Blood sugar

Synonyms

  • Blood sugar level
  • Blood sugar level
  • Blood glucose
  • Plasma glucose

English: blood sugar

definition

The term blood sugar refers to the concentration of the sugar glucose in the blood plasma. This value is given in units of mmol / l or mg / dl.

Glucose plays one of the most important roles in the energy supply of humans, both as a direct energy supplier and as a raw material for energy storage in the form of fats or glycogen.

In order to ensure a continuous supply of energy to the body, the blood sugar must be on a reasonably constant level in the blood be kept sober in between 60 and 100 mg / dl (corresponding 3.3 and 5.6 mmol / l) should be. If blood sugar levels are above this one speaks of a Hyperglycaemia (high blood sugar), with values ​​lower than one Hypoglycaemia (low blood sugar).

In particular brain and Red blood cells are dependent on a sufficient blood sugar concentration, as they cannot or only to a small extent meet their energy requirements through other energy suppliers (e.g. through fat breakdown).

regulation

For the Adjustment of blood sugar levels two hormones in particular are important in the organism:

  • insulin
    and
  • Glucagon

As the main actors in a complex mechanism, these regulate the Concentration of blood sugar.
Is now glucose with food, which is in most Carbohydrates is included, fed and gets into bloodso it rises Blood sugar level first of all. From a certain threshold stimulus, this increase has a release of insulin from the pancreas result. The insulin now causes the newly absorbed glucose to enter the cells (only Neurons are completely independent of insulin), especially in Muscle and liver cellswhere it is either metabolized directly or, with the help of insulin, is converted into forms of energy storage.

During a phase of hunger, however, the blood sugar level drops, which Glucagon, also released from the pancreas.
Glucagon acts as an antagonist to insulin and causes an increased release of glucose from the Energy storage in the bloodto increase the level and thus ensure an adequate supply of glucose.

Also the "Stress hormones" adrenaline and Norepinephrine such as Adrenal cortex hormones like cortisol cause a rapid rise in blood sugar (hyperglycaemia).

Hyperglycemia

An increase in blood sugar above the normal value is called hyperglycaemia.
It is usually triggered by diabetes mellitus, but it usually occurs for a short time after a meal containing carbohydrates.
Among other things, the following are shown to a high degree:

  • increased need to urinate
  • increased feeling of thirst
  • dry skin and mucous membranes
  • dizziness
  • up to, in the worst case, hyperglycemic coma.

Hypoglycemia / low blood sugar

Hypoglycaemia in the laboratory-chemical sense is referred to as a value below 45 mg / dl. The symptoms of a drop in blood sugar vary greatly from person to person.
Signs of this can be:

  • Cravings
  • fatigue
  • Urination and urination
  • Restlessness
  • accelerated pulse
  • Sweats
  • Muscle tremors
  • Feeling anxious
  • a headache
  • Visual disturbances
    or
  • Be seizures
  • to a shock with loss of consciousness.

Hypoglycaemia can be triggered, for example, by:

  • an overdose of insulin
  • or other anti-diabetic drugs
  • Addison's disease
  • malignant (malignant) tumors
  • hepatitis
  • Malnutrition
  • chronic pancreatitis

You can also read more about hypoglycaemia under our topic: Hypoglycaemia