Wednesday, November 16, 2011

A 40 year old man with type 2 diabetes is having symptoms of hypoglycemia and his blood glucose level is 50 mg/dl. His current diabetes medicines include acarbose 50 mg 3 times/day and lantus insulin 40 units each morning. He is a visitor in your home and has none of his diabetes supplies with him. I have attached the current recommendations from the National diabetes clearing house. What is the most appropriate treatment for this man ?

Prompt Treatment for Hypoglycemia

When people think their blood glucose is too low, they should check the blood glucose level of a blood sample using a meter. If the level is below 70 mg/dL, one of these quick-fix foods should be consumed right away to raise blood glucose:

  • 3 or 4 glucose tablets
  • 1 serving of glucose gel-the amount equal to 15 grams of carbohydrate
  • 1/2 cup, or 4 ounces, of any fruit juice
  • 1/2 cup, or 4 ounces, of a regular-not diet-soft drink
  • 1 cup, or 8 ounces, of milk
  • 5 or 6 pieces of hard candy
  • 1 tablespoon of sugar or honey

Recommended amounts may be less for small children. The child's doctor can advise about the right amount to give a child.

The next step is to recheck blood glucose in 15 minutes to make sure it is 70 mg/dL or above. If it's still too low, another serving of a quick-fix food should be eaten. These steps should be repeated until the blood glucose level is 70 mg/dL or above. If the next meal is an hour or more away, a snack should be eaten once the quick-fix foods have raised the blood glucose level to 70 mg/dL or above.

answer tomorrow.

Dr. Calder

No comments:

Post a Comment

Your comments and questions are appreciated. David Calder,MD