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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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Yellow Eyes and Skin Symptoms: Causes, Warning Signs and When to Seek Care

Yellowing of the eyes and skin is one of the most noticeable physical changes a person can experience. Often referred to as jaundice, this symptom is not a disease by itself but a sign of underlying health conditions. Understanding yellow eyes and skin symptoms is essential because they frequently indicate problems involving the liver, blood or bile ducts and may require urgent medical attention.

In India, jaundice is a common presentation across age groups due to infections, liver disease and metabolic disorders.

What Does Yellowing of Eyes and Skin Mean?

The yellow colour appears due to excess bilirubin in the blood.

Bilirubin is:

a yellow pigment
produced from the breakdown of red blood cells
processed and removed by the liver

When bilirubin builds up, it deposits in tissues, causing yellow discoloration.

Why the Eyes Turn Yellow First

The sclera, or white part of the eyes, contains elastic tissue that binds bilirubin easily.

This makes yellowing:

more visible in eyes
detectable before skin changes

Yellow eyes are often the earliest sign of jaundice.

Common Causes of Yellow Eyes and Skin

Liver-Related Causes

The liver plays a central role in bilirubin metabolism.

Common liver causes include:

viral hepatitis (A, B, C, E)
fatty liver disease
alcoholic liver disease
liver cirrhosis
drug-induced liver injury

ICMR reports viral hepatitis as a major cause of jaundice in India.

Bile Duct Obstruction

Blocked bile flow prevents bilirubin excretion.

Causes include:

gallstones
bile duct strictures
pancreatic or bile duct tumours

This type of jaundice is often associated with itching and pale stools.

Blood Disorders

Excess breakdown of red blood cells increases bilirubin production.

Conditions include:

hemolytic anemia
malaria
inherited blood disorders

The liver may be overwhelmed despite being healthy.

Infections

Certain infections directly affect liver function.

Examples include:

hepatitis viruses
leptospirosis
severe sepsis

WHO data highlights hepatitis as a leading infectious cause of jaundice globally.

Newborn and Pregnancy-Related Causes

While common in newborns, jaundice in adults always needs evaluation.

Pregnancy-related liver disorders can also cause yellowing.

Associated Symptoms That Provide Clues

Yellow eyes and skin are often accompanied by:

dark yellow or tea-coloured urine
pale or clay-coloured stools
itching
fatigue
abdominal pain
loss of appetite

These symptoms help identify the underlying cause.

When Yellowing Becomes Dangerous

Seek urgent medical care if yellowing is accompanied by:

high fever
severe abdominal pain
confusion or drowsiness
vomiting
rapid worsening of colour

These signs suggest severe liver or systemic disease.

Jaundice and Liver Function

The liver normally:

conjugates bilirubin
excretes it into bile

When liver cells are damaged, bilirubin accumulates.

Lancet studies confirm jaundice as a key marker of liver dysfunction.

Diagnostic Evaluation

Doctors evaluate jaundice using:

blood tests for bilirubin levels
liver function tests
viral markers
ultrasound or CT scans
additional tests based on findings

Early testing identifies reversible causes.

Impact on Daily Life

Persistent jaundice can affect:

energy levels
digestion
mental clarity
work performance

Untreated liver disease can progress silently.

Treatment Depends on the Cause

There is no single treatment for jaundice.

Management focuses on:

treating infection
relieving bile obstruction
stopping harmful medications
managing chronic liver disease

Self-medication can worsen liver injury.

Role of Preventive Healthcare

Preventive measures include:

hepatitis vaccination
safe drinking water
limiting alcohol intake
regular health checkups

NITI Aayog emphasises liver health in preventive care strategies.

Lifestyle Factors That Affect Liver Health

Risk factors include:

excessive alcohol
obesity
high-fat diets
unsafe injections

Addressing these reduces jaundice risk.

Importance of Early Detection

Early diagnosis:

prevents complications
improves recovery
reduces hospitalisation

Delays increase the risk of liver failure.

Jaundice Is a Symptom, Not a Diagnosis

Understanding this distinction is crucial.

Treating the symptom alone:

does not resolve the disease
may mask serious conditions

Medical evaluation is essential.

Conclusion

Yellow eyes and skin symptoms are visible warning signs that should never be ignored. Most often linked to jaundice, they reflect underlying problems involving the liver, bile ducts or blood. Early medical evaluation, accurate diagnosis and timely treatment are critical to prevent serious complications. Recognising these symptoms and seeking care promptly can protect liver health and save lives.

References

Indian Council of Medical Research (ICMR) – Hepatitis and Liver Disease Reports
World Health Organization (WHO) – Jaundice and Hepatitis Guidelines
National Family Health Survey (NFHS-5) – Liver and Metabolic Health Indicators
Lancet – Liver Function and Bilirubin Research
NITI Aayog – Non-Communicable Diseases and Liver Health
Statista – Liver Disease and Hepatitis Trends

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