Hypoglycaemia

Question 1

normal blood glucose level?

Answer 1

4-7

Question 2

below 4?

Answer 2

hypo

Question 3

what are 2 ways to describe hypoglycaemia?

Answer 3

symptomatic or asymptomatic

Question 4

symptomatic hypoglycaemia 2 categories?

Answer 4

mild - treat themselves

severe - assistance of a third party

Question 5

relative hypoglycaemia?

Answer 5

person feels low but glucose level is above 4

• usually in people with poor glycaemic control and have become habituated to high blood glucose levels - say 12

may fall to 5 an feel like they are having a hypo

Question 6

Can symptomatic hypoglycaemia be mild or severe?

Answer 6

no, only severe

Question 7

causes of hypoglycaemia?

Answer 7

insulin therapy

sulfonylurea therapy

Question 8

How does sulfonylurea therapy work?

Answer 8

stimulate insulin production from the pancreas

they do this whether your glucose level is 4 or 15

Question 9

What may prolong the duration of action of sulfonylurea?

Answer 9

renal failure - risk of hypoglycaemia for longer

Question 10

Who gets more hypos, T2DM or T1DM?

Answer 10

T2DM less hypos

Question 11

symptoms of hypoglycaemia?

Answer 11

confusion
sweating
trembling
hunger
palpitations
headache
drowsiness
odd behaviour
speech difficulty
incoordination
malaise

Question 12

Why is glocose metabolism important for brain function?

Answer 12

continuous supply of glucose essential for the brain

Question 13

main parts of the body that use glucose?

Answer 13

brain

muslce

adipose tissue

Question 14

adverse effects of hypoglycaemia?

Answer 14

1) neurological
- coma
- seizure
- hemiplegia
- other focal neurology

2) fracture

3) cardiac
- arrhythmia
- MI