MAGEZI

Your Health is our Concern

Blog Post New Entry

Hypoglycemia

Posted by SAMUEL ISABIRYE on February 18, 2013 at 8:15 AM

A clinical condition due to reduced levels of blood sugar (glucose).

Causes

Overdose of insulin or anti-diabetic drugs

Excessive alcohol intake

Starvation

Operations to reduce the size of the stomach (gastrectomy)

Tumours of the pancreas (insulinomas)

Certain drugs, eg. quinine

Hormone deficiencies (cortisol, growth hormone)

Clinical features

Profuse sweating

Nervousness

Fainting

Palpitations

Poor sight

Weakness

Hunger

Abdominal pain

Vomiting

Convulsions

Loss of consciousness

Differential diagnosis

Other causes of loss of consciousness

Investigations

Blood sugar

Specific investigations

- to exclude other causes of hypoglycemia

Management

Oral glucose or sugar (before coma sets in) 10-20g in 200mL water (2-4 teaspoons) is usually taken initially and repeated after 15 minutes if necessary or if patient is unconcious, glucose 50% 2050mL IV, followed by 10 % dextrose solution by drip at 5-10 mg /kg/min until patient regains conciousness, then encourage oral sugary drinks. HC3

Where possible, treat the cause of the hypoglycemia.

Prevention

Educate patients at risk of hypoglycaemia e.g. Diabetics, patients who have had a gastrectomy, on recognition of symptoms of hypoglycemia.

Advise patients at risk to have regular meals and always to have glucose or sugar with them for emergency treatment of hypoglycaemia.

 

Categories: None

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

Already a member? Sign In

0 Comments