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High blood sugar (hyperglycaemia)

Find out about high blood sugar (hyperglycaemia), including what the symptoms are, what a high blood sugar level is and how to control your blood sugar.

About this information

This NHS content is written for people in England. Services, entitlements and contact routes may differ in other countries.

High blood sugar levels

If you have diabetes, you can find out if your blood sugar level is high by having a blood sugar (blood glucose) test.

You may have regular tests by your care team or GP surgery, or you may have tests you can do at home.

Important

These blood sugar levels are a guide. Your levels may be different depending on your age and the type of diabetes you have. Check with your doctor or care team.

Symptoms of high blood sugar

Symptoms of high blood sugar usually come on gradually and may only start when your blood sugar level gets very high.

Common symptoms include:

  • feeling very thirsty
  • peeing a lot
  • feeling weak or tired
  • blurred vision
  • losing weight

Causes of high blood sugar

Common causes of high blood sugar in people with diabetes include:

  • being unwell
  • feeling stressed
  • eating too much sugary or starchy food
  • being less active than usual
  • missing doses of diabetes medicine

You can also get high blood sugar if your diabetes medicine is not working well, you're taking certain medicines (such as steroids) or you recently had an operation.

How to lower your blood sugar

If you have diabetes, it's important to try to stop your blood sugar level getting too high.

Do

  • take any diabetes medicine you've been prescribed, as advised by your doctor or care team

  • avoid eating too much sugary or starchy food

  • try to find ways to manage stress

  • exercise regularly

  • lose weight if you're overweight

  • follow advice from your doctor or care team about what to do while you're ill (sometimes called "sick day rules")

Don't

  • do not skip or change doses of your diabetes medicine unless advised by your doctor or care team

Speak to your care team or GP surgery if:

  • you've tried to lower your blood sugar but your blood sugar level is still high or you still have symptoms
  • you have symptoms of high blood sugar and you have not been diagnosed with diabetes

Problems caused by high blood sugar

It's not usually a serious problem if your blood sugar is sometimes slightly high for a short time.

But high blood sugar can cause serious problems if it stays high for a long time or gets to a very high level.

It can lead to:

If you have high blood sugar, your doctor or care team may ask you to test your blood or pee to check for ketones. A high level of ketones is a sign of diabetic ketoacidosis.

Call 999 or go to A&E if:

You think you have high blood sugar and:

  • you're feeling sick, being sick or have stomach pain
  • you're breathing more quickly than usual or your heart is beating faster than usual
  • you feel drowsy or are struggling to stay awake
  • your breath has a fruity smell (like pear drop sweets)
  • you feel confused or have difficulty concentrating
  • you have a high level of ketones in your blood or pee

These could be signs you're becoming seriously unwell.

Information:

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

High blood sugar (hyperglycaemia)

Diagnosis

High blood sugar (hyperglycaemia)

Symptoms

High blood sugar (hyperglycaemia)

Causes

High blood sugar (hyperglycaemia)

Self-care

High blood sugar (hyperglycaemia)

Complications

A blood sugar test can tell you if your level is high. What counts as a high level depends on the type of test you have and your circumstances.

Symptoms of high blood sugar include feeling very thirsty, peeing a lot and feeling weak or tired.

If you have diabetes, common causes of a high blood sugar level include being ill, feeling stressed and eating too much sugary or starchy food.

Things that can help you lower high blood sugar include taking any diabetes medicine you’re given, cutting down on starchy food and staying active.

High blood sugar can cause problems if not treated, including damage to your nerves or eyes, and a serious condition called diabetic ketoacidosis.

Content supplied by the NHS website

Content supplied by the NHS website, refreshed 19 August 2026. View the original NHS article ↗

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