Low blood sugar symptoms need immediate attention. Here's what you should do to handle this potential emergency.
Hypoglycemia requires fast treatment. When someone with diabetes begins experiencing low blood sugar symptoms, any delay increases the chance that the hypoglycemia could escalate into a life-threatening illness. Left untreated or not treated promptly, hypoglycemia can result in seizures, coma, permanent damage to the nervous system, and death.
Here are the steps you need to take if your diabetes management plan has failed and you begin to have the low blood sugar symptoms that indicate an episode of hypoglycemia:
1. Recognize the symptoms. The symptoms of hypoglycemia vary from person to person, but anyone taking insulin or diabetes medication should know what they are. Low blood sugar symptoms include:
Weakness or fatigue
Cold sweats or clammy skin
Confusion or fuzzy and unclear thinking
Dizziness or light-headedness
Blurred vision
Hunger Nervousness, anger, or irritability
Headache
Rapid heartbeat
Numb or tingling skin
Difficulty speaking
Shakiness
2. Make yourself safe. If you or a family member with diabetes begins to have any of these symptoms, take immediate safety precautions. Pull over if you are driving a car. Sit down right away if you are walking down steps. Hypoglycemia could cause you to lose consciousness and cause harm to yourself or others. You want to make sure that doesn't happen.
3. Test your blood glucose levels. In most cases, providing that symptoms are still mild, test to make sure you actually are having a hypoglycemic episode rather than another malady. Use your blood glucose meter to check. A reading of 70 mg/dl or lower means you need to take quick action. If symptoms are too severe to manage the testing or you can’t get to your glucose meter quickly, move on to step 4.
4. Get some carbs into your body. A diabetic undergoing an episode of hypoglycemia needs to bring blood glucose levels up quickly. Fast-acting carbohydrates, especially simple sugars, can accomplish this. If you are taking insulin or diabetes medication as part of a diabetes management plan, you should always have on hand a bit of quick-fix food equal to 15 to 20 grams of sugar or carbohydrates. Some foods that can provide this amount and quickly raise your blood sugar level include:
4 or 5 saltine crackers
5 or 6 pieces of hard candy
2 tablespoons of raisins
4 teaspoons of sugar
3 or 4 glucose tablets
1 serving of glucose gel
1/2 cup of fruit juice or regular soda
1 cup of milk
1 tablespoon of honey or corn syrup
5. Wait, then verify treatment is working. Don't keep eating, as you might over-treat and cause your blood sugar level to go too high. Instead, wait about 15 minutes and then test your blood sugar level again with a meter. If it's still too low, then eat another 15 to 20 grams of sugar or carbohydrate. Repeat until your blood sugar level is at 70 mg/dl or higher. Once you've reached that level, eat a more nutritious, carbohydrate-containing snack unless a meal is less than one hour away.
6. If your body doesn't respond, seek medical help. If you haven't responded to the carbs or if you've passed out or had seizures, you probably have a case of severe hypoglycemia and need medical attention. If someone in your family or at your workplace is aware of your condition and has been trained to give emergency glucagon injections (a substance that quickly raises blood sugar levels), they should do so immediately, even before calling 911 to get help. A diabetic treated with glucagon should respond quickly and be able to eat some food within 15 minutes.
7. Take long-term steps. If you have recurring hypoglycemic episodes or even one severe case, talk with your doctor about adjusting your diabetes management plan to better fit your lifestyle. You also should ask to have a glucagon injection prescribed to you, so that a family member or friend can administer it if you pass out or experience a seizure from another severe case of hypoglycemia.
Being prepared and knowing what to do about hypoglycemia is an important part of a good diabetes management plan.
Showing posts with label A1c tests and results. Show all posts
Showing posts with label A1c tests and results. Show all posts
Monday, March 19, 2012
Tuesday, April 19, 2011
How to Reduce After Breakfast Blood Sugars 40%
A high-protein, low-carbohydrate snack before breakfast attenuates post-breakfast hyperglycemia....
Previous studies have shown a considerable reduction in hyperglycemia after the second meal of the day, provided that breakfast had been taken. The preservation of this effect in Type 2 diabetes was not confirmed until recently. Postprandial hyperglycemia acts as an independent risk factor for cardiovascular disease, a major cause of death in subjects with Type 2 diabetes. It was hypothesized that post-breakfast hyperglycemia in subjects with Type 2 diabetes could be improved non-pharmacologically by using a high-protein, low-carbohydrate prebreakfast snack.
