Showing posts with label low sugar. Show all posts
Showing posts with label low sugar. Show all posts

Low blood sugar Hypoglycemia: A treatment of complications of diabetes, whether grain or insulin

Low blood sugar - Hypoglycemia:

Introduction:

Hypoglycemia, also known as low blood sugar, occurs when the level of glucose (sugar) in your blood drops below normal levels. Glucose is the primary source of energy for your body, especially for the brain. Hypoglycemia can occur in individuals with diabetes who take certain medications, but it can also affect people without diabetes for various reasons. Here's some information about hypoglycemia:

1. Causes: Hypoglycemia can be caused by several factors, including:

  • Diabetes medications: People with diabetes who take insulin or certain oral medications to control blood sugar levels may experience hypoglycemia if the medication dose is too high or if they skip meals.
  • Insulinoma: This is a rare tumor of the pancreas that produces excessive insulin, leading to low blood sugar.
  • Reactive hypoglycemia: Some individuals may experience a drop in blood sugar levels a few hours after eating a meal, which can be caused by an exaggerated insulin response.
  • Alcohol consumption: Drinking alcohol can interfere with the liver's ability to release stored glucose, leading to low blood sugar levels.
  • Skipping meals or inadequate food intake: Not eating enough or delaying meals can cause hypoglycemia, especially if you have underlying health conditions or take certain medications.

2. Symptoms: The signs and symptoms of hypoglycemia can vary depending on the severity and individual response, but common symptoms include:

  • Shakiness or tremors
  • Sweating
  • Palpitations or rapid heartbeat
  • Hunger
  • Fatigue or weakness
  • Irritability or anxiety
  • Confusion or difficulty concentrating
  • Blurred vision
  • Headache
  • Dizziness or lightheadedness
  • Nausea

3. Treatment:

If you experience symptoms of hypoglycemia, it's important to take immediate action to raise your blood sugar levels. This can be done by consuming a fast-acting source of glucose, such as:
  • Glucose tablets or gel
  • Fruit juice or regular soda (not diet or sugar-free)
  • Hard candies or glucose-rich snacks
   It's also essential to follow up with a meal or snack containing protein and complex carbohydrates to stabilize blood sugar levels.

4. Prevention:

To prevent hypoglycemia, it's important to:
  • Follow a balanced meal plan: Eat regular, well-balanced meals and snacks that include a mix of carbohydrates, proteins, and fats.
  • Monitor blood sugar levels: If you have diabetes, regularly check your blood sugar levels as recommended by your healthcare provider and adjust your medication doses accordingly.
  • Coordinate medication with meals: If you take diabetes medications, ensure that you take them as prescribed, considering the timing of meals.
  • Limit alcohol consumption: If you drink alcohol, do so in moderation and make sure to eat food along with it.
  • Be prepared: Carry a source of fast-acting glucose with you at all times, such as glucose tablets or a small bottle of fruit juice, in case of an episode of hypoglycemia.

Conclusion:

If you experience recurrent or severe hypoglycemia, it's important to consult with a healthcare professional to determine the underlying cause and develop an appropriate management plan.

What are some ways to raise blood glucose levels when experiencing low blood sugar?

low blood sugar:

When experiencing low blood sugar or hypoglycemia, it's important to raise your blood glucose levels quickly to prevent further complications.

ways to raise blood glucose levels:

Here are some effective ways to raise blood glucose levels:

1. Consume fast-acting carbohydrates:

The quickest way to raise blood sugar levels is to consume foods or drinks that contain fast-acting carbohydrates. Examples include:
  • Glucose tablets or gel
  • Fruit juice (not low sugar or diet varieties)
  • Regular soda (not diet soda)
  • Honey or sugar
  • Hard candies or glucose candies

2. Eat a snack or meal:

If your next planned meal is more than an hour away, it's advisable to have a small snack that contains carbohydrates and protein to help stabilize your blood sugar levels. Examples include:
  • A piece of fruit with nut butter
  • Crackers with cheese
  • Yogurt
  • Granola bar

3. Avoid overtreating:

It's important not to overcorrect low blood sugar by consuming excessive amounts of sugary foods or drinks, as this can cause a rapid increase in blood sugar levels followed by a sharp drop. Follow the recommended serving sizes and monitor your blood sugar levels closely.

4. Wait and retest:

After consuming fast-acting carbohydrates, wait for about 15 minutes and then retest your blood sugar levels. If your levels are still low, repeat the process and consume more fast-acting carbohydrates if necessary.

5. Inform others:

If you're experiencing severe symptoms or are unable to treat the low blood sugar episode on your own, it's important to inform someone nearby and seek assistance.

