diabetes uncontrolled
Signs of Uncontrolled Diabetes: When to Take Action and How to Regain Control

38 million Americans live with diabetes. For those already diagnosed, maintaining stable blood sugar levels is one of the most important, and sometimes most challenging, parts of living well with diabetes.

When blood sugar levels stay too high for too long, it’s known as uncontrolled diabetes. This can happen for many reasons from missed medications and stress to changes in diet, illness, or lifestyle routines. Sometimes, it happens gradually and quietly. Other times, symptoms appear suddenly and signal that your body is struggling to process glucose effectively.

Uncontrolled diabetes isn’t just about elevated numbers on a glucose meter. Over time, it can affect nearly every part of the body, including your heart, eyes, kidneys, nerves, and skin. That’s why recognizing the early warning signs and understanding when to seek care is so important. The sooner you act, the easier it is to prevent long-term complications and get back on track towards a healthy and balanced lifestyle.

Why Blood Sugar Control Matters

Uncontrolled diabetes increases the risk of complications including heart disease, stroke, nerve damage, kidney disease, and vision loss. Over time, high blood sugar can affect nearly every organ system, which is why early recognition of warning signs is critical.

Common Signs of Uncontrolled Diabetes

Some symptoms are subtle, while others are more obvious. If you experience any of the following, it’s time to talk with your healthcare provider:

  • Increased thirst and frequent urination: Excess glucose in your bloodstream pulls water from tissues, leading to dehydration and more frequent bathroom trips.
  • Extreme fatigue: When your body can’t properly use glucose for energy, you may feel tired all the time.
  • Blurred vision: High blood sugar can cause the lens of your eye to swell, leading to temporary vision changes.
  • Slow-healing cuts or frequent infections: Elevated glucose impairs circulation and weakens your immune response.
  • Unexplained weight loss: Despite eating normally, your body may break down muscle and fat for energy.
  • Numbness or tingling in hands and feet: A sign of diabetic nerve damage (neuropathy).
  • Dry skin and recurrent yeast infections: Both can be related to excess sugar levels in blood and urine.

What Causes Blood Sugar to Rise?

Several factors can cause blood glucose to climb out of range, including:

  • Skipping or mismanaging medication or insulin doses
  • Eating large portions or high-carbohydrate meals
  • Stress or illness
  • Lack of physical activity
  • Hormonal changes

Monitoring your blood sugar regularly and tracking trends over time can help you and your healthcare team pinpoint what’s triggering fluctuations.

How to Get Back on Track

If you suspect your diabetes is uncontrolled, don’t panic. The key is to take action early:

  • Check your blood sugar as directed and log your readings.
  • Meet with your endocrinologist to review your blood sugar readings and adjust your medication if needed.
  • Revisit your nutrition plan and focus on balanced, portion-controlled meals.

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online. Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you with helpful wellness and health information.

Type 2 Diabetes
Prediabetes: Could It Be You? Understanding the Warning Signs and How to Prevent Type 2 Diabetes

November is National Diabetes Month, a time dedicated to raising awareness about one of the most common – and preventable – health challenges in the United States. Most people associate diabetes with managing insulin, avoiding sugar, or living with type 2 diabetes, but often overlooked is the in-between stage: prediabetes.

More than 98 million American adults, or roughly 1 in 3, have prediabetes, yet over 80% of them don’t know it. That means millions of people are walking around with blood sugar levels that are higher than normal, but not high enough yet to be diagnosed as diabetes, without realizing their future health is at risk.

Prediabetes doesn’t always come with symptoms or warning signs. You may feel perfectly healthy and still have blood sugar levels that are quietly creeping upward. The silver lining is that with early detection, lifestyle changes, and proper medical support, prediabetes can often be reversed, preventing or delaying the onset of type 2 diabetes altogether.

What Is Prediabetes?

Prediabetes occurs when your blood sugar levels are higher than normal, but not yet high enough to be diagnosed as type 2 diabetes. It’s a warning sign that your body is starting to have trouble managing blood sugar effectively, and an opportunity to take action before serious complications develop.

Why Prediabetes Matters

Prediabetes doesn’t always cause symptoms, so it can progress silently for years. Without intervention, many people with prediabetes will go on to develop type 2 diabetes within five years. Once type 2 diabetes develops, the risks grow dramatically, including higher chances of heart disease, stroke, kidney failure, nerve damage, and vision loss.

Even though prediabetes may feel like a “gray area,” it’s actually one of the most powerful opportunities for prevention. Taking action now can help protect your long-term health and even extend your lifespan.

Who Is at Risk?

While anyone can develop prediabetes, certain factors increase your likelihood, including:

  • Being overweight or obese
  • Having a parent or sibling with type 2 diabetes
  • Being 45 years or older
  • Leading a sedentary lifestyle
  • Having high blood pressure or abnormal cholesterol levels
  • Having a history of gestational diabetes or polycystic ovary syndrome (PCOS)

If you check even one of these boxes, it’s worth getting screened. A simple blood test can tell you where you stand.

Subtle Signs to Watch Out For

Prediabetes often has no clear symptoms, which is why so many people are unaware they have it. However, some may notice:

  • Increased thirst or hunger
  • Fatigue
  • Frequent urination
  • Blurred vision

If you recognize any of these signs or have risk factors, ask your healthcare provider for a simple blood test to check your glucose levels.

How to Reduce Your Risk

The most effective way to prevent type 2 diabetes is by adopting healthy habits:

Lose a small amount of weight. If you are overweight, shedding even 5-7% of your body weight can dramatically reduce risk.

