Managing a hyper

There will be times when you haven’t taken enough insulin to match the carbohydrate that you have eaten, which means that your blood glucose level will be too high. This is known as hyperglycaemia, or a 'hyper' for short

Like hypoglycaemia, ‘hypers’ are a fact of life for people with type 1 – it’s pretty difficult to keep your blood glucose within range all the time.

A hyper doesn’t carry the same immediate risk as a hypo as it won’t make you immediately feel really unwell or to lose consciousness, but frequent high blood glucose can increase the risks of developing complications of type 1 diabetes, so it’s important to minimise this as much as possible. It can also make you feel pretty unwell if you are hyper for too long.

High blood glucose can be reduced by regularly testing your blood glucose and matching insulin to food intake, exercise and all the other factors, as closely as possible. If you are worried about how often you have high blood glucose, talk to your healthcare team for help on how to tackle it. New technologies like continuous glucose monitors and flash glucose sensing make blood glucose testing easier, but regular testing with a meter could also help. Insulin pumps have been shown to reduce hyperglycaemia, as have diabetes education programmes like DAFNE (Dose Adjustment For Normal Eating).