Hypoglycemia medical therapy: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 6: | Line 6: | ||
==Medical Therapy== | ==Medical Therapy== | ||
* | ==='''Asymptomatic''' === | ||
* Cases with blood glucose of ≤70 mg/dL with regular monitoring. | |||
* Repeating the measurement in short time | |||
* Avoiding critical tasks | |||
* Ingesting carbohydrates | |||
* adjusting the regimen to avoid other attacks. | |||
* | === '''Symptomatic''' === | ||
* Patients should have source of carbohydrates available all times. | |||
* 20 grams is usually sufficient to raise the blood glucose. | |||
* In patients taking alpha-glucosidase inhibitor (acarbose), only dextrose should be used to treat hypoglycemia becuase acarbose slowes digestion of carbohydrates. | |||
* | === '''Severe''' === | ||
* A subcutaneous or intramuscular injection of 0.5 to 1.0 mg of glucagon will correct hypoglycemia within 15 minutes. | |||
* If failed this attempt or in severe cases, 25% or 50% dextrose intravenously (IV) followed by subcutaneous glucose. | |||
* If these measures aren't available: | |||
* Squeezing a glucose gel in the space between the teeth and buccal mucosa with patient head tilted on side to prevent aspiration. | |||
* If glucose gel isn't available, putting table sugar under the tongue may save patient. [57,58] | |||
* Hypoglycemia due to hormone deficiencies such as [[hypopituitarism]] or [[adrenal insufficiency]] usually ceases when the appropriate hormone is replaced. | * Hypoglycemia due to hormone deficiencies such as [[hypopituitarism]] or [[adrenal insufficiency]] usually ceases when the appropriate hormone is replaced. | ||
* Patients with diabetes history who has loss of consciousness and there is no method to determine nature of coma; hypoglycemi or hyperglycemia,then glucose should be given empirically. This will correct hypoglycemia and will not be particularly dangerous if blood glucose concentration is high. | |||
==References== | ==References== | ||
Revision as of 15:56, 14 July 2017
|
Hypoglycemia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hypoglycemia medical therapy On the Web |
|
American Roentgen Ray Society Images of Hypoglycemia medical therapy |
|
Risk calculators and risk factors for Hypoglycemia medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
Asymptomatic
- Cases with blood glucose of ≤70 mg/dL with regular monitoring.
- Repeating the measurement in short time
- Avoiding critical tasks
- Ingesting carbohydrates
- adjusting the regimen to avoid other attacks.
Symptomatic
- Patients should have source of carbohydrates available all times.
- 20 grams is usually sufficient to raise the blood glucose.
- In patients taking alpha-glucosidase inhibitor (acarbose), only dextrose should be used to treat hypoglycemia becuase acarbose slowes digestion of carbohydrates.
Severe
- A subcutaneous or intramuscular injection of 0.5 to 1.0 mg of glucagon will correct hypoglycemia within 15 minutes.
- If failed this attempt or in severe cases, 25% or 50% dextrose intravenously (IV) followed by subcutaneous glucose.
- If these measures aren't available:
- Squeezing a glucose gel in the space between the teeth and buccal mucosa with patient head tilted on side to prevent aspiration.
- If glucose gel isn't available, putting table sugar under the tongue may save patient. [57,58]
- Hypoglycemia due to hormone deficiencies such as hypopituitarism or adrenal insufficiency usually ceases when the appropriate hormone is replaced.
- Patients with diabetes history who has loss of consciousness and there is no method to determine nature of coma; hypoglycemi or hyperglycemia,then glucose should be given empirically. This will correct hypoglycemia and will not be particularly dangerous if blood glucose concentration is high.