What to do if you have low blood sugar?

What to do if you have low blood sugar. Today’s life is too fast and people eat irregularly and irregularly. Many people do not pay attention to their health, and various problems begin to appear in their bodies. The problem is hypoglycemia, which is one of them. It is very uncomfortable to suffer from hypoglycemia, which directly affects our lives. Let’s learn more about how to deal with hypoglycemia below. What to do about hypoglycemia 1

1. General treatment of hypoglycemia

Find the cause of hypoglycemia and treat it accordingly.

1. Diabetic drugs

If it is caused by diabetic drugs, adjust the hypoglycemic drugs.

2. Hepatogenic

If it is hepatogenic hypoglycemia, treat the primary disease.

3. Insulinoma

If it is caused by insulinoma, it can be surgically removed.

2. Acute phase treatment of hypoglycemia

1. For patients with acute hypoglycemia

Take 15g of glucose orally immediately (juice and other sugary drinks can be taken orally at home, containing The amount of sugar should preferably be greater than 15g). If the symptoms are still not relieved within 15 minutes, you can take sugar again. If the symptoms still recur, send them to the emergency room immediately and inject glucose intravenously.

2. Those in coma due to hypoglycemia

Immediately send to the emergency room for intravenous glucose supplementation. If necessary, hydrocortisone and/or glucagon can be added. Comatose people should not be fed to avoid respiratory tract suffocation.

3. Other treatments for hypoglycemia

1. Surgical treatment

Insulinoma is the most common cause of organic hypoglycemia. Surgery to remove the tumor It is a radical cure for this disease, and the 10-year survival rate is greater than 85%. The prognosis is good except for malignant insulinoma. For patients who cannot undergo surgery or have unsuccessful surgery, they may consider taking diazepam 300~400mg/d in divided doses.

2. Treatment with traditional Chinese medicine

In traditional Chinese medicine, hypoglycemia belongs to the categories of "syncope" and "deficiency and wind", and there are many syndrome differentiation types. Common Chinese medicines that increase blood sugar are astragalus, rehmannia root, and salvia miltiorrhiza. Codonopsis pilosula, safflower, kudzu licorice

IV. Home care for patients with hypoglycemia

If the patient has symptoms of hypoglycemia (pallor, hand pain, sweating, palpitations, hunger). , can provide the following help

1. If the patient is conscious

Immediately add carbohydrates that can quickly increase blood sugar, such as 1 bottle of juice or 1 cup of sugar water (100~150 ml, About 15 grams of sugar) and wait for 15 minutes to see if the symptoms improve. If there are still symptoms of hypoglycemia, let the child drink sugar water or juice. If you have a blood glucose meter, you can check your blood sugar level.

2. If the patient loses consciousness and chokes or coughs when drinking water, it is forbidden to force feed or give water, otherwise it may cause suffocation. Call the emergency number immediately and wait for emergency personnel to arrive.

5. Daily condition monitoring of patients with hypoglycemia

1. Tips for measuring blood sugar

Use blood glucose meters, blood glucose test strips and blood collection needles produced by regular manufacturers.

Wash your hands with neutral soap and rinse with warm water. You can hang your arms down for 30 seconds, which will help the blood to concentrate on your fingertips.

3. Blood collection.

It is best to place the needle firmly on both sides of the ring finger, middle finger and little finger, and then press the blood collection pen to completely insert the test paper into the bottom of the blood glucose meter, paying attention to the position of the test paper. Do not insert it in the wrong direction. Make sure that the blood beads on your fingertips are in contact with the test reaction area of ??the test paper, and the amount of blood should be sufficient. 2.

1. Symptoms of hypoglycemia

Have you ever had symptoms of hypoglycemia? Hypoglycemia coma often involves a drop in body temperature. It is understood that blood sugar levels that cause sympathetic symptoms are faster than those that cause central nervous system symptoms, but the degree of hypoglycemia is mild. No matter which type, the blood sugar level is the same. There are obvious individual differences. Let’s take a look at the early symptoms and symptoms of severe hypoglycemia. The early symptoms of hypoglycemia are mainly due to excitement of the autonomic nerves, especially the sympathetic nerves, and are manifested by palpitations, fatigue, sweating, hunger, and paleness. , tremor, nausea and vomiting, etc.

More severe hypoglycemia often has symptoms of sugar deficiency in the central nervous system, such as confusion, mental disorder, limb paralysis, incontinence, lethargy, coma, etc. It is worth noting that the symptoms of hypoglycemia can be different for each patient. However, for the patients themselves, the symptoms of each attack are basically similar. Therefore, diabetic patients and their families should pay attention to identifying the symptoms of hypoglycemia so that timely measures can be taken.

