Today you should know what a hypo is and hypoglycemia to deal with it. We distinguish different types of hypoglycemia and different ways of treatment.
Types of hypoglycemia
1. Asymptomatic hypoglycaemia - low blood glucose without symptoms
2. Hypoglycemia average - there are alarm symptoms of autonomic
3. Hypoglycemia unconscious - symptoms of cerebral origin (neuroglycopenia) are noticeable to an observer patient
4. Severe hypoglycemia - symptoms require a second person (injection of glucagon)
5. Night hypoglycemia - there is often, episodes are sustained, are usually asymptomatic and may not interfere with sleep.
Nocturnal hypoglycemia should be suspected if blood glucose before breakfast is a small, observed anxiety, nightmares, seizures during sleep or after waking up, is impaired ability to think logically, or experience drowsiness, a disorder of mood or headache. Diagnosis can be established only on basis of blood glucose testing at regular intervals of time during night.
Nocturnal hypoglycemia can not be predicted on basis of result of measurement of blood glucose at bedtime (greater value of the study carried out around midnight).
Treatment of hypoglycemia
Basic principle to be followed by people at risk of hypoglycemia is a need to continuously carry something sweet: glucose, sugar, juice. Here there is an analogy to disease of diabetes, also you need to follow specific duties and habits.
Hypoglycaemia develops quickly, usually within a few minutes, but just as quickly fades after eating sugary products. In this way, easiest way to deal with hypoglycemia moderate course.
A common mistake during an attack of hypoglycemia is to eat bread, cakes (these products glucose is released slowly, because the consumption of large quantities of these products during difficult to control hunger can lead to many hours of hyperglycemia). Therefore, we carry a product that is a food special purpose, eg. a special chocolate bar.
For people with patient's environment or a completely random people who come into contact with patient during an attack of hypoglycemia, easiest way to raise level of glucose in blood it is to give a sweet product.
It can happen, however, situation when aid would not be possible because of already advanced changes in behavior of patient (aggression, anorexia). In this case it will be necessary injecting
1.0 mg of glucagon (preferably in thigh muscle tissue), after obtaining better contact with patient oral glucose residue dish. Therefore, in name of a well-conceived prevention of hypoglycemia, each patient should carry a kit for injection of glucagon, person with people around patient absolutely must master ability to independently make injections.
Much more difficult is dealing with a sick non-conscious. In such a situation, there is already a considerable likelihood of hypoglycemic coma. Patient should be placed on side of his head down below. Unconscious patient, do not give anything by mouth, you can only put a sugar cube between teeth and cheek.
Then follow intramuscular injection of 1.0 mg of glucagon. In case of drug-induced hypoglycemia, or when the patient regained consciousness within 10 minutes after injection of glucagon, patient should be sent to hospital.
Frequently observed so. nocturnal. Closing symptoms of resulting hypoglycemia is to reduce dose hypoglycemic intake night before going to bed or eating a meal containing slowly absorbable carbohydrates (eg. twa- corner, lean meat with bread, chocolate bar). Hypoglycemia can also be countered appropriately modifying medication.
Main role in prophylaxis and treatment of hypo plays patient education. Typical symptoms of hypoglycemia, and their ability to help should be a well-known family and closest environment of patient. Such knowledge may be obtained from doctors and professional medical staff.
Many of necessary information in field of education of diabetic patients may receive by participating in meetings of local diabetes associations cooperating with hospitals, clinics and pharmacies. Most important principles are: ability to use glucose meter and constant control of blood sugar levels, dietary adherence, having a carrying products containing a lot of sugar and a kit for injection of glucagon.