Aim for at least 150 minutes of moderate activity each week. That’s just 30 minutes a day, five days a week. Walking, swimming, dancing, or cycling all count.

Eat balanced meals that involve fruits, vegetables, lean proteins, complex carbohydrates and whole grains. Limit sugary drinks and refined carbs.
Don’t smoke and limit alcohol intake.

Last but not lease, work with your healthcare team. Regular monitoring and preventive care can help you stay on track.

How Texas Diabetes & Endocrinology Can Help


If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.

Don’t forget to follow us on Facebook and Instagram and check back each month as we provide you with helpful health and wellness information.

diabetes research
What to Know About Clinical Research Trials at TD&E 

Clinical research trials are conducted every day in every field of medicine in order to discover and advance new and innovative forms of treatment. At Texas Diabetes & Endocrinology (TD&E), our commitment to endocrinology research is unwavering. 

During a clinical research trial, patients volunteer to test cutting-edge new treatments (or medical devices) while in the development stage before they become available to the general public.

The benefits to a patient for opting to participate in clinical research trials include: (1) allowing them to learn more about their condition and actively take control of their health, and (2) potentially improving their condition (and therefore quality of life) by trying an effective new treatment.  

As appreciation and gratitude for their time and travel, patients who participate in TD&E research trials typically receive a form of compensation and all research-related medication and testing is free.

At Texas Diabetes, our Research Department was established in 2007 and is led by our team of board-certified endocrinologists and diabetes experts. We are considered one of the most active endocrine research practices worldwide.

Here are some Frequently Asked Questions (FAQs) about clinical research trials at Texas Diabetes & Endocrinology:  

TD&E Research Trials FAQs

Is there compensation for participating in a trial? How are patients compensated?

  • Yes, there is compensation for participating in each study as a thank you for your time and travel to the site. 
  • Compensation varies between each study and the requirements of each visit.  
  • Compensation is provided on a payment card that is loaded after each visit is completed. 
  • The informed consent for each trial has a detailed description of the payment schedule and the Research Coordinator will review it with the patient during their screening visit. 
  • Patients who receive a payment of $600 or more during a tax year will receive a 1099-MISC form in the mail for tax purposes.

What is the time commitment required for a clinical research trial and how flexible are visits?

  • Every study is different and the visit  frequency will vary depending on the type of study. Most visits with the Research Coordinator will last one to two hours and are scheduled based on the individual study requirements. The informed consent for each study will have a detailed explanation of the number of visits required and whether it’s an onsite visit or phone visit.
  • All visits are conducted Monday through Friday, with most visits being scheduled for the morning hours. Our office opens at 7am and closes at 4pm.
  • Most studies have a visit window which allows for some flexibility when scheduling study visits.

Will there be blood draws at each visit and where will they occur?

  • The majority of studies will require blood work to confirm eligibility and to make sure that it is safe for patients to participate in the trial.
  • All blood work will be conducted onsite by our research team.
  • All visits that require fasting blood draws will be scheduled in the morning.

Do clinical trials go through insurance or will patients have to pay copays?

  • Your insurance will not be billed for any research visits, and all materials and medication are provided by the research study.

Will patients learn at some point what medication they were on and will they be informed of results when the study is over?

  • Yes, the study team will let the site know once all participants have completed the trial at all sites (in the United States and globally) and all data has been collected. The participant will receive a letter afterwards with the information regarding what treatment was received during the study. 

Clinical Research Opportunities at TD&E

You can learn more about our research department and currently enrolling clinical trials here. Please feel free to contact us at (512) 334-3505, option 4, to speak to a recruiter about our enrolling studies.

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

managing diabetes in college
Ten Tips for Managing Diabetes at College 

Navigating the complexities of college life is a challenge in itself, but for students managing diabetes, the journey comes with an added layer of responsibility. Balancing classes, social activities, and personal care can seem overwhelming, yet it is entirely possible to thrive with the right strategies in place. 

Here are some tips our endocrinology experts share for managing diabetes on campus and away from home:

Ten Tips for Managing Diabetes at College

1.         Touch base with your regular endocrinologist before leaving and make sure your recommended protocol and prescriptions are all current.  

2.         Locate your campus health center as soon as you arrive so you know where to head for minor complications or emergencies.  

3.         Bring along a mini fridge for your dorm room to store medications/insulin, juices, and several healthy snacks to have on hand.

4.         Share your condition with your roommate(s) so they’re aware of your diabetes and let them know who to contact in case of an emergency. 

5.         Find a local pharmacy that can fill your prescriptions as needed or set up automatic refills to be shipped directly to you. 

6.         Put a medical alert message or symbol on your phone’s screensaver.

7.         Add family or friend’s contact numbers to your phone under ICE (In Case of Emergency).

8.         Grant remote access to your parents via digital glucose monitors and sensors so that they can help keep you on track from home (and it may help ease their anxieties of knowing how you’re doing). 

9.         Do your best to get some movement and exercise each day to keep blood flowing and blood sugars balanced. 

10.       Be cautious with alcohol use (and know your limitations), which can cause serious blood sugar spikes and impair your cognitive abilities. 

Finding Diabetes Support on Campus

Once away at school, be sure to know what health resources (both mental and physical) are available to help you on campus. Being in a healthy state with your mind and body will help you to better succeed as a student and make the most of your college experience.

Check out the College Diabetes Network to see if your school has a support group on campus, or visit The Diabetes Link that serves as an excellent resource for college students and young adults as they embark out on their own. 

Contact Us to Help Manage your Diabetes, Osteoporosis and Thyroid Conditions 

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services, heart disease prevention,  and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

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