Each person's reaction to low blood sugar is different. Learn your own signs and symptoms of when your blood sugar is low. Taking time to write these symptoms down may help you learn your own symptoms of when your blood sugar is low. From milder, more common indicators to most severe, signs and symptoms of low blood sugar include:. The only sure way to know whether you are experiencing low blood sugar is to check your blood sugar, if possible.
If you are experiencing symptoms and you are unable to check your blood sugar for any reason, treat the hypoglycemia. Epinephrine is what can cause the symptoms of hypoglycemia such as thumping heart, sweating, tingling and anxiety. If the blood sugar level continues to drop, the brain does not get enough glucose and stops functioning as it should.
This can lead to blurred vision, difficulty concentrating, confused thinking, slurred speech, numbness, and drowsiness.
If blood sugar stays low for too long, starving the brain of glucose, it may lead to seizures, coma and very rarely death. The rule—have 15 grams of carbohydrate to raise your blood sugar and check it after 15 minutes.
This may be:. Make a note about any episodes of low blood sugar and talk with your health care team about why it happened. They can suggest ways to avoid low blood sugar in the future. Many people tend to want to eat as much as they can until they feel better. This can cause blood sugar levels to shoot way up. Using the step-wise approach of the " Rule" can help you avoid this, preventing high blood sugar levels. Glucagon is a hormone produced in the pancreas that stimulates your liver to release stored glucose into your bloodstream when your blood sugar levels are too low.
Glucagon is used to treat someone with diabetes when their blood sugar is too low to treat using the rule. Glucagon is available by prescription and is either injected or administered or puffed into the nostril. For those who are familiar with injectable glucagon, there are now two injectable glucagon products on the market—one that comes in a kit and one that is pre-mixed and ready to use. Speak with your doctor about whether you should buy a glucagon product, and how and when to use it.
The people you are in frequent contact with for example, friends, family members and coworkers should be instructed on how to give you glucagon to treat severe hypoglycemia. If you have needed glucagon, let your doctor know so you can discuss ways to prevent severe hypoglycemia in the future.
Find products for dealing with low blood glucose. If someone is unconscious and glucagon is not available or someone does not know how to use it, call immediately. Do NOT:. Insulin and Diabetes What Is Insulin? Is Afrezza Safe for Your Lungs? Ozempic Rybelsus Trulicity. Amaryl Glucotrol. Farxiga Invokana. Actos Avandia. Welcome to the Learning Center! Here you will find everything that you need to know about Diabetes. The Controversy As with many things, there is some disagreement in the DOC about what is the best A1c level to strive for.
So why is this occurring and can you actually have an A1c level that is too low? Graphic by Maria Muccioli Similarly, here is a graph from Dexcom Clarity for an individual who has a normal A1c with a small standard deviation. Image by Maria Muccioli Unfortunately, it appears that some practitioners still operate on the assumption that if a person with diabetes has achieved a normal A1c level i.
The Bottom Line Certainly, if a normal A1c level is attained through extreme blood glucose fluctuations and severe hypoglycemic episodes, this poses a considerable risk to the patient. If you have a confirmed diabetes diagnosis, and your blood sugar is well-controlled, you should have an A1C test every six months. If you already have diabetes and your medications change, or your blood sugar is not well-controlled, you should have an A1C test every three months. There are some general guidelines for interpreting A1C results.
However, there are also exceptions, according to the ADA. The general guidelines are:. Levels between 5. For most people with diabetes, the general A1C goal is to have a level between 6. While it might sound like the ideal A1C target is under 6.
If A1C results fall between 7. However, for some people, these levels might be appropriate, such as:. When levels rise to 9. Some people who are newly diagnosed could have levels over 9. Lifestyle changes and possibly medication can lower levels quickly. For someone who has long-standing diabetes, levels rise above 9.
The fructosamine test was also performed and the abnormally low fructosamine level was observed. Hence, this case was consulted to a clinical pathologist expert. The expert verified and confirmed the correctness of laboratory analysis. The possible causes of the cases with abnormally low HbA1C are listed as a extremely diet control of the patient, b excessive use of antidiabetic drugs, and c laboratory error.
Also, hemolytic anemia or hemorrhage might be a cause of reduced HbA1c. Nevertheless, in the current case, there was no evidence of hemolytic anemia or hemorrhage the reticulocyte count and serum bilirubin were within normal limits and the blood smear examination showed normal appearance.
In the current case, laboratory error was excluded. History taking showed that the patient extremely practiced food restriction and avoided any fruit and sugar products after his onset of stroke. Also, the patient consumed only one-sixths of food amount that he did before the stroke. Under such circumstances, the patient felt fainting in the afternoon every day.
He was suggested not to be too much diet restricted and the dosage of antidiabetic drug was reduced to mg daily. After modification, the patient had no problem and the follow-up visits showed the normal HbA1C in the next three months and he never had the problem of extremely high or low HbA1C level to date 24th month after diagnosis of stroke. Laboratory investigation is a tool of family physician to manage primary care for common diseases.
The diabetes mellitus is a very common problem. The basic practice is to monitor the glucose control. Of several laboratory tests, hemoglobin A1C is a very good test that can be useful in clinical practice.
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