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Comrade Military Doctor: I am a 62-year-old retired cadre who suffered from diabetes a few years ago, and my condition has been relatively stable through **. But recently, I often feel hungry and weak, and the doctor said that it was low blood sugar.
What is hypoglycemia and what should I do if I have hypoglycemia? Comrade Zhao Mingchuan Zhao Mingchuan of a cadre rest center of the Jinan Military Region: Blood sugar is glucose in the blood, which is a major component in the blood.
Human tissues rely mainly on blood sugar** energy. Transient hypoglycemia can cause significant brain dysfunction, and severe hypoglycemia can lead to brain death if not corrected in time. Under normal circumstances, blood glucose maintains a kind of dynamic equilibrium, that is, fasting blood glucose is about 4 6 mmol l, and blood glucose 2 hours after a meal is 4 .
When this balance is disrupted, it can cause hyperglycemia or hypoglycemia. Hypoglycemia is not a stand-alone disease, but a syndrome of low blood glucose concentrations caused by multiple causes. Some scholars believe that a severe episode of hypoglycemia and the resulting physical harm can negate the benefits of controlling high blood sugar for a lifetime.
For non-diabetic patients or normal people, hypoglycemia is not small and can cause serious consequences. Typical hypoglycemia is manifested by hunger, fatigue, emotional restlessness, pallor, palpitation, etc., and the blood sugar is found to be lower on examination, and it improves immediately after eating. Once hypoglycemia is diagnosed, it is necessary to get rid of the danger by supplementing with foods, especially sugar-rich foods such as oral glucose, chocolate, sugar water and candy.
It should be noted that many patients are afraid to eat because they are afraid that their blood sugar will rise after eating sugar, which is very dangerous. Because hypoglycemia is not corrected in time, it may cause brain damage, which has a greater impact on older patients and has more serious consequences. In most cases, a 25-gram dessert or a bar of chocolate or a glass of orange juice can correct hypoglycemia.
Further treatment is then done based on the detected blood glucose level. However, patients with hypoglycemia who are taking long-acting hypoglycemic drugs (eg, oral glibenclamide) should be treated with continuous glucose infusion to achieve the goal of continuous correction of hypoglycemia. Otherwise, some patients will have hypoglycemia, and in severe cases, myocardial infarction and even death may occur.
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People with mild hypoglycemia should not do anything again, and prevention is the most important thing! 5 things you should do if people with low blood sugar want to stay away from complications.
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If you have hypoglycemia, don't be overly nervous, and treat it with the right medicine.
First of all, the correct treatment of hypoglycemia is that if possible, the blood glucose value should be measured in time to confirm hypoglycemia; Secondly, if it is only mild hypoglycemia and the patient is conscious, he can eat a few candies, a few biscuits, or drink half a glass of sugar water, which can quickly correct the hypoglycemia effect, and the symptoms of hypoglycemia will disappear after ten minutes. After eating the above foods, you can eat some rice, steamed buns, dried tofu and other foods to prevent the recurrence of hypoglycemia; If the above methods still have no effect or the patient is delirious, he should be immediately sent to the hospital for emergency treatment, and bring the patient's usual hypoglycemic drugs so that the doctor can understand the condition.
Patients with severe hypoglycemia should not be fed and should be taken to the hospital immediately. After being admitted to the hospital, blood glucose is measured immediately and 20 mg of 50% glucose is given intravenously, and glucose can be instilled intravenously after symptoms are relieved and consciousness is awake to prevent recurrence of hypoglycemia. Especially for some patients with hypoglycemia caused by oral hypoglycemic drugs, after waking up, it is still possible to enter a coma again, and they need to be closely observed for four or five days.
Generally speaking, the typical symptoms of hypoglycemia are profuse sweating, paleness, fatigue, and blackness in front of the eyes. Once the above conditions are detected, it is necessary to eat small and frequent meals , and patients with hypoglycemia are best to eat small and frequent meals,—— about 6 to 8 meals a day. Eating small snacks and snacks before bed can also help.
In addition, it is important to alternate food types and not eat certain foods too often, as allergies are often associated with hypoglycemia. Food allergies will worsen the condition and complicate the symptoms. Eat a balanced diet that contains at least 50-60 carbohydrates (the same dietary principle as diabetics), including vegetables, brown rice, avocado, konjac, seeds, stone fruits, cereals, lean meats, fish, yogurt, and raw yogurt.
Don't be greedy and eat more lychees, because be careful of low blood sugar.
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In fact, the harm of hypoglycemia is even more severe. Hypoglycemia is not easy to be detected, hypoglycemia is not equal to hunger, the so-called hypoglycemia refers to the blood sugar concentration of normal people, blood sugar concentration of diabetics, and severe hypoglycemia will cause confusion of consciousness, disorders, coma, fainting, etc.
Once diabetic patients find that they have symptoms of suspected hypoglycemia, if they have a blood glucose tester nearby, they can test their blood sugar to determine whether they are hypoglycemic. If you don't have a blood glucose meter, you can put a piece of sugar in your mouth first, just in case. When diabetic hypoglycemia, the foods that can be eaten are half a cup of sugar water, half a cup of fruit juice, fruit candy, biscuits, and so on.
These foods with high sugar content can immediately raise blood sugar and correct low blood sugar after eating.
After 15 minutes of eating foods with high sugar content, measure your blood sugar again to see if your blood sugar level is still low, and if it is still low, you should eat again.
If the symptoms of hypoglycemia have disappeared, but it is more than 1 hour before the next meal, then you should eat again, such as a slice of bread, a steamed bun, 5-6 low-fat sweet biscuits, low-fat milk, etc.
