Causes of hypoglycemia:
Eating sweets will naturally increase blood sugar in the body. However, if you eat sweets on an empty stomach, sometimes it will cause excessive release of insulin, causing blood sugar to drop rapidly, and even cause hypoglycemia, thus forcing the body to release a second hormone, epinephrine, in order to return blood sugar to normal. The effects of these two hormones can cause dizziness, headache, sweating, and general weakness. This is reactive hypoglycemia. People with mild symptoms can take glucose water or white sugar water to supplement the glucose necessary for life. The essence of litchi disease is also a kind of "hypoglycemia".
There is also a type of fasting hypoglycemia, which usually occurs after fasting for 8 hours. The symptoms are more severe than reactive hypoglycemia, including dizziness, memory loss, stroke and panic. Women who love beauty often suffer from hypoglycemia due to fasting to lose weight. In rare cases, fasting hypoglycemia may be the result of a serious physical disorder, such as B-cell tumors of the pancreas and tumors throughout the body.
Treatment methods:
Treatment of hypoglycemia
1. Treatment of hypoglycemia
(1) A conscious patient with hypoglycemia can be given 2 to 3 pieces of candy, 4 to 5 cookies or half a cup of sugary drink. Most patients will be relieved within a few minutes. . If there is no relief after 15 minutes, repeat the treatment once.
(2) Comatose patients suspected of hypoglycemic coma should immediately draw blood for relevant examinations and provide sugar immediately without waiting for the examination results. The following measures can be taken.
① Immediately intravenously inject 60-100ml of 50% glucose solution. Most patients can wake up immediately and then eat. Those who have not recovered can be injected repeatedly until they wake up. After complete recovery of consciousness after treatment, observation still needs to be continued, because the higher drug concentration in the blood due to hypoglycemia caused by oral hypoglycemic drugs continues to have an effect, and the patient is likely to fall into coma again, so it is advisable to continue instilling 5% ~10% glucose. Observe for several hours to several days according to the condition of the disease until the condition is completely stable.
② For those whose blood sugar cannot be restored or who are still unconscious, you can choose: a. After intravenous injection of 100 mg of hydrocortisone, add 100 mg to 500 ml of glucose solution and infuse slowly according to the condition. The total daily dose is 200 to 400 mg; b. Glucagon 0.5 to 1.0 mg is injected subcutaneously, intramuscularly, or intravenously. It usually takes effect within 20 minutes, but the maintenance time is only 1 to 1.5 hours.
2. Preventive measures
(1) Proper use of insulin requires the application or adjustment of insulin under the guidance of a doctor, and blood glucose monitoring at the same time.
(2) Choose an appropriate oral hypoglycemic drug because glibenclamide (Uhyanghyang) has a strong hypoglycemic effect and a long duration of action, so it should be used with caution, especially if it is combined with renal insufficiency. Glibenclamide is contraindicated in patients over 70 years of age. Others such as gliclazide (Damecon) and glipizide (Mepida) may also cause hypoglycemia, so care should be taken when using them.
(3) Eat according to daily requirements. Be sure to eat after taking medicine or injecting insulin. Do not drink alcohol on an empty stomach.
(4) People who often suffer from hypoglycemia by adding meals at the right time should eat smaller meals more often, that is, divide the total intake into 5 to 6 meals a day, so as to avoid hypoglycemia before meals (before lunch and dinner) , and adding meals in the evening can effectively prevent the occurrence of hypoglycemia in the morning.
(5) The amount of exercise should not be too large, especially for patients with obesity who are not suitable for strenuous exercise on an empty stomach.