Hypoglycemia

Clinical Features:

• 1)sweating.
• 2)feeling tired.
• 3)dizziness.
• 4)feeling hungry.
• 5)tingling lips.
• 6)feeling shaky or trembling.
• 7) fast or pounding heartbeat (palpitations)
• 8)becoming easily irritated, tearful, anxious or moody.

investigation:

• 1)RBS
• 2)serum calcium
• 3)serum electrolyte

Rx:

• complete bed rest
  
• o2 inhalation
  

if Pt Shock / Coma তে থাকলে :

• Inf. 25% Nutridex (100ml) 1/ Running - stat
  

Then 

• 10% DA ([post id="511" title="Dextrose "])(1L) I/V@ 10d/min - 24h
  

 Special note:

• Coma তে গেলে ১দিন diabetic drug বন্ধ। 
  
• Pt Conscious থাকলে hypoglycaemia র symptoms দেখা দিলে কাছে যা পাবে তাই খাবে (চিনি, গুড়, চকলেট, ভাত, কলা ইত্যাদি)।

Prevention Hypoglycemia:

• Monitor your blood sugar.
  
• Don't skip or delay meals or snacks.
  
• Measure medication carefully, and take it on time.
  
• Adjust your medication or eat additional snacks if you increase your physical activity. 
  
• Eat a meal or snack with alcohol, if you choose to drink.
  
• Record your low glucose reactions.