Hypoglycemia is a clinical syndrome with diverse causes in which low plasma glucose concentrations lead to symptoms and signs, and there is a resolution of the symptoms/signs when the plasma glucose concentration is raised.
In patients with diabetes, hypoglycemia is defined as:
All episodes of an abnormally low plasma glucose concentration (with or without symptoms) that expose the individual to cause harm.
SYMPTOMS OF HYPOGLYCEMIA.
Symptoms are grouped into Autonomic, Neurologic and Non-specific.
Autonomic symptoms are:
- Pounding heart
Neurologic symptoms are:
- Speech difficulty
- Inability to concentrate
Non- specific symptoms are:
CAUSES OF HYPOGLYCEMIA IN ADULTS
- Fasting (more than 5 hours P.P)
- Postprandial (less than 5 hours P.P)
- Organ failure (uremia, diffuse hepatic failure)
- Endocrine deficiency
- Drugs (insulin, sulfonamides, salicylates, quinine, pentamidine, beta blockers, etc)
- Over utilization
- Prolong exercise
- Severe sepsis
- Mesenchymal tumors
- Checking the blood glucose level. Keep a regular check on blood sugar levels and identify the onset of symptoms.
- Eat regularly. Keep to your eating routine
- Make sure you have eaten come carbohydrate-rich food before you do any exercise.
- Be ready. Children with diabetes type 1 should always carry a container of fruit juice or candy bar so they are ready if symptoms are felt
- Let people know. If you are susceptible to attacks of hypoglycemia, let your friends, colleagues and family members know. Explain what the signs are and what should be done