Diabetic Emergencies

Question 1

What are the symptoms of hypoglycaemia?

Answer 1

Shaking, sweating, anxiety, dizziness, hunger, fast heart, impaired vision, weakness, fatigue, headache, irritable

Question 2

What is severe hypoglycaemia

Answer 2

hypo that leads to seizures, unconsciouness or the need for external assistance

Question 3

How is hypoglycaemia treated

Answer 3

immediate treatment= consume 15-20 grams of glucose/simple carbs
recheck blood glucose after15 mins
if still hypo, repeat,
once blood glucose noraml- eat a slow releasing carb if next meal is more than 1-2 hrs away

Question 4

Give some examples of 15grams of simple carbs

Answer 4

glucose table
gel
2 tbsp raisins
4 ounces of cola not diet
1 tbsp sugar, honey, corn syrup
8 ounces of nonfat/1 pecrent milk
hard sweats, jelly beans

Question 5

How is a severe hypo managed

Answer 5

Glucagon 1mg injection into buttock or arm or thigh

individual may experience nausea or vomiting after regaining consciousness (usually within 5-10 mins)

Question 6

What is impaired hypoglycaemia awareness

Answer 6

when hypo occurs but the individual feels no or a change in symptoms

Question 7

When does hypoglycaemia unawareness occur

Answer 7

in those who:
frequently have low blood glucose episodes
long duration type 1/2 diabtes
intensely treated type on (low HbA1c)

Question 8

When does imparied cognative function occur in a non diabetic with a hypo

Answer 8

2.8mmol/l blood glucose

Question 9

When do adrenaline and glucagon kick in in a non diabetic

Answer 9

3. 8

3. 0 -symptoms occur