you name it. It’s traditionally made by culturing milk with kefir grains, which are a mixture of bacteria and yeasts. (1) You’ll find kefir in the dairy aisle, likely near the yogurt, or maybe in the refrigerated portion of the natural foods section. In fact, it’s pretty similar to yogurt, but it’s not quite as thick. Think of kefir as a drinkable yogurt with a tangy, slightly acidic flavor.
You may have heard of kefir for the first time in recent years, but it’s not new. Kefir originated thousands of years ago in the Caucasus Mountains in Russia, and it has a long history in Eastern European countries. The word “kefir” comes from a Turkish word that means “good feeling.” (1,2) Kefir grains also have a history in Muslim culture and were considered gifts from Allah.
Kefir has become increasingly popular as researchers have studied the health benefits of the drink. It’s loaded with probiotics (and can have more than 50 different types!), which have been a buzzword in the nutrition world in recent years. (1,3)
Probiotics are bacteria that are added to existing bacteria in the gut. Oftentimes, kefir is enriched with vitamins and minerals that up its healthy quotient. (1) And good news if you’re lactose intolerant: A small study found that kefir improved the way people with lactose issues tolerated and digested lactose. In fact, because it’s fermented, kefir itself is about 99 percent lactose-free. (The good bacteria eat up the lactose, which is milk sugar.) So don’t consider it off-limits just because it’s considered a dairy product. (1)
The nutrition found in kefir can change based on the milk used to create it and if there are flavors added to it. Fat-free or low-fat kefir are the best options for boosting your health, as per the U.S. Department of Agriculture's MyPlate guidelines.
Here is the nutritional info for 1 cup of low-fat cow’s milk kefir with no added sugar, for example: (4)
Calcium is important for so much more than just bone health. Get a primer on the various health benefits of this essential nutrient — and find out whether it’s possible to get too much!
Kefir offers a number of possible health benefits.
Kefir grains, which are needed to make traditional versions of kefir, aren’t the type of grain you’re thinking of if wheat or oats have come to mind. Rather, kefir grains are a white or yellowish jellylike substance that looks like cauliflower or cottage cheese. They range in size from 0.3 to 3 centimeters in diameter, and they contain bacteria, yeast, milk proteins, and complex sugar. (2) The grains join with milk and ferment the milk to create kefir. (11,14)
There are many different versions of kefir. (11) There’s nonfat, low-fat, and full-fat kefir, as well as some varieties made from nondairy milk. You’ll also find flavored types of kefir, such as strawberry or chocolate.
You might hear kefir referred to as kefir milk or kefir yogurt, but kefir is neither milk nor yogurt — it’s somewhere in between.
There is, however, a beverage called water kefir. Like regular kefir, it starts with kefir grains (or a water kefir starter kit). But instead of milk, it’s mixed with water, sugar, and usually some type of flavoring.
Bacteria have a bad rap. Bacteria are actually crucial to keeping the body working the way it’s supposed to. There are many, many strains of good bacteria that occur naturally within the gut and make up the body’s microbiome. These bacteria help the body do things like digest food and produce vitamins. (15)
Not all strains of bacteria are good, though. The state of your gut health could change quickly, maybe even over the course of a day, mostly based on what you’re eating. Taking in probiotics from outside food sources can help keep the gut balanced. Oftentimes, the probiotics you find in probiotic-rich foods are the same good ones that already exist in the body.
The general idea is that probiotics help keep the gut bacteria happy by pushing out or minimizing the effect of bad bacteria and returning the intestines to a healthy place if things get out of balance. (15)
There’s a difference between yogurt and kefir in terms of consistency, but you can use the two in similar ways, such as in smoothies or mixed with fruit. They have very similar nutritional profiles, too, and pack a similar number of calories. Kefir beats out yogurt when it comes to probiotics, however. (16)
There are other ways to source probiotics through food, such as by eating sauerkraut, kimchi, kombucha, and miso. Kefir is generally considered one of the greatest source of probiotics, but it’s hard to say which one is best for you since taste and your body’s reaction should be considered. After all, the probiotics won’t do you much good if you find the food too hard to stomach!
While whole foods are a great source of probiotics, you can also promote good gut bacteria by reaching for probiotic pills and capsules. Here are five options to consider!
All in all, kefir seems to be a trendy superfood that’s worthy of the hype. It’s considered safe and healthy enough to consume every day.
There are some things to be cautious about, though. First, the calorie count can differ depending on the type of milk used, so keep that in mind if weight loss is a goal of yours. One cup of kefir made with fat-free milk may have slightly over 100 calories, while kefir made with whole milk could reach 200 calories. The whole-milk versions also contain higher amounts of saturated fat, which you should be careful not to get too much of, especially if you’re keeping an eye on your cholesterol or heart health. One serving of whole-milk kefir has 5 g of saturated fat, which is 25 percent of the maximum an average healthy person should take in in a day. (18)
Take a peek at the added sugars when you’re in the dairy aisle choosing which brand or variety of kefir is best. You’ll probably notice that the flavored varieties have significantly more added sugars, usually about 8 g of added sugars per serving. The best choice is a plain variety of kefir or one with a label that indicates there's no added sugar. Note that even plain kefir will contain some sugar from the naturally occurring lactose in milk.
Some people report experiencing some negative digestive side effects, such as gas, after drinking kefir. (15) These side effects will likely go away over time as your body gets used to it.
People with weakened immune systems, such as someone who has an autoimmune disease or has recently had surgery, should consult a doctor before loading up on probiotics because it’s possible that the probiotics will increase the risk of infection. (15)
Before choosing which kefir option is best for you, be sure to check the amount of added sugar. Some brands sneakily pack it in. And look for the words “live active cultures” or “live cultures” on the label, which refer to the probiotics in the product. To maintain freshness, always store kefir in your refrigerator.
You can also make kefir yourself. To get started, you’ll need to purchase a kefir grain starter kit, which you can buy once and then reuse forever. Like kefir you’d find at the store, kefir grains should also be kept in a cool, refrigerated environment.
Plenty of blogs and YouTube videos can guide you through the process of making kefir at home.
Here are the usual steps: (18)
You can reuse the kefir grains, which will expand by about 5 to 7 percent each time you make kefir. (2) Store the grains in the refrigerator or freezer until you’re ready to make your next drink. (2)
Because kefir is a perishable product, most of the Amazon best sellers are starter kits for kefir grains.
Here are the top five most popular products:
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Replacing butter or full-fat dairy with olive oil associated with reduced risk of death of many common diseases, according to new study.
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For the best shot at bettering your eating habits or managing a condition, turn to the real experts.
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Experts share their best advice for using mindfulness to build a healthier relationship with food this season.
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Healthy Snacking free-to-attend webinar – BakeryAndSnacks.com

