Talk:Hyperglycemia

Definition
Opening paragraph is a mess. It defines hyperglycemia " higher than 11.1 mmol/l (200 mg/dl)" while saying that "a consistent range between ~5.6 and ~7 mmol/l (100–126 mg/dl)" is "slightly" hyperglycemic, while "chronic levels above 10–12 mmol/L (180–216 mg/dl) can produce noticeable organ damage over time," even though most of that range doesn't meet the previously stated definition of hyperglycemia.

Test
·22:42, 29 March 2008 (UTC)151.213.82.136 (talk)Test your blood glucose regulary. How do I do this??


 * Get a blood glucose testing machine, the things that prick the finger.J. M. 04:17, 9 June 2006 (UTC)

Too
Too much of this article sounds like a medical journal. Example:  A hyperglycemic condition without other classic symptoms is not dispositive of a diagnosis of diabetes mellitus, but hyperglycemia is also an independent medical condition with other causes.

"is not dispositive"? With that double negative in there, does that mean it is positive?? I would rewrite this in plain English but I'm not entirely confident in what this article is saying.

Another example: '' By comparison to hyperglycemia as an independent non-diabetic condition, Diabetes mellitus, in its organic form, is an apparently auto-immune disease of unknown cause and unknown cure, in which the Islets of Langerhans (a subordinate organ within the pancreas) fail to produce sufficient quantities of the hormone insulin or produce no insulin at all. ''

First of all, that sentence is way too long and should be broken up. Also, it's filled with medical jargon. What does "in its organic form" mean? What the heck does "By comparison to hyperglycemia as an independent non-diabetic condition" refer to?

Could someone with more of a science background help out and strip away the jargon and rewrite this in a way that would be useful to a wider audience?

Non-diabetic hyperglycaemia
I don't like the first paragraph especially - as described here, "non-diabetic" hyperglycaemia seems to be very similar to Type 2 diabetes, which is linked to obesity and to an insensitivity of cells to insulin. Moreover, as far as I am aware, to this date Type 2 diabetes has no proven mechanism as to how obesity affects insulin sensitivity, or even if there is a proven link with obesity, although management plans focus on weight loss and diet control as two of very few treatments that have some efficiency in regulating blood glucose level in this type of diabetes. I'm not an expert on Type 2 diabetes and don't have sufficient knowledge that I could do a good job; however I feel that this section of the article especially could be cleaned up and improved upon significantly.

Thanks Yazza 01:46, 15 November 2006 (UTC)

Expand to simulate hypoglycemia
It seems to me that this article should be modeled after the hypoglycemia article, since they're similar conditions. Currently it seems a bit lopsided information-wise. 72.70.165.104 04:01, 21 December 2006 (UTC)

A question about blood glucose levels
I am not a qualified doctor (my abillity to use the title "Dr" comes from my having a Ph.D. in Psychology), but just from general experience and reading, I wonder whether the range of blood sugars given here (4 to 7 millimoles) is a little too narrow. For people with diabetes mellitus, should we describe those below 3 as hypoglycemia, and those above 11.1 as hyperglycemia? Also, would it not depend on how long it was since one last ate? By the way, blood sugar meters may not start flashing up the "Check ketone level message" until blood glucose levels are over 13.1. ACEOREVIVED (talk) 21:28, 8 February 2008 (UTC)
 * That blood glucose range is indicative of fasting blood glucose levels. This should be stated in the article. Medsta (talk) 08:22, 17 June 2008 (UTC)
 * 4-7 is a bit narrow, i used to be told 5-10 was more realistic, with 4-8 being the most ideal blood sugar. Below 3 is hypoglycemic, and technically above 10 -is- hyperglycemic. Different blood glucose monitors have different pre-set counts at which to display a "check ketones" message. An old one i had had it at about 13, my insulin pump tells me at 14 or over, i believe. It only depends how long after one ate if they are either unaware of a diabetic or other medical condition causing chronic hyperglycemia, or if they were diabetic and did not quite take care of themselves properly. I know even on an insulin pump a diabetic's blood sugar will, obviously, rise after eating, but by taking a bolus dose of insulin, or an injection of insulin immediately after eating, it should be kept generally in a safe range. It's been about 5 years since i used needles so I can't really remember how they worked

