Sudden drop in blood sugar should pay attention to
Posted on January 16, 2010
Filed Under Hypoglycemia | Leave a Comment
Some non-insulin-dependent diabetes mellitus patients, the diagnosis of diabetes or diabetes prior to the initial period of low blood sugar reaction to the performance: fatigue, weakness, sweating, trembling, hunger, finds it hard to have occurred within or after breakfast, after lunch, a small number of patients severe low blood sugar.
Was mainly due to the islet B cells in these patients despite shortcomings, but there are some secretion capacity, after a meal, insulin secretion in early and rapid phase (first phase) basically does not appear, delayed insulin secretion, secretion peak shift, secretory the total is still close to normal, resulting in reactive hypoglycemia.
But the continued development of diabetes, pancreatic islet B-cell defects increased, and insulin secretion was gradually reduced while the existence of insulin resistance, there is no response to low blood sugar.
Age-related diabetes with low glucose response than patients in other age-sensitive, therefore, prevent age-related diabetes, hypoglycemia is very important. In addition to emphasis on preventive measures in general low blood sugar, but also note the following:
(1) proper control of carbohydrates, but do not unduly restrictive.
(2) with acute gastroenteritis should reduce the dose of insulin and hypoglycemic drugs, timely check the blood sugar and urine sugar.
(3) night plus service hypoglycemic agents should be especially careful when, because of low blood sugar reactions over at night or early morning when fasting.
(4) the treatment of senile diabetes, diet control and should be adopted first served Yue hypoglycemic drugs, as far as possible without insulin.
(5) on the liver and kidney dysfunction, should pay attention to hypoglycemic drugs may be the role of savings in the body to prevent the occurrence of low blood sugar.
(6) You need to use β-blockers, the best choice of β1-blockers such as metoprolol, do not use more side effects of propranolol, to avoid increasing the risk of hypoglycemia.
(7), senile diabetes, blood glucose control targets may be appropriate to relax the 24-hour urine quantitative 10 to 20 grams, 2-hour postprandial blood glucose 11.1 mmol / l (200 mg / dl), in order to prevent low blood sugar occurs.
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