-- the hypoglycemia problem of diabetic patients

What is diabetic hypoglycemia?

Fasting glucose of healthy people is between 3.9 and 6.1 mmol/L. Diabetic hypoglycemia refers to the disease of which the diabetic patients’ blood sugars are lower than 1.8 mmol/L and accompanied with a series of syndromes such as heart-throb, sweating, hand shivering, even being worried, twitch and coma.

 What are the harms of hypoglycemia on diabetic patients?

• Irritable hyperglycemia (somogyi effect) is a stage when the secretions of epinephrine, growth hormone, glucagons increase reactively.
• Brain cell damage may result in being slow or even dementia (for those with repeated hypoglycemia)
• Repeated hypoglycemia may result in intellectual impairment, hypoglycemic hemiplegia, psychosis, coma, even death (hypoglycemic brain disease).
• Senile hypoglycemia may result in cardiac ischemia, arrhythmia even AMI.
• Hypoglycemia may cause hydrocephalus, hypokalemia and acute stroke.
• Interaction of hypoglycemia may cause disease of heart, brain, kidney and retina.

 Diagnosis criteria

• History of diabetes.
• Symptoms of central nervous system or sympathetic nerve excitation.
• Blood sugar concentrations are lower than 2.8 mmol/L.
• Getting better after treated with glucose.

 Principle of treatment

• Mild altitude: treated with oral 50% glucose liquid, juice, sugar water or other food containing sugar.
• Acute altitude: intravenous injection with 50~100 mL of 50% glucose solution, or venous instillation of 10% glucose solution for 48 hrs if it’s caused by drugs (insulin, hypoglycemic drugs), and adjust medication according to monitoring results of San MediTech.
• Treated with high-protein food and 3~5 meals every day to avoid repeated hypoglycemia,
• Critical patients should be treated in the way of shock, brain disease, coma and multi-organ failure treatments.

 Prevention

• Use insulin and drugs properly.
• Monitor the blood sugar with San MediTech DGMS to prevent non-symptom hypoglycemia and add meals when it occurs (snacks or cadies containing sugar)
• Add food intake or reduce the drug dosage when physical exercises increase.
• Bring the medical record along to facilitate rescue.
• Bring the anti-hypoglycemic food along.
• Prevent non-symptom hypoglycemia at night----San MediTech
• Health training about hypoglycemia prevention.