small circle triage station
Endocrinology department
Li Yiming
Fudan University Huashan Hospital Affiliated to
Endocrinology department Chief physician
Question
What is hypoglycemia?
Hygienic people's blood sugar is less than 2.8 mmol/liter
Diabetic Patients with diabetes mellitus is less than 3.9 mmol/liter
Puffy, hunger, hand shaking, sweating, dizziness, tremor, and pale complexion are common symptoms of hypoglycemia. If not detected and dealt with in time, it may further lead to severe hypoglycemia, resulting in dangerous symptoms such as mental changes, cognitive impairment, , convulsions and even coma.
Question What are the dangers of hypoglycemia in
?
1. Impact normal study and work
Hypoglycemia will lead to inability to concentrate, mental distraction, dizziness, headache, etc.
2. Injure the nervous system
Because nerve cells can only use glucose for energy. If the hypoglycemia is severe and lasts for a long time, it may lead to irreversible nerve damage, damage brain cells, resulting in intelligence damage, loss of language ability, hemiplegia or general paralysis, epilepsy, etc.
3. Increase cardiovascular and cerebrovascular system complications
The body's sympathetic nervous system is excited when hypoglycemia occurs, which will lead to vasoconstriction, accelerated heartbeat, and increased blood pressure. Therefore, for the elderly, hypoglycemia is likely to induce acute diseases such as arrhythmia, angina pectoris, myocardial infarction, stroke , cerebral hemorrhage and other cerebral hemorrhage.
4. Severe hypoglycemia can cause sudden drop in intraocular pressure, causing rupture and bleeding in the intraocular arteries.
5. Injury to the kidney
Acute hypoglycemia can reduce renal blood flow by about 22%, aggravate kidney damage.
6. Severe hypoglycemia in
can directly lead to death.
Question what should I do when hypoglycemia occurs?
should be treated with hypoglycemia by every minute. You should quickly eat sugar-containing foods such as sucrose, honey, and juice. These foods can be quickly absorbed into the blood by the intestines, thereby alleviating the symptoms of hypoglycemia as soon as possible.
and starch foods , such as steamed buns, belong to polysaccharides foods, need to be metabolically decomposed to generate monosaccharides (glucose or fructose , etc.) before being absorbed and utilized by the human body, so the speed of correcting hypoglycemia is relatively slow.
In addition, when diabetic patients who take acarbose , volglipose and miglitol, they should not use starchy foods and sucrose (white sugar, syrup , sugar cube or rock sugar, etc.) when hypoglycemia occurs, they should not use starchy foods and sucrose (white sugar, syrup , sugar cube or rock sugar, etc.). They must directly supplement glucose (available in pharmacies), because these three drugs can slow down the decomposition of starch and sucrose into glucose and fructose, so that they cannot quickly increase blood sugar.
Question
How to correctly prevent hypoglycemia?
Answer: Do these 3 points well
1. Eat on time and on time. Office workers may work overtime and miss the normal meal time and need to carry some candies or sweet biscuits with them for emergency response;
2. Do not perform high-load exercise or labor for a large amount and long period of time;
3. Monitor blood sugar regularly to understand blood sugar levels and the causes of hypoglycemia, actively prevent it, and avoid it.
Source: CCTV Life Circle