Insulin Resistance
I think this article should also include information on how hyperglycaemia can lead to increased insulin resistance. Medsta (talk) 08:24, 17 June 2008 (UTC)

Weight.
What if you have all the symptoms of Hyperglycemia, but instead of loosing weight, you're gaining it? —Preceding unsigned comment added by 24.17.118.100 (talk) 12:23, 5 December 2009 (UTC)

Technical mistake "Some of the newer, double action anti-depressants such as Zyprexa (Olanzapine), and Cymbalta (Duloxetine), can also cause significant hyperglycemia." Zyprexa is an antipsychotic-my guess is the author meant "Effexor" instead. 71.251.132.99 (talk) 13:42, 31 July 2011 (UTC) Dehughes (talk) 13:44, 31 July 2011 (UTC)

The opening needs to be rewritten
The opening of this article would be a lot clearer to most readers, I am sure, if it did not suddenly jump from having the measurement of blood glucose in mg, and then go on to have it in millimoles. I am aware that this might have been altered, and that if one looks at the history of the article, one might see changes, but I still think that it should be rewritten for clarity. ACEOREVIVED (talk) 16:24, 6 December 2012 (UTC)

HbA1c Test
In this line: "Chronic hyperglycemia can be measured via the HbA1c test. The definition of acute hyperglycemia varies by study, with mmol/l levels from 8 to 15.[4]"  I am not sure the HbA1c numbers are the same scale as mmol/l. When I take this lab blood-test at intervals, the doctor shows me numbers that are different from the mmol/l reading I am asked to take at the same time. There was a conversion chart used between the two values. What do you think? 204.92.65.10 (talk) 19:43, 5 November 2013 (UTC)

Levels provided are WRONG
Sorry, but the levels for hyperglycemia provided as 'generaly" >11.1mmol/L, and then diabetes defined as >7mmol/L is basically WRONG. Hyperglycemia is defined (as you can see on the diabetes page) as >6.1mmol/L. It is this sort of thing which is why some med students are sayign Wiki is unreliable and you should use a textbook, so let's fix these mistakes!! 134.148.10.13 (talk) 23:58, 14 October 2014 (UTC)

Temporary hyperglycemia signs and symptoms
The article says "Temporary hyperglycemia is often benign and asymptomatic. Blood glucose levels can rise well above normal for significant periods without producing any permanent effects or symptoms." But presumably it produces temporary signs and symptoms - are these just temporary versions of the permanent ones? For example if too much sugar is consumed is there glycosuria as the body tries to excrete it? — Preceding unsigned comment added by 92.41.95.63 (talk) 11:58, 9 March 2015 (UTC)

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Wiki Education Foundation-supported course assignment
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Hyperglycemic triad
Section Signs and symptoms mentions a "hyperglycemic triad" as characteristic, but the paragraphs following do not list three clear signs or symptoms (possibly caused by a later edit). In fact the para immediately following is unclear as to topic & may be out of place. Needs someone with medical knowledge of the condition to fix. D Anthony Patriarche (talk) 09:00, 21 February 2019 (UTC)

"Polyuria - increased volume of urination (not an increased frequency, although it is a common consequence)"
I find this line unclear. Would it be fair to say "not necessarily increased frequency" and omit the second clause? Wikinetman (talk) 18:11, 31 July 2021 (UTC)

Introduction
A subject with a consistent range between ~5.6 and ~7 mmol/L (100–126 mg/dL) (American Diabetes Association guidelines) is considered slightly hyperglycemic, and above 7 mmol/L (126 mg/dL) is generally held to have diabetes.

What does "consistent range" mean? Is it in fasting adults only? a455bcd9 (Antoine) (talk) 19:39, 20 February 2023 (UTC)

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Spelling
Hyperglycaemia or hyperglycemia? Both appear in the literature and in the article, it should be notified if both are interchangeable or if it is a question of British/American English 195.220.78.23 (talk) 15:36, 26 April 2024 (UTC)