An attack of hunger, anxiety, rapid heartbeat, sweating, aggression, tremor, headache, dizziness, impaired concentration, vision ...
All this can be a symptomHypoglycemia- The most terrible word for each patient with diabetes. But is it worth it to be so afraid of her? No, you need to know how to stop it and how to prevent it. And also share their knowledge with loved ones, and then they will come to your aid at the right moment.
The most common causes of hypoglycemic conditions:
- overdose of sugar -free drugs (tablet or insulin);
- passing the next meal or a long time interval between insulin injection and eating;
- sport (physical activity accelerates the utilization of glucose both during and some time after it);
- intake of alcohol (the liver actively helps our body to prevent hypoglycemia, sharing its glucose reserves, and alcohol blocks this help);
- Incorrect injection technique (insulin, introduced into the muscle will work much faster than what is introduced subcutaneously).
If you still felt the symptoms of hypoglycemia, do not rush to eat everything you see. Measure blood glucose. Patients with diabetes can feel the symptoms of hypoglycemia with normal blood glucose (patients with poor compensation and constantly high indicators of glycemia). It is recommended to stop hypoglycemia in patients with diabetes at a blood glucose level of less than 3.9 mmol/l.
Fast carbohydrates are suitable for stopping hypoglycemia:
- 3-5 pieces (teaspoons) of sugar at 5 g (preferably dissolved in water);
- 1 tablespoon of sugar or honey;
- 150-200 ml of juice or sweet carbonated drink;
- 4-5 tablets of dextrose.
Additionally, you need to eat 10-20 g of slowly estimate carbohydrates (1-2 pieces of bread, 3-4 tablespoons of porridge, mugley bar). After 15 minutes, you need to re -measure blood glucose and, with persistent hypoglycemia, repeat the intake of quick carbohydrates.
Sands with sausage, cheese, butter, chocolate, cakes, drinks with sugar -substitutes are not suitable for stopping hypoglycemia!
We recommend that a patient with diabetes always have the necessary fast carbohydrates with him. It is also advisable to have a note with you, and preferably a bracelet indicating the diagnosis. Sometimes severe hypoglycemic conditions (coma) occur when the patient cannot help himself. Others can help you, rubbing honey or thick syrup in the gums. Do not pour liquid or throw sweets into the mouth due to the danger of getting into the respiratory tract and subsequent stop of breathing. Glucagon injection is also effective or intramuscularly effective. And, of course, it is necessary to call an ambulance team for the introduction of glucose intravenously.
"Warned - means armed!" Be healthy!
Endocrinologist of the Minsk City Clinical Endocrinological Center A.S. Chernyavskaya
