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

What Is Hyperglycemia, And How Is It Controlled?

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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Asthma Symptoms in Adults: Early Signs, Triggers, and When to Seek Care

Asthma is often perceived as a childhood condition, but a significant number of cases develop or persist into adulthood. In India, adult asthma is increasingly recognised due to rising air pollution, occupational exposure and lifestyle-related risk factors. Unfortunately, asthma symptoms in adults are frequently misdiagnosed as recurrent infections, allergies or age-related breathlessness, leading to delayed treatment.

Understanding adult asthma symptoms is critical for early diagnosis, effective control and prevention of severe attacks.

What Is Asthma?

Asthma is a chronic inflammatory disease of the airways. In asthma, the airways become:

inflamed
narrow
overly sensitive to triggers

This leads to difficulty in breathing, especially during exposure to specific stimuli.

Why Adult Asthma Is Often Missed

Adult asthma symptoms may:

appear gradually
vary in severity
mimic common respiratory conditions

According to Indian Council of Medical Research and WHO data, many adults remain undiagnosed for years, increasing the risk of complications.

Common Asthma Symptoms in Adults

Wheezing

A high-pitched whistling sound while breathing, especially during exhalation, is a classic asthma sign.

Shortness of Breath

Adults with asthma often feel:

breathless during routine activities
difficulty taking deep breaths

This may worsen at night or early morning.

Chest Tightness

Many describe a sensation of pressure or tightness in the chest, which can be mistaken for heart-related issues.

Chronic Cough

A persistent cough, especially:

at night
early morning
after exercise

is a common but overlooked asthma symptom.

Symptoms That Worsen With Triggers

Asthma symptoms often intensify after exposure to specific triggers.

Air Pollution and Smoke

Urban pollution, vehicle emissions and indoor smoke significantly worsen asthma symptoms in adults.

Allergens

Dust mites, pollen, mould and pet dander are common triggers.

Respiratory Infections

Viral infections can trigger asthma flare-ups or reveal undiagnosed asthma.

Physical Activity

Exercise-induced asthma causes breathlessness and wheezing during or after physical exertion.

Weather Changes

Cold air, humidity and sudden temperature changes can aggravate symptoms.

Adult-Onset Asthma

Adult-onset asthma differs from childhood asthma.

Characteristics include:

onset after age 20–30
less association with childhood allergies
more persistent symptoms
higher likelihood of severe disease

Occupational exposure and hormonal changes contribute to adult-onset asthma.

Risk Factors for Asthma in Adults

Several factors increase asthma risk:

long-term exposure to pollution
smoking or passive smoking
occupational chemicals or dust
obesity
family history of asthma
chronic sinusitis or allergies

Women may experience asthma onset or worsening during hormonal changes.

When Asthma Symptoms Become Serious

Seek immediate medical attention if experiencing:

severe breathlessness
difficulty speaking in full sentences
bluish lips or fingertips
rapid worsening of symptoms
poor response to usual inhalers

These signs indicate a potentially life-threatening asthma attack.

How Adult Asthma Is Diagnosed

Diagnosis includes:

detailed symptom history
physical examination
lung function tests (spirometry)
response to bronchodilators

Early diagnosis improves long-term outcomes.

Impact of Untreated Asthma

Untreated asthma can lead to:

frequent attacks
reduced lung function
sleep disturbances
missed workdays
reduced quality of life

According to Lancet respiratory studies, uncontrolled asthma increases hospitalisation risk.

Managing Asthma Symptoms in Adults

Effective asthma management focuses on:

identifying and avoiding triggers
using prescribed inhalers correctly
monitoring symptoms regularly
maintaining follow-up care

Asthma action plans help patients recognise worsening symptoms early.

Role of Preventive Healthcare

Preventive healthcare helps:

detect asthma early
assess lung function
guide lifestyle modifications

Regular health checkups are especially important for individuals with respiratory symptoms or occupational exposure.

Lifestyle Measures That Support Asthma Control

Helpful practices include:

avoiding smoking
improving indoor air quality
wearing masks in polluted environments
maintaining healthy weight
regular, moderate exercise

Lifestyle support complements medical treatment.

Mental Health and Asthma

Stress and anxiety can worsen asthma symptoms.

Stress management:

reduces symptom frequency
improves medication response

Holistic care improves asthma outcomes.

Importance of Medication Adherence

Asthma medications work best when:

taken regularly as prescribed
inhaler technique is correct

Skipping treatment increases flare-up risk.

Long-Term Outlook for Adults With Asthma

With proper management:

symptoms are well controlled
severe attacks are preventable
normal activity levels are achievable

Most adults with asthma lead active, productive lives.

Conclusion

Asthma symptoms in adults are often subtle, variable and easily mistaken for common respiratory problems. Wheezing, breathlessness, chest tightness and chronic cough should not be ignored, especially when triggered by pollution, exercise or weather changes. Early diagnosis, trigger control and consistent treatment are essential to prevent severe attacks and preserve lung health. Recognising adult asthma early empowers individuals to manage symptoms effectively and maintain a good quality of life.

References

Indian Council of Medical Research (ICMR) – Respiratory Disease and Asthma Studies
World Health Organization (WHO) – Asthma Management and Prevention Guidelines
National Family Health Survey (NFHS-5) – Respiratory Health Indicators
Lancet Respiratory Medicine – Adult Asthma Outcomes and Management
NITI Aayog – Air Pollution and Respiratory Health Reports
Statista – Global Asthma Prevalence and Trends

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