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1:25 WHO ARE AT HIGH RISK OF HYPOGLYCEMIA ( LOW BLOOD SUGAR )
DR TANVI MAYUR PATEL ENDOCRINOLOGIST IS TALKING ABOUT INDIVIDUAL WHO ARE AT HIGH RISK OF DEVELOPING HYPOGLYCEMIA and LOW BLOOD SUGAR
You are more likely to develop low blood glucose if you have type 1 diabetes , Higher glycemic variability, longer duration of diabetes, Autonomic neuropathy, Increased age above 65 years, Alzeimbers disease, cognitive dysfunction, impairment of vision, Diabetic retinopathy , poor social support in family, staying alone, inadequate support, poly pharmacy like heart issues, blood pressure issues, angiotensin receptor blockers ( ARB), probenecid, allopurinol, warfarin, beta blockers, take insulin or some other diabetes medicines ( meglitinide, sulphonylurea )
low health awareness and knowledge, history of prior low blood glucose before, taking heavy doses of medicine for diabetes, strict sugar control, reduced food intake after illness or recent hospitalisation, sudden reduction in steroid dose ( if taken in past ), vommiting.
Anyone with a disability that prevents a quick response to falling blood sugar levels
h/o frequent skipping meals or observing fast for medical procedures like surgery / medical test/ detox/ religious, intermittent fasting, Erratic eating patterns, doing Heavy physical exercise.
When you exercise, you use up the glucose in your bloodstream faster. An increase in physical activity can also heighten your sensitivity to insulin. Engaging in heavy exercise without monitoring your blood sugar levels can be dangerous.
To avoid hypo glycemia during exercise, test your blood sugar before, during, and after your workout. You may need to eat a snack before you start your exercise program. Or, you’ll need to have a snack or glucose tablet if your levels are too low after exercise.
Take care to recognize the symptoms of hypoglycemia while you’re exercising. Act to treat it right away to prevent complications.
Weight loss
Since obesity raises your risk of having diabetes, managing your weight is an important part of treating diabetes. But losing weight too quickly can carry risks if you’re taking diabetes medications.
Losing weight can make you more sensitive to insulin. This means you’ll likely need to take less to manage your diabetes.
Taking beta-blockers
Beta-blockers are medications that treat high blood pressure and other conditions. While beta-blockers don’t necessarily raise your risk of having hypoglycemia, they can make it more difficult to recognize the symptoms of an episode.
For example, one of the first signs of hypoglycemia is a fast heart rate. But beta-blockers slow your heartbeat, so you won’t be able to rely on this sign.
If you take a beta-blocker, you’ll have to check your blood sugar levels more often and eat consistently.
Using the same injection site too frequently
Insulin that you repeatedly inject into the same spot can cause fat and scar tissue to accumulate underneath the surface of your skin. This is referred to as lipohypertrophy.
Lipohypertrophy can affect the way your body absorbs insulin. Continuing to use the same injection site can put you at a higher risk of having hypoglycemia as well as hyperglycemia. This is why rotating your injection site is crucial.
Keep in mind that different parts of the body absorb insulin differently. For example, the abdomen absorbs insulin the fastest, followed by your arm. The buttocks absorb insulin at the slowest rate.
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Drinking alcohol
Drinking alcohol can cause your glucose levels to drop overnight. Alcohol blocksTrusted Source the production of glucose in the liver. With both alcohol and diabetes medications in your system, your blood sugar can drop quickly.
Cognitive dysfunction
People with diabetes who also live with cognitive dysfunction, dementia, or conditions such as Alzheimer’s disease may be more at risk for hypoglycemia.
People living with these conditions may have erratic eating patterns or often skip meals. In addition, they may accidentally take the wrong dose of their medication. Taking too much can lead to hypoglycemia.
Underlying kidney damage
Your kidneys play an important role in metabolizing insulin, reabsorbing glucose, and removing medication from the body. For this reason, people with diabetes and kidney damage can be at a higher risk of hypoglycemia.
LIVER DISEASE- glycogen release
hypothyroidism
metabolism can slow down. Because of this, your diabetes medications linger in the body, which can lead to hypoglycemia.
Pregnancy
Pregnancy results in a major change to hormones. Women with diabetes may experience a dip in blood glucose levels during the first 20 weeks of pregnancy. Taking a normal dose of insulin may end up being too much.
malnutrition
acute illness
Негізгі бет हाइपोग्लाइसीमिया किसे ज्यादा होता है ? Dr Tanvi Mayur Patel
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