Note that the spirit of the symptoms of low blood sugar
Posted on September 25, 2009
Filed Under Hypoglycemia | Leave a Comment
Low blood sugar is a common diabetes complication during the treatment, however, most people think that nothing more than the symptoms of low blood sugar palpitations, sweating, hunger and discomfort, but I wonder if there are even more confusing psychiatric symptoms, it is tolerance leading to misdiagnosis mistakenly rule.
For low blood sugar caused by psychiatric symptoms, psychiatrist, it summed up as four:
1. Hazy early stage: the unconscious barriers, subjective feeling of weakness, sweating, hunger, palpitations, drowsiness, shortness of breath, hand-Shun;
2. Hazy period: consciousness began to blur to the meaning of muddy stage, unresponsive, vague language, executable simple commands, such as the mouth, Shen She may have emotional release, shouting, Ku Xiao, excitement, restlessness, or sleeping, not words, less moving;
3. Turbid period: disturbance of consciousness deepened, and the second signal system suppression, respiratory shall not be, or a variety of stimulus in the same monotonous answers may appear primitive actions, such as licking lips, Shen She and primitive reflexes, muscle tension to increase , hemifacial spasm, the body clonus, but the pain reflex exists;
4. Unconsciousness period: complete loss of consciousness, pain response disappeared, no response to the outside world, systemic muscle relaxation, light, corneal reflex exists, mouth flow, deep breathing slowly, and may have pathological reflex.
Clinicians must take full advantage of these phases of clinical manifestations, and strive to advance as well as dim dim a view to achieve the timely medical treatment, such as into the turbid phase, coma period deal with before it is too late, even despite medical treatment, but leaving a clear sequelae, because brain cells may be due to long-term low blood sugar lead to irreversible damage. Of the last century 90’s, we met an elderly patients with diabetes hypoglycemia, as to catch up with the Chinese New Year, family members of patients to the hospital early Sancai missed the best time of their treatment by our full treatment, while recovering a statement, but has become a vegetative state, can not be restored.
Be noted that not all patients have low blood sugar significantly the performance of these four, some patients (especially the elderly) can be no significant performance in the first period of 1,2, but soon enter the turbid phase, coma period. If not timely medical treatment and often easy to cause deaths.
Can be seen being treated (in particular, the use of insulin) diabetic patients of psychiatric symptoms, often severe low blood sugar signal, we must attach great importance to, and dealt with promptly. For diabetic patients, the best carry them with you prefabricated a card above his name, age, home address and telephone number, and indicate “I am a diabetic, hypoglycemic medication is being used, in case I appeared collapsed, dashing my sent to a nearby hospital, “according to your doctors can quickly deal with the situation and notify the family members, this is a good way worthy of recommendation.
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