echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Active Ingredient News > Endocrine System > Recognize the truth about hypoglycemia and take precautions from these 4 aspects!

    Recognize the truth about hypoglycemia and take precautions from these 4 aspects!

    • Last Update: 2021-11-04
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    *Only for medical professionals to read for reference.
    Experts explain hypoglycemia in detail, to help you prepare for hand tremors, palpitation, dizziness, sweating.
    .
    .
    Do you realize that this is the "signal light" of the coming of hypoglycemia? For diabetics, both low blood sugar and high blood sugar can bring harm to the body
    .

    Because the symptoms of hypoglycemia are not typical clinically, they are easily missed or misdiagnosed, especially in elderly patients.
    In addition to their weak perception, elderly patients are also less vigilant about hypoglycemia.
    Once discovered and treated in time , Can even lead to death
    .

    Therefore, early detection, early diagnosis, and early treatment are extremely important to improve the prognosis of patients
    .

     At the Beijing Medical Forum 2021-the 10th Beijing Geriatric Endocrinology Summit held recently, Professor Liming Chen from Zhu Xianyi Memorial Hospital of Tianjin Medical University gave a special report on the management of hypoglycemia in elderly patients, how hypoglycemia affects blood sugar management, What should we do? Hypoglycemia-a roadblock to diabetes blood glucose management.
    Hypoglycemia is an acute condition in which the blood glucose level drops below normal due to a variety of reasons
    .

    For diabetic patients, blood sugar level ≤3.
    9mmol/L must be paid attention to
    .

    The stratification of hypoglycemia by societies at home and abroad is divided into 3 levels: Level 1: blood glucose ≤ 3.
    9 mmol/L, at this time the hypoglycemia alert value; Level 2: blood glucose <3 mmol/L, indicating serious, Clinically important hypoglycemia; Level 3: There is no specific blood sugar limit, but severe hypoglycemia occurs
    .

     Professor Liming Chen pointed out that when hypoglycemia occurs, the body begins to "run" complicated pathophysiological changes.
    Because of individual differences, various clinical symptoms appear: Sympathetic nerve excitement: heart palpitations, sweating, anxiety, hunger, limbs weakness; central nervous system symptoms: altered mental status, cognitive impairment, convulsions, and coma; abnormal behavior (common in elderly patients): psychosis, hit, curse, loss of memory and so on
    .

    Figure 1 Hypoglycemia causes complex pathophysiological changes in the body.
    Clinically, elderly patients have weaker perception of hypoglycemia, poor treatment compliance, and poor tolerance to severe hypoglycemia, and the prognosis is relatively more dangerous.

    .

     Many patients believe that low blood sugar is a momentary thing, just eat a sugar and drink a cup of sugar water, but in fact, the impact of low blood sugar on the body is not transient, and its impact can be divided into short-term and long-term: Short-term effects: 1.
    Acute symptoms: palpitations, hunger, weakness, coma, etc.
    ; 2.
    Mood changes: mental disorders, more prone to anxiety and depression, etc.
    ; 3.
    Cognitive impairment: abnormal work performance, decreased driving skills, disrupting daily life ; 4.
    Mortality: sudden death
    .

     Long-term effects: 1.
    Reduced quality of life: Some patients are worried about low blood sugar at night, and often wake up before going to bed or midnight to supplement sugar; 2.
    Impact: driving permission; 3.
    Cognitive function decline: studies have shown that hypoglycemia is related to low blood sugar.
    Impaired cognitive function is related, affecting memory and mood disorders and increasing the risk of dementia
    .

    4.
    Diabetes and/or vascular complications worsen.
    At the same time, hypoglycemia increases treatment-related costs and adds to the socio-economic burden.
    It is also a major roadblock in the clinical treatment of diabetes
    .

     To prevent hypoglycemia, these 4 points are very important.
    1 Educate elderly patients and nursing staff on how to recognize and treat hypoglycemia patients who use insulin/sulfonylureas/glinide hypoglycemic drugs, and educate them about the high risk factors of hypoglycemia and hypoglycemia Inform patients to report hypoglycemia events to the doctor; systematically train and educate patients with frequent hypoglycemia to effectively prevent recurrent hypoglycemia
    .

     2 Using blood glucose monitoring to help detect hypoglycemia in elderly patients in a timely manner, we currently use the following methods: Figure 2 Currently commonly used clinical blood glucose monitoring methods 3 Timely adjust the life>
    .

    Calculate the carbohydrate content
    .

    Monitor blood sugar before and after exercise and pay attention to calories
    .

    Pay attention to adjusting the amount of insulin during exercise
    .

    Avoid drinking alcohol
    .

    4 Optimize the hypoglycemic plan to evaluate whether the patient's hypoglycemic plan is appropriate, and adopt an individualized hypoglycemic plan: For elderly diabetic patients who are at high risk of hypoglycemia and have weak perception of hypoglycemia, choose the one with less risk of hypoglycemia Hypoglycemic drugs; for elderly diabetic patients with impaired renal function and easy drug accumulation, hypoglycemic drugs that are not excreted by the kidneys should be selected at this time; elderly diabetic patients with many complications and potential drug interaction risks should choose Hypoglycemic drugs with low risk of drug interactions
    .

    If basal insulin is added, the amount of insulin during meals needs to be adjusted accordingly
    .

    Use the basic-meal insulin plan and pay attention to monitoring blood sugar: Even if the blood sugar is normal, it is recommended to monitor blood sugar 1 to 2 times a week in order to understand blood sugar fluctuations in time and adjust the plan reasonably
    .

    Ensure the correct dosage of medication and avoid unauthorized medication
    .

    Consider changing the insulin regimen: choose insulin analogs
    .

     Professor Chen Liming finally pointed out that clinically, for the management of diabetes blood glucose, it is necessary to take into account blood glucose standards while avoiding hypoglycemia.
    The individual differences of patients must be fully considered during treatment, and the actual conditions of elderly patients must be taken into account in a timely and effective manner.
    Treatment measures, control the patient's blood sugar level, improve clinical signs and symptoms, comprehensive management, safe and win
    .

    Expert profile Professor Liming Chen Chief physician, professor, doctoral tutor Special post expert of the State Council, tugong expert, Haihe scholar, Tianjin famous doctor, Tianjin university leader, vice chairman of Chinese Diabetes Association, vice chairman of Chinese Society of Diabetes and Microcirculation, Tianjin Director of the Diabetes Society "International Journal of Endocrinology and Metabolic Diseases" Editor-in-Chief References: [1] Chen Liming, The Art of Diabetes Treatment-Talking about the Management of Hypoglycemia in Elderly Patients, 2021 Beijing Medical Forum-The 10th Beijing Geriatric Endocrine Summit.
    [2] Study on the diagnosis and treatment plan of elderly diabetes with hypoglycemia, "Everybody's Health", November 2015.
    [3] Causes and diagnosis and treatment measures of elderly diabetes with hypoglycemia, "China Health and Nutrition", October 2016.
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.