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Related tags: webinar, healthy snacking, European Snacks Association, FMCG Gurus, Plamil Foods, better for you, functional claims
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Conscious snacking means meeting nutritional needs; adding functional benefits like increasing energy, controlling appetite and getting fortification from fibre, protein, vitamins, minerals and probiotics; but still providing guilt-free pleasure and indulgence. Can snacks really meet that criteria?
Moderated by BakeryandSnacks’ editor Gill Hyslop, the panellists include:
For 60 minutes on 5 October 2021, the panellists will delve into what they understand about the consumer’s heightened focus on better-for-you snacking and the impact this is having on products long perceived to be high in fat, sugar and salt.
What’s more, the webinar will explore the many technical challenges and whether it’s possible to reformulate treats to make them healthier, while keeping the ingredients list as simple as possible.


Attendees will also be able to put their burning questions to the panel by submitting them upon registration.
Register here for this free event,​ which is sponsored by ASR Group, Batory Foods, Cargill and Sweegen.
This is one not to be missed and take places on Tuesday, 5 October at 3pm GMT/4pm CET/9am CT. If you can’t make the live event, register anyway. The webinar will be made available to registrants after the broadcast date as an on-demand presentation.
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Botanical Farms CBD Gummies Reviews (Updated 2022) – Shocking Scam Risk, Fake Side Effects, Dragons Den & Buy US – Detroit Metro Times

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January 17, 2022 » Paid Content
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