Hypoglycemia is a syndrome caused by various reasons that blood sugar suddenly drops below 2.8 mmol/L (50 mg/dl), which leads to excessive excitement of sympathetic nerve and brain dysfunction. Blood sugar drops rapidly, and patients often have symptoms such as hunger, nausea, vomiting, fatigue, weakness, nervousness, anxiety, palpitation, cold sweat, pale face, high blood pressure, and trembling hands and feet. When blood sugar drops further, patients may appear trance, lethargy, convulsion and coma; Long-term severe hypoglycemia can cause brain damage, such as coma for more than 6 hours, which can cause irreparable brain damage and lead to death.

The most common cause of hypoglycemia is excessive or improper use of insulin and sulfonylureas by diabetic patients. Elderly diabetic patients are prone to hypoglycemia before lunch or dinner even if their condition is stable and untreated.

1) Prevention of hypoglycemia:

1.

Eat within 30 minutes after insulin injection. When the activity increases, supplement a small amount of meals in time. Don't forget to eat on time when you go out to do business. Patients taking sulfonylureas should also add meals in time.

2.

Patients injected with mixed insulin should pay special attention to eating dinner on time and eating staple food or eggs and dried tofu before going to bed.

3.

Bring some sweets, biscuits, etc. In case of hypoglycemia.

2) When acute hypoglycemia occurs:

1.

Patients with mild reaction and conscious mind should take 25-50g of white sugar or brown sugar, take it with warm boiled water or drink other sugary drinks; Those who are slightly heavier eat 25 grams of steamed bread, bread or biscuits, or 1-2 pieces of fruit. The general reaction will disappear after 10 minutes.

2.

Hypoglycemia reaction is serious, and the mind is not very clear. White sugar or brown sugar can be put into the patient's mouth to melt and swallow. Or make syrup and feed it slowly. If you are still awake after taking sugar 10 minutes, you should be sent to a nearby hospital for emergency treatment immediately.

3.

For coma patients with hypoglycemia, 40 ml of 50% glucose should be injected intravenously and oxygen should be given immediately, which will take effect quickly, or glucagon 1 mg, 15 minutes later. After waking up, the patient must be given sugar water to prevent the next reactive hypoglycemia.

A small amount of fermented non-fried pasta (such as steamed bread and steamed buns), half a bowl of millet soup, half a cup of warm low-fat milk and half a cup of unsweetened coffee.

In the morning 10~ 1 1, you can have a cup of coffee with sugar.

Lunch: a vegetarian bag or half a steamed bread or a corn and half a vegetable (there may be some chicken or fish).

Around 4 pm, you can eat a fruit.

Midnight snack: half bowl of porridge+a vegetarian steamed bun (or half bowl of rice, half steamed bread, porridge, half corn and half steamed cake) (note: only one item can be selected in brackets)+vegetables (green or yellow-green).