There are many patients with hypoglycemia. The early symptoms are panic, shaking hands, cold sweat, pale face, cold limbs, numbness and weakness, as well as neurological symptoms such as dizziness, irritability, anxiety, inattention and insanity. If it continues to develop, there will be severe headache, blurred speech, irrelevant answers, slow response, blackening in front of the eyes, unclear vision, understanding in the heart, and speechless in the mouth.
Sometimes the muscles of the whole body twitch or even wind, and finally completely lose consciousness, coma and disappearance of various reflexes. If it is still not rescued in time, it will eventually lead to death.
Prevention and first aid of hypoglycemia
Hypoglycemia means that the blood glucose concentration is lower than a certain level, which causes sympathetic hyperexcitability and brain dysfunction. Severe cases can be comatose. Early and timely glucose supplementation can alleviate the sound velocity. There will be irreversible brain injury or even death.
The patient first has hunger, fatigue, numbness of limbs, uneasiness, pale complexion, dizziness, vomiting, panic, chest tightness, etc. In severe cases, the skin is dripping, the skin is wet and cold, the vomiting is unclear, the attention is not focused, and sometimes there are convulsions, convulsions, unconsciousness, incontinence, coma, etc.
First aid measures for hypoglycemia:
1,Absolute bed rest, sound speed and glucose supplementation are the key to the prognosis. Timely sugar supplementation will completely alleviate the symptoms; Delayed treatment resulted in irreversible brain damage. Therefore, it should be emphasized that when hypoglycemia occurs, any substance with high sugar content should be given immediately, such as biscuits, fruit juice, etc. In severe cases, attention should be paid to mistakenly sucking food into the lungs and choking into the trachea, resulting in aspiration pneumonia or atelectasis.
2,Hypoglycemic patients who can eat by themselves should eat low sugar, high protein and high fat, eat less and eat more meals, and drink sugar once at midnight if necessary.
3,Intravenous injection of 50% glucose 40-60ml is the most common and effective method for the rescue of hypoglycemia. If the condition is not serious and water still causes serious brain function damage, the symptoms can be relieved quickly and the mind can be sober immediately.
For hypoglycemia, we must achieve “prevention and treatment”, and prevent hypoglycemia attack is the best treatment for diabetic hypoglycemia. The following points should be paid attention to in the prevention of hypoglycemia:
1,Rational use of insulin and oral hypoglycemic drugs. Excessive drug use is the main cause of hypoglycemia. Timely adjust the drug dose according to the condition, especially those complicated with nephropathy, liver disease, heart disease and renal insufficiency. Master the characteristics of various insulin and correct injection technology. Regularly change the injection site in turn to prevent subcutaneous induration and affect insulin absorption.
2,Life rules, develop good living habits, quit smoking and alcohol, eat regularly and quantitatively, and maintain a basically stable daily food intake. The serving of individual dishes should be adopted and at least three meals a day should be served. Patients prone to hypoglycemia or patients with unstable condition should also add 2-3 additional meals between the three meals, that is, a part of the food from the three meals should be reserved for additional meals. Diabetics usually have a meal at forenoon 9:00-10:00, 3:00-4:00 PM and bedtime. This is an effective measure to prevent hypoglycemia and control hyperglycemia.
3,exercise therapy is one of the five carriages of comprehensive treatment for diabetic patients. Exercise can reduce blood sugar, improve insulin sensitivity and improve mental outlook in diabetic patients. However, for diabetic patients, moderate and mild exercise is advocated. Strenuous exercise can cause hypoglycemia. Therefore, when strenuous exercise or physical activity increases, you should add meals in time or reduce the amount of insulin as appropriate.
4,Self blood glucose monitoring can significantly reduce the incidence of hypoglycemia. Some patients are in unstable condition and often have night hypoglycemia. Therefore, blood glucose should be monitored before going to bed. If blood glucose is low, an appropriate amount of meals can be added before going to bed. For patients with asymptomatic hypoglycemia, we should strengthen blood glucose monitoring, reduce the dose of insulin in time, and adjust the diet and exercise treatment plan.
5, as every diabetic patient should carry out two treasures when going out: first, food, such as candy, biscuits and so on, in order to prepare for hypoglycemia, to correct hypoglycemia and avoid serious hypoglycemia. Two is the first aid card (name, diagnosis, telephone, medication, etc.), which provides important information about diabetes emergency, so that when serious hypoglycemia occurs, it can be diagnosed and treated in the shortest time.