Hypoglycemia in Diabetes: Symptoms and Treatment

 Hypoglycemia is when blood sugar drops below normal. Mild hypoglycemia causes unpleasant symptoms, which are described below in the article. If severe hypoglycemia occurs, the person loses consciousness and this can lead to death or disability due to irreversible brain damage. 

The official definition of hypoglycemia is a drop in blood glucose to less than 2.8 mmol / l, which is accompanied by negative symptoms and impaired consciousness. Also, hypoglycemia means a drop in blood sugar to less than 2.2 mmol / l, even if a person does not experience symptoms.+

Our definition of hypoglycemia: When a patient with diabetes has low blood sugar, it is 0.6 mmol / L or less than his personal target level. Mild hypoglycemia blood sugar is less than the target level of 0.6-1.1 mmol / L. If sugar is low, hypoglycemia becomes severe when the brain begins to have insufficient glucose to feed. 

The difference is that each patient has a different blood sugar level. As a rule, you should try to maintain blood sugar just like healthy people who do not have diabetes. 

However, in severe cases of diabetes, patients should manage high sugar first. For more information, see “Diabetes Care Goals. Blood sugar needs to be maintained. ”

Hypoglycemia in diabetes has two main causes:

Insulin injections;

The pancreas is taking pills that produce more of its own insulin.

Insulin injections are important for the treatment of type 1 and type 2 diabetes, and their benefits outweigh the risk of hypoglycemia. Also, when you learn the method of small loads and can manage with small doses of insulin, the risk of hypoglycemia is very low.

We strongly recommend that you avoid pills that cause the pancreas to produce more insulin. These include all diabetes medications from the sulfonylurea derivatives and meglitinides classes.

 These pills not only cause hypoglycemia but can also cause harm in other ways. "Diabetes drugs do more harm than good." Read on. Doctors behind Times 2 continue to prescribe them to patients with type 2 diabetes. The alternative methods described in the Type 2 Diabetes Treatment Program allow you to control your blood sugar without the risk of hypoglycemia.

Symptoms of hypoglycemia

As the symptoms of hypoglycemia become more pronounced, blood glucose levels drop rapidly.

Early symptoms of hypoglycemia (requiring eating "fast" carbohydrates, especially glucose tablets):

• The pallor of skin;
• Perspiration;
• Trembling, palpitations;
• Severe hunger;
• Concentration;
• Nausea;
• Anxiety, aggression.

Symptoms of hypoglycemia include when blood sugar is critically low and the hypoglycemic coma is already very close:

• Weakness;
• Dizziness, headache;
• The feeling of fear;
• Speech and visual disturbances in behavior;
• Confusion of consciousness;
• Poor coordination of movements;
• Loss of orientation in space;
• Trembling limbs, numbness.

Not all glycemic properties appear at the same time. In the same diabetes, the signs of hypoglycemia may change each time. In most patients, the symptomatic sensation of hypoglycemia is "lethargic."

 Such diabetics lose consciousness every time due to the sudden development of hypoglycemic coma. They are more likely to have disability or death due to severe hypoglycemia. This is due to what happens

Constantly very low blood sugar;

A person has been ill for a long time with diabetes;

Modern age;

If hypoglycemia occurs frequently, the symptoms may not be as obvious.

Such people should not pose a risk to others during sudden severe hypoglycemia. This means that doing something that other people’s lives depend on is against them. In particular, such diabetics are not allowed to drive a car or public transportation.

Some diabetic patients are diagnosed with hypoglycemia. They have enough thinking to get a glucometer, measure their sugar, and stop the onset of hypoglycemia. Unfortunately, many diabetics who have a subjective diagnosis of their own hypoglycemia have major problems. 

When there is no glucose in the brain, a person may start behaving inappropriately. Such patients are confident that they have normal blood sugar until the moment they lose consciousness. 

If he has experienced several severe episodes of diabetes hypoglycemia, he may have problems detecting the subsequent episodes on time. 

This is due to the regulation of adrenergic receptors. Also, some medications can interfere with the detection of hypoglycemia over time. These are beta-blockers that lower blood pressure and heart rate.

Here is another list of typical symptoms of hypoglycemia, which develops as its severity increases:

Slow reaction to surrounding events - For example, in a state of hypoglycemia, a person may not break on time while driving.

Annoying, aggressive behavior. At this point, the diabetic is confident that he or she has normal sugar and aggressively thwarts the efforts of others to measure the sugar or force others to eat carbohydrates faster.

Consciousness cloud, difficulty speaking, weakness, clumsy. Once the sugar has returned to normal, these symptoms may persist for up to 45-60 minutes.

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