According to whether eating or not, hypoglycemia is clinically divided into fasting hypoglycemia and postprandial low kojic sugar.
1. The main cause of fasting hypoglycemia is insufficient energy intake or inappropriate hyperinsulinemia. If fasting hypoglycemia occurs repeatedly, it indicates that the body may have organic diseases, such as insulinoma, liver failure and renal failure.
2. Postprandial hypoglycemia is common in some functional diseases, such as hereditary fructose intolerance syndrome, galactosemia and idiopathic reactive hypoglycemia.
Diagnosis and clinical manifestations of hypoglycemia
1. Hypoglycemia can be diagnosed according to typical manifestations (Whipple triad).
Hypoglycemia symptoms; Blood sugar was lower than 2.8 at the time of attack.
mmol/L； The symptoms of hypoglycemia are quickly relieved after sugar supply, and a few patients whose fasting blood glucose is not obviously decreased or are in non-attack period should be tested for fasting or post-absorption hypoglycemia for many times, and a fasting test of 48 ~ 72 h should be adopted if necessary.
2. Acute hypoglycemia
Excessive excitement of autonomic (sympathetic) nerves shows that the sympathetic nerve and adrenal medulla release adrenaline, norepinephrine and some peptides during hypoglycemia attack, which makes the body show sweating, trembling, palpitation, nervousness, anxiety, hunger, salivation, weakness, pallor, accelerated heart rate, cold limbs and slight increase in systolic blood pressure.
3. Chronic hypoglycemia
The initial manifestations are mental symptoms such as inattention, slow thinking and language, dizziness, lethargy, unclear vision, unstable gait, hallucinations, restlessness, irritability, and strange behavior. When subcortical depression occurs, there may be restlessness, even tonic convulsion and positive pyramidal tract sign, and when it spreads to the medulla oblongata, it will enter a coma, and all kinds of reflexes will disappear. If hypoglycemia continues to be uncorrected, irreversible injury and even death may occur.
Symptoms of hypoglycemia generally appear very quickly. As long as there are 1 symptom or two of the symptoms listed below, you should highly suspect that you may have hypoglycemia.
1. Exhaustive sweating, with only palms or foreheads sweating in the early stage, and severe cases can be manifested as sweating all over.
2. Dizziness, hunger, blindness, and golden flowers.
3. Weakness, especially weakness of legs
4. Rapid heartbeat, palpitation and trembling hands.
5. numbness or tingling in hands, feet and lips
6. Speak with ambiguity, feel anxious, and get angry easily
Step 7 walk unsteadily
8. Dizziness or headache, lack of concentration
9. Weird behavior, personality changes, such as irritability, crying, irritability, aggression, and incredible actions, sometimes mistaken for mental illness.
All these symptoms indicate that your blood sugar level may be too low. Although some people will not have any symptoms even if their blood sugar level drops very low, or their blood sugar level is not lower than 2.8 mmol/L, they have already had hypoglycemia reaction. However, because hypoglycemia occurs rapidly, without warning and is extremely harmful to the body, it must be treated immediately.
Most patients with hypoglycemia can be relieved quickly by eating. In order to increase the blood sugar level, any form of refined sugar can be eaten as long as it can be absorbed quickly.
1. Eat any of the following foods that raise blood sugar rapidly immediately.
The following foods contain 15 ~ 20g of glucose: 280 ~ 380ml of cola, 250 ~ 340ml of orange juice, 2/kloc-0 ~ 280ml of orange juice soda, 30g of bread, 3 ~ 4g of glucose tablets, and rest after eating10 ~/kloc.
2. After eating the sugar, measure the blood sugar once again. If the blood sugar still does not rise, or the symptoms are not obviously relieved, take the sugar food again. If the blood sugar rises, eat carbohydrate and meat food every15 ~ 20 minutes.
3. When severe hypoglycemia and delirium occur, the family members should immediately send the patient to the hospital for emergency treatment.
In order to prevent hypoglycemia, diabetics must pay attention to these.
1. Stop drinking or just drink a little. Remember not to forget to eat the staple food when drinking.
2. Rational use of insulin and oral hypoglycemic agents, timely adjust the drug dosage according to the condition and exercise, and keep the daily exercise basically stable. If physical activity increases, you should eat properly or add meals before activities.
3. Regularly monitor blood sugar and make records. Patients who inject insulin should bring their own small blood sugar detector.
4. When going out, you should carry a small amount of candy or biscuits with you, and carry a card with the patient's name, address, contact number, name of the disease and medication at any time, so as to ask others for help when necessary.
In short, the patients who eat regularly and quantitatively, especially those who are prone to hypoglycemia, should explore the number of meals and the time to add meals themselves. Before half an hour when hypoglycemia may occur, it is particularly important to add meals appropriately. It is also important to increase or decrease the amount of meals before going to bed at night according to the amount of urine sugar. For example, if there is a large amount of urine sugar, soy products or eggs can be used to replace food. In case of delay in eating, you should eat some biscuits, fruits and other foods in advance.
If it helps you, I hope it can be adopted!