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Diabetic patients and their families should fully understand the manifestations and harms of hypoglycemia, and master the preventive measures and emergency treatment methods for hypoglycemia to reduce the incidence and harm of hypoglycemia. Blood glucose levels should be maintained above in diabetic patients; In older patients and children, particularly in older patients and children, glycemic control is "high rather than low" to prevent symptomatic hypoglycemia and unconscious hypoglycemia.
Diabetic patients are advised not to delay meals after taking hypoglycemic drugs or insulin injections, and to control the duration and amount of exercise. Diabetic patients need to carry a card with them to record information such as disease diagnosis, medication history, medication time, and fasting quality, so as to facilitate the rescue of patients when they have hypoglycemia and confusion and coma. Patients are advised to carry candy with them and to self-administer to relieve symptoms of hypoglycemia if they occur.
Criteria for glycemic control should be relaxed in older patients.
Studies have shown that age is an important risk factor for hypoglycemia in the course of type 2 diabetes**, and the incidence of hypoglycemia increases with age. Long course of disease is also a risk factor for hypoglycemia, and for the elderly, blood glucose monitoring should be strengthened, hypoglycemia should be detected in time, and early treatment should be given.
The use of medium- and long-acting hypoglycemic drugs is another important risk factor for hypoglycemia, and it is recommended that elderly patients should try not to use or use medium- and long-acting hypoglycemic drugs with caution. In particular, diabetic patients with a long course of disease and multiple risk factors for cardiovascular and cerebrovascular diseases, or pre-existing myocardial infarction and cerebral infarction should try to avoid hypoglycemia. It is advocated that elderly diabetic patients should not only control hyperglycemia, but also prevent hypoglycemia.
We must understand that hypoglycemic drugs play an irreplaceable role in controlling blood glucose and preventing diabetic complications.
Diabetics should not be afraid of hypoglycemia to affect their blood sugar targets. In fact, diabetes-related complications are the main problem that threatens the quality of life of patients. Although there is currently no method for diabetes, large clinical studies tell us that intensive blood sugar control in diabetic patients is of great significance to reduce and prevent the occurrence of various complications of diabetes.
Therefore, formulating a reasonable and effective plan, combining a reasonable diet and exercise plan, and improving patients' self-management ability can not only effectively control blood sugar for a long time, but also reduce the occurrence of hypoglycemia, thereby reducing or delaying the occurrence of diabetes-related complications.
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Patients with mild reactions and conscious should take 25-50 grams of white sugar or brown sugar with warm boiled water or drink other sugary drinks; Slightly heavier people eat 25 grams of steamed bread, bread or biscuits, or 1-2 fruits, and the reaction can disappear after 10 minutes.
If the reaction is severe and the consciousness is not very clear, white sugar or brown sugar can be placed in the patient's mouth to dissolve and swallow; Or mix into syrup and feed slowly. If you are still not awake after 10 minutes of taking sugar, you should immediately send to a nearby hospital for rescue.
Comatose patients should be given 50 mg of glucose IV 40 mL and oxygen immediately, or intramuscular glucagon 1 mg, who should be conscious within 15 minutes. After waking up, the patient must be given sugar water, etc., to prevent the next reactive hypoglycemia.
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If possible, blood glucose values should be measured in time to confirm hypoglycemia;
1) If it is only mild hypoglycemia and the patient is conscious, he can eat a few candies, a few biscuits, or drink half a cup of sugar water, which can quickly correct the hypoglycemia, 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;
2) If the above methods still have no effect or the patient is unconscious, he should be sent to the hospital immediately for first aid, and bring the patient's usual hypoglycemic drugs so that the doctor can understand the condition.
3) Patients with severe hypoglycemia should not be fed food and should be sent to the hospital immediately. Immediately after being admitted to the hospital, blood glucose is measured, 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.
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1. When people suddenly have some symptoms of hypoglycemia, they can first put a piece of sugar in their mouths to relieve their discomfort, if there is food around, it is best to eat a little easy-to-digest food and fruit or juice, which can quickly increase their blood sugar and improve the situation of hypoglycemia.
2. Some patients with more serious hypoglycemia will also be delirious and suddenly comatose, at this time, the family should send the patient to the hospital for **, or inject glucose solution in time, so as to make the patient wake up, in addition, after the patient's condition is slightly better, it is best to eat some food, such as: face, low-fat sweet biscuits, low-fat milk and so on.
3. People who often have low blood sugar should put some candy or food with more sugar in their bags when they usually go out, and when patients have sudden hypoglycemia, they can correct their hypoglycemia by eating foods containing sugar.
4. Patients with hypoglycemia can also drink glucose water directly after the onset of the disease, which is also the fastest and most direct way to replenish their ability.
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If you feel a hypoglycemic attack, you should eat a hard candy right away. You should always carry some fruit hard candy with you. You can eat steamed bread and biscuits without sweets.
People with low blood sugar usually pay special attention to eating on time. For dinner, you should eat more staple foods such as eggs, dried tofu and the like.
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. >>>More
You should find out your physique first, and if you don't make up for it wrong, it will be clumsy.
Carry candy with you and eat candy if you feel a little unwell, which is very effective.
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.
In daily life, you should pay attention to your body, you need to eat more nutritious creatures, and you should also pay attention to drinking more sugar water.