What is Hypoglycemia and Treat It ?

How to identify a hypo?
Hypoglycemia can cause the following symptoms:

– Pallor .
– Tremors .
– Sweating .
– Feeling of weakness .
– Palpitations .
– Hunger  .
– Nervousness .
– Difficulty concentrating .
– Irritability .
– Tiredness or fatigue .
– Blurred vision  .
– Changes usual bizarre behavior .
– Temporary loss of consciousness .
– Confusion .
– Seizures .
– Eat .

In some diabetic hypoglycemia does not cause any of these symptoms, especially if the patient is diabetic for many years. In these patients, hypoglycemia can cause seizures and loss of consciousness without notice. To avoid this, these patients should maintain a blood glucose concentration higher than other diabetic patients and measure blood glucose more frequently than normal.This is very important.

Types of Hypoglycemia
Hypoglycemia can be classified into:

– Mild hypoglycemia hypoglycemic crisis: the patient can control hypoglycemia itself .
– Severe hypoglycemia: the patient needs help from someone (a family member or a doctor) .

What can a person with hypoglycemia?
It is important to be familiar with the symptoms of hypoglycemia in order to treat them early. When in doubt should measure blood glucose (concentration of glucose in the blood).

Also important:
– Always wear easy to consume sugar by hand .
– Testing blood glucose every day, because with this you can adjust the amount of insulin and decrease everything possible the risk of hypoglycemia .
– Follow the dietary advice and maintain regular eating habits.
Take something light between meals helps to keep the glucose concentration drops too before the next meal. Carry an identification card diabetic patient. The blood sugar drops at night are a serious problem for many diabetics because during sleep are not identified. If you have nightmares at night, wakes up with a headache or are particularly irritable on waking, it is advisable to measure blood sugar towards three o’clock.Either way you can reduce the risk of nocturnal hypoglycemia glucose measured at about 10 or 11 at night. If it is below 126-144 mg / dl (7-8 mmol / l) should eat something light.
– The Alcohol also lowers blood glucose. It is very important to avoid drunkenness. After drinking a lot or have been dancing, you should eat something before bed.

How is it diagnosed?
The diagnosis is made by measuring the concentration of glucose in the blood with a device for measuring blood glucose. Lower blood glucose levels of 54 mg / dl (3.0 mmol / l) indicates hypoglycemia.

Exercise and diet
Exercise uses up glucose and reduces blood sugar, so if you exercise or do any strenuous physical activity:

– Put less insulin than usual before sports or any unusual physical activity.
– Eat more before, during or just after exercise. In patients treated with insulin normally, blood glucose is higher one or two hours after eating and lower three to four hours after meals. Some people have symptoms of hypoglycemia just before meals. This highlights the need to drink between meals to avoid hypoglycaemia.

Long term forecasts
Hypoglycemia is usually easy to treat and a mild episode a week is not dangerous. The danger occurs when glucose concentrations fall below acceptable limits to dangerous levels. The only source of energy for the brain is glucose and therefore is not healthy blood sugar get too low.

Treating hypoglycemia
Mild hypoglycemia is taking about 10 to 20 grams of glucose (sugar) in the form, for example, a glass of juice or milk sugar, or glucose tablets. In case of continuous hypoglycemia or severe hypoglycemia crisis, call an ambulance to take the patient to the emergency room, where he was given intravenous glucose or glucagon (a hormone that increases glucose) intramuscularly.

The patient’s family should learn to give injections of glucagon. You can have a glucagon kit, so that if the patient has several hypoglycemia with loss of consciousness treatment can be applied immediately and avoid having to go to hospital.

In case of repeated crises of hypoglycemia is necessary to measure blood sugar four times a day. Know when blood sugar is dropping enables the patient to adjust your insulin dose and know when to eat.

Dr Jan Erik Henriksen , a specialist in endocrinology, Dr. Ian W.  Campbell ,  general practitioner