2. Causes of hypoglycemia

Tremors, palpitations, hunger, etc. These symptoms are often warning signs of hypoglycemia. Malnutrition can also cause blood sugar levels to become too low. Causes of Hypoglycemia There are many causes. According to statistics, there are as many as 100 diseases. In recent years, other causes are still being discovered. Generally, it can be divided into several categories:

1. Excessive dosage of insulin or failure to reduce insulin in time after the condition improves.

2. Due to reasons such as meetings, outings, skipping breakfast for a long time, finishing work late, etc., eating or snacking is delayed compared to usual times.

3. The amount of activity increased significantly without corresponding increase in meals or reduction in insulin dosage.

4. The food intake is reduced and the insulin is not reduced accordingly in time.

5. Injecting mixed insulin at an inappropriate ratio (PZI is 1 to 2 times more than RI) and the dosage is large, often resulting in excessive urine sugar during the day and hypoglycemia at night.

6. Failure to eat or add meals on time before the time when insulin action is strongest.

7. When the mood changes from being tense to relaxed and happy.

8. After ketosis occurs, the amount of insulin increases and food intake decreases.

9. Excessive dosage of PZI.

10. Drugs that aggravate hypoglycemia.

3. What should I eat if I have low blood sugar?

1. Eat small meals frequently. Patients with hypoglycemia are best to eat small meals frequently, about 6 to 8 meals a day. Eating small snacks and snacks before bed can also help. In addition, alternate food types and avoid eating certain foods frequently, as allergies are often related to hypoglycemia. Food allergies will worsen the condition and make symptoms more complex.

2. Balanced diet The diet should strive to be balanced and contain at least 50-60% carbohydrates (the same dietary principles as those for diabetics), including vegetables, brown rice, avocado, konjac, seeds, stone fruits, and cereals. , lean meat, fish, yogurt, raw cheese.

3. Foods that should be restricted: Strictly limit the intake of simple sugars, and try to eat as little refined and processed products (such as instant rice and potatoes), white flour, soda, wine, and salt as possible. Avoid fruits and juices that are high in sugar (for example, grape juice mixed with 50% water). Also eat less macaroni, noodles, gravy, white rice, tortilla chips, and sweet potatoes. Beans and potatoes can be eaten twice a week.

4. Increase high-fiber diet. High-fiber diet helps stabilize blood sugar concentration. When blood sugar drops, combine fiber with protein foods (for example, bran pancakes with whipped cream or almond jam). Eat fresh apples instead of applesauce. The fiber in apples can inhibit blood sugar fluctuations. You can also add a glass of juice to quickly increase blood sugar levels. Fiber itself can also delay the drop in blood sugar. Take fiber half an hour before meals to stabilize blood sugar. Taking spirulina tablets between meals can further stabilize blood sugar levels.

4. What to do if you have hypoglycemia?

Regardless of acute or chronic hypoglycemia, especially repeated hypoglycemia, it indicates the existence of a certain disease. The key to treatment is to identify the cause as early as possible. I remind everyone that in order to avoid serious consequences, timely treatment should be taken! Management of mild hypoglycemia or chronic hypoglycemia when the patient is currently being treated with oral hypoglycemic agents or insulin. For those who have symptoms or signs such as palpitations, sweating, weakness, hunger or dizziness, and are aware of hypoglycemia, immediately give biscuits, candy bars or sugary drinks (containing 10 to 20g of sugar), and monitor blood sugar levels at the same time. Generally, it can be recovered in about 10 to 20 minutes to maintain a certain blood sugar level. If the condition is not easy to be relieved, intravenous injection of 50% glucose solution or intravenous drip of 10% glucose solution can also be used. Treatment of the cause: Hypoglycemia is a disease caused by various factors. Among them, hypoglycemic drugs only cause partial hypoglycemia. It can also cause diseases such as digestive system, endocrine metabolism and certain types of tumors. Severe hypoglycemia can also occur and should be treated accordingly.

Treatment of acute hypoglycemia: Glucose application: For patients with acute and severe hypoglycemia accompanied by coma, in order to avoid progressive changes in the condition, 50% glucose solution 50-100ml must be injected intravenously quickly, and repeated 1-2 times if necessary until the patient is conscious. Afterwards, follow the intravenous infusion of 10% glucose solution to maintain blood sugar at 8.3-11.1mmol/L (150-200mg/dl), and observe for 12-48 hours to facilitate the recovery of brain cells and prevent another coma. If the above conditions are not met, and it is not suitable for patients who are comatose due to hypoglycemia to drink sugar water and cause suffocation, honey or jam can be applied to the patient's teeth and oral mucosa, or sugar water can be administered through the nose, which is also one of the first aid measures.