If a patient with severe hypoglycemia becomes delirious or comatose, the family should take the patient to the hospital as soon as possible, as the situation is already very serious, and glucose solution should be injected in time.
Causes of hypoglycemia: Blood sugar levels need to be stable at a healthy level, so diabetics need to control their blood sugar levels. However, in the process of control, you need to pay attention to the following problems, otherwise you may have hypoglycemia as a result!
1. Overdose of insulin or oral hypoglycemic drugs, failure to eat after taking hypoglycemic drugs or insulin injection. 2. Eating too little or eating at an inappropriate time, increasing the amount of exercise but not supplementing food, or not adjusting the insulin dose according to the amount of food and drink. 3. Patients with liver and kidney dysfunction will affect the metabolism of hypoglycemic drugs and glucose regeneration.
4. Drinking alcohol or taking aspirin, sulfonamides or type B sympathetic blockers at the same time will affect the metabolism of hypoglycemic drugs and glucose regeneration. Symptoms of diabetic hypoglycemia: blood sugar is an important "consumable" of body organs and cells, if the blood sugar is too low, health will undoubtedly be damaged, if the body has the following symptoms, you need to be alert to whether it is hypoglycemia!
1. Autonomic symptoms: mild symptoms of hypoglycemia include hunger, trembling, cold sweats, palpitations, and rapid heartbeat. 2. Central nervous system symptoms:
Slurred speech, inability to concentrate, blurred vision, drowsiness, confusion, strange behavior, and even cramps and coma. 3. Non-specific symptoms: dizziness, headache, nausea, numbness of the lips, etc.
4. Invigilance hypoglycemia: patients with a history of long-term diabetes, elderly diabetics, or those with strict blood sugar control who have recently had hypoglycemia will have no obvious autonomic symptoms when hypoglycemia occurs, and the symptoms of central nervous system hypoglycemia will directly occur.
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Clause. 1. If conditions permit, immediately measure rapid blood glucose, and measure fingerstick blood sugar to determine whether it is hypoglycemia or the severity of hypoglycemia. Clause.
2. Correct the symptoms of hypoglycemia as soon as possible, you can consider eating, such as drinking sugar water and eating biscuits, chocolate and other foods with high sugar content, and retest blood sugar after 3-5 minutes. If the patient is in a coma or has eating disorders, it is more appropriate to maintain the lateral decubitus position to ensure the patency of the airway and send the patient to the hospital in time. Clause.
3. For hypoglycemia, analyze the causes of hypoglycemia after correcting hypoglycemia, such as some patients have liver insufficiency, renal insufficiency or heavy drinking, and some patients are caused by eating a lot of lychee and other foods.
Mild hypoglycemia can be corrected by eating, such as eating something sugary, including biscuits, juice, etc. But when it is more powerful, you may have to eat some sugar, only after eating sugar, can you quickly correct hypoglycemia, hypoglycemia is a limit, that is, 15g of glucose, there is a special kind of sugar, you can also use some sugar cubes, such as three to five pieces of sugar cubes, it is 15g of the amount, after eating 15 minutes after measuring blood sugar, if the blood sugar is still low, this time to give such an amount again, eat again, most of the patients after this treatment blood sugar will recover. Of course, there are some more serious hypoglycemia and comatose patients, at this time, you must not feed him anything, sugar, at this time, you must go to the hospital quickly, and give him the corresponding ** by infusion of sugar.
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If you have hypoglycemia. Indicate that your physical condition is not very good, especially if you may be anemic. Be sure to always have candy around you in case you faint when you have symptoms, if you feel dizzy, eat candy immediately to make yourself feel better.
Always remember to exercise more and eat more. Then improve your physical condition, so that you will have a healthy body.
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Hypoglycemia is a term we hear a lot, so what is hypoglycemia?
Hypoglycemia is when the fasting blood glucose concentration in adults is lower than the blood glucose level in diabetic patients.
The symptoms of hypoglycemia are usually manifested as sweating, hunger, palpitation, trembling, paleness, etc., and in severe cases, there can also be lack of concentration, restlessness, irritability and even coma, etc., compared with hyperglycemia, hypoglycemia is more dangerous. Causes of hypoglycemia:
Hypoglycemia in normal people may be caused by not eating on time, and frequent hypoglycemia may also be caused by insulinoma, autoimmune diseases and other factors.
Hypoglycemia in people with diabetes may be caused by too much insulin dose or failure to eat regularly after taking hypoglycemic drugs.
What should I do if I have low blood sugar?
If you experience hypoglycemia, the first thing to do is to stay calm and not panic. Drink fruit juice or sugary beverages, or if you don't drink water. Eat something like candy, bread, chocolate, etc.
Go to a cool place to rest, and after a while your condition will improve.
How can I improve hypoglycemia?
1.Eat on time.
2.Eat a reasonable diet.
3.Eat small, frequent meals.
Patients with hypoglycemia need to be paid attention to on a daily basis.
1.Carry sweets with you.
2.Seek prompt medical attention.
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Mild hypoglycemia can be corrected by eating, such as eating some biscuits, juice, etc. If you are a little heavier, you should quickly raise your blood sugar level by eating sugar. If the situation is severe and coma occurs, you should go to the hospital immediately.
infusion, otherwise it will be life-threatening.
Blood sugar fluctuations vary from person to person, and it is best to monitor hypoglycemia at night, and it is most suitable to choose a blood sugar measurement at 3 o'clock in the morning, and then combine blood sugar before going to bed and fasting blood sugar in the morning to make a comprehensive consideration.
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