HYPOGLYCAEMIA

Question 1

What are some issues that come with insulin therapy?

Answer 1

1. Immune response: resistance to insulin mostly animal – antibodies
2. Lipohypertrophy at injection site
3. Bruising/redness/scarring
4. Weight gain:
5. Hypoglycaemia:

Question 2

What glucose level is considered Hypoglycaemia?

Answer 2

Less than 4mmol/l

Question 3

What are some of the casues of Hypoglycaemia?

Answer 3

◼ Incorrect dosing of insulin at night time

◼ Delayed/missed meals

◼ Alcohol

◼ More exercise than usual

◼ Stress

Question 4

What are the symtptoms of mild Hypoglycaemia?

Answer 4

1. Palpitations, tremor, sweating —-> [ NOT PRESENT IF ON B BLOCKERS]
2. blurred vision
3. fatigue

Question 5

What are symptoms of moderate hypoglycaemia?

Answer 5

1. Behaviour change: Restlessness,
2. Irritability drowsiness
3. slurred speech

Question 6

What are symptoms of severe hypoglycaemia?

Answer 6

1. Very agitated/aggressive,
2. unresponsive,
3. seizures
4. coma

Question 7

What can be used to treat hypoglycaemia ?

Answer 7

15-20g rapidly absorbed sugar
s
After snack/next meal of sustained carbohydrate

1.5-2 tubes of GlucoGel

◼ Severe: im glucagon (1mg) or iv glucose
(150ml of 10% over 10-15mins)