Researchers studied 10 men and women with diet- and/or metformin-controlled Type 2 diabetes. Metabolic changes after breakfast were compared between 2 days: breakfast taken only and soya-yogurt snack taken prior to breakfast.
The results showed that there was a significant lower rise in plasma glucose on the snack day. The incremental area under the glucose curve was 450 ± 55 mmol · min/l on the snack day compared with 699 ± 99 mmol · min/l on the control day (P = 0.013). The concentration of plasma free fatty acids immediately before breakfast correlated with the increment in plasma glucose (r = 0.50, P = 0.013).
This study demonstrated for the first time that the provision of a practical, high-protein, low-carbohydrate snack prior to breakfast reduced by 40% the postprandial plasma glucose increment in people with Type 2 diabetes. These findings confirm a potent expression of the second-meal effect in people with Type 2 diabetes. The importance of the present observation is that a more practical means of improving glucose tolerance could potentially be of therapeutic benefit in people with Type 2 diabetes.
Researchers observed no effect of the prior snack on insulin secretion after breakfast. The mechanism underlying the second-meal effect has been shown to be due to suppression of plasma FFA, allowing greater storage of glucose as muscle glycogen. They had previously demonstrated a strong negative correlation between the decrease of preprandial plasma FFA levels and the postmeal glucose increment. In the present study, a significant positive correlation was found between prebreakfast plasma FFA and the rise in postprandial plasma glucose concentration.
The snack used in the present study was empirically designed. It will be important to optimize both the composition of the snack and the interval before breakfast to maximize the benefit of this approach. In everyday life, the gap between snack and breakfast would have to be accommodated, for instance, by delaying breakfast until mid-morning. Although the snack induced a small increase in plasma glucose, it was minimal and unlikely to contribute to the hyperglycemic burden. The sample size was dictated by prior power calculation (80% power with 10 subjects).
The study demonstrated that a high-protein, low-carbohydrate snack before breakfast attenuates postbreakfast hyperglycemia and further studies must determine whether long-term use is associated with improvement in A1c.
Previous studies have shown a considerable reduction in hyperglycemia after the second meal of the day, provided that breakfast had been taken. The preservation of this effect in Type 2 diabetes was not confirmed until recently. Postprandial hyperglycemia acts as an independent risk factor for cardiovascular disease, a major cause of death in subjects with Type 2 diabetes. It was hypothesized that post-breakfast hyperglycemia in subjects with Type 2 diabetes could be improved non-pharmacologically by using a high-protein, low-carbohydrate prebreakfast snack.
Researchers studied 10 men and women with diet- and/or metformin-controlled Type 2 diabetes. Metabolic changes after breakfast were compared between 2 days: breakfast taken only and soya-yogurt snack taken prior to breakfast.
The results showed that there was a significant lower rise in plasma glucose on the snack day. The incremental area under the glucose curve was 450 ± 55 mmol · min/l on the snack day compared with 699 ± 99 mmol · min/l on the control day (P = 0.013). The concentration of plasma free fatty acids immediately before breakfast correlated with the increment in plasma glucose (r = 0.50, P = 0.013).
This study demonstrated for the first time that the provision of a practical, high-protein, low-carbohydrate snack prior to breakfast reduced by 40% the postprandial plasma glucose increment in people with Type 2 diabetes. These findings confirm a potent expression of the second-meal effect in people with Type 2 diabetes. The importance of the present observation is that a more practical means of improving glucose tolerance could potentially be of therapeutic benefit in people with Type 2 diabetes.
Researchers observed no effect of the prior snack on insulin secretion after breakfast. The mechanism underlying the second-meal effect has been shown to be due to suppression of plasma FFA, allowing greater storage of glucose as muscle glycogen. They had previously demonstrated a strong negative correlation between the decrease of preprandial plasma FFA levels and the postmeal glucose increment. In the present study, a significant positive correlation was found between prebreakfast plasma FFA and the rise in postprandial plasma glucose concentration.
The snack used in the present study was empirically designed. It will be important to optimize both the composition of the snack and the interval before breakfast to maximize the benefit of this approach. In everyday life, the gap between snack and breakfast would have to be accommodated, for instance, by delaying breakfast until mid-morning. Although the snack induced a small increase in plasma glucose, it was minimal and unlikely to contribute to the hyperglycemic burden. The sample size was dictated by prior power calculation (80% power with 10 subjects).
The study demonstrated that a high-protein, low-carbohydrate snack before breakfast attenuates postbreakfast hyperglycemia and further studies must determine whether long-term use is associated with improvement in A1c.
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