Symptoms of transient hypoglycemia

summary

Diabetic patients show polyuria, thirst and drink more, sugar loss, make people eat more, easy to starve, weight loss, this is often said that diabetes "three more less" typical symptoms. Due to the loss of a large number of nutrients, patients with severe diabetes show emaciation, muscle weakness, and decreased immune function. They are prone to respiratory tract, urinary tract, and skin infections, which are difficult to control. For example, patients with foot ulcers often do not heal for a long time, and even have to be amputated. I would like to share with you my views on the symptoms of transient hypoglycemia.

Symptoms of transient hypoglycemia

1. Patients with acute hypoglycemia and short course of disease present with sympathetic excitatory syndrome, such as agitation, hunger, weakness, sweating, tachycardia, elevated systolic blood pressure, decreased diastolic blood pressure, tremor, transient amaurosis, disturbance of consciousness, and even coma.

2. Subacute and slow hypoglycemic patients present with encephalopathy symptoms in various forms, but the same patient often presents the same type of symptoms each time. Most of the patients showed symptoms of cerebral cortex and / or cerebellum, such as headache, dizziness, anxiety, anger, drowsiness, inattention, disorientation, tremor, seizures or seizures, personality changes (crying, noisy, noisy, scolding), strange behavior, ataxia, and finally numb coma. Long term severe hypoglycemia can cause permanent brain damage.

3. Fasting and attack blood glucose, blood insulin and C-peptide levels were measured. Insulin release index (fasting blood insulin / fasting blood glucose) was calculated. If necessary, starvation test (whether fasting 12-72 hours induces hypoglycemia) and insulin release inhibition test were performed. Serum C-peptide levels before and after injection were compared.

matters needing attention

Many hypoglycemia can be prevented by proper treatment. Cortisone can be used in the treatment of hypophysis and adrenocortical dysfunction; Patients with hypothyroidism can be supplemented with dry thyroid tablets to promote metabolism, glucose absorption and blood glucose level; Hepatogenic hypoglycemia can be treated with high sugar, high protein diet and meal before going to bed.