It's crucial to work with your healthcare team to develop a personalized plan for managing low blood sugar episodes. They can provide specific guidelines on the amount of carbohydrates to consume and any adjustments needed to your diabetes management plan.

In severe cases of hypoglycemia where the person is unconscious or unable to swallow, it's important to seek immediate medical help by calling emergency services (911 in the United States or the appropriate emergency number in your country).

Signs of low blood glucose.. Shakiness or trembling. Sweating. Palpitations or rapid heartbeat. Hunger or increased appetite. Dizziness or lightheadedness

Low blood glucose levels:

Low blood glucose, also known as hypoglycemia, refers to a condition characterized by abnormally low levels of glucose (sugar) in the blood. Glucose is the primary source of energy for the body's cells, including the brain. In healthy individuals, the body maintains a delicate balance of blood glucose levels to ensure proper functioning.

The typical threshold for diagnosing hypoglycemia is a blood glucose level below 70 milligrams per deciliter (mg/dL), although this value may vary depending on individual circumstances and the context in which the measurement is taken.

common signs and symptoms:

Signs of low blood glucose, also known as hypoglycemia, can vary from person to person, but some common signs and symptoms include:

1. Shakiness or trembling:

A feeling of tremors or shaking, especially in the hands, may be experienced.

2. Sweating:

Profuse sweating, even when it's not caused by physical exertion or warm temperatures, can be a sign of low blood glucose.

3. Palpitations or rapid heartbeat:

You may feel your heart racing or pounding in your chest.

4. Hunger or increased appetite:

Sudden or intense hunger, often accompanied by cravings for carbohydrates, can occur.

5. Dizziness or lightheadedness:

A feeling of being lightheaded or dizzy, sometimes leading to unsteadiness or difficulty maintaining balance.

6. Fatigue or weakness:

A general sense of exhaustion or weakness, even with normal activity levels.

7. Confusion or difficulty concentrating:

Mental confusion, difficulty concentrating, or feeling mentally "foggy" can be signs of low blood glucose.

8. Irritability or mood changes:

Unexplained irritability, mood swings, or changes in behavior can occur.

9. Blurred vision:

Vision may become blurry or impaired.

10. Headache:

A persistent or throbbing headache can be a symptom.

11. Nausea:

Feeling nauseated or experiencing an upset stomach.

12. Anxiety or nervousness:

Feeling anxious, agitated, or overly nervous without apparent cause.

13. Slurred speech:

Speech may become slurred or difficult to articulate properly.

14. Weakness in muscles:

Weakness or trembling in the muscles, especially in the arms and legs.

Recommendations to reduce the risk:

It's important to note that these symptoms can vary in severity and may not always occur together. If you experience any signs of low blood glucose, it's crucial to check your blood sugar levels and take appropriate action to raise your blood glucose to a safe range. Consuming a fast-acting source of glucose, such as fruit juice, glucose tablets, or candy, is often recommended. If symptoms persist or worsen, seek medical attention promptly.

Treatment for low blood sugar.. Immediate Treatment. glucagon kit and fast-acting carbohydrates

Treatment for low blood sugar:

Treating low blood sugar, also known as hypoglycemia, requires prompt action to prevent serious complications. Here's a guide to the different treatment options:

Immediate Treatment (Blood sugar below 70 mg/dL):

- Fast-acting carbohydrates:

These raise blood sugar quickly and are crucial in emergencies. Aim for 15 grams of carbohydrates, such as:
  • 4 oz (120 mL) of fruit juice or regular soda (not diet).
  • 1 tablespoon (15 mL) of honey or sugar.
  • 3-4 glucose tablets.
  • 6 pieces of hard candy.

- Glucagon:

If the person is unconscious or unable to swallow, glucagon is a life-saving injection that raises blood sugar quickly. It should only be administered by someone trained in its use.

After 15 minutes:

- Check blood sugar again:

If it's still below 70 mg/dL, repeat step 1 with another 15 grams of fast-acting carbohydrates.

- Follow with a small, balanced meal or snack:

This helps prevent another drop in blood sugar. Choose foods that contain both carbohydrates and protein, like:
  • Peanut butter and crackers.
  • Yogurt with fruit and granola.
  • Cheese and whole-wheat bread.

Monitoring:

Continue to monitor blood sugar every 15-30 minutes for the next 1-2 hours until it stabilizes.
If blood sugar remains low or symptoms worsen, seek immediate medical attention.

Preventing future episodes:

- Identify and address underlying causes:

Consult your doctor to determine the cause of your hypoglycemia and develop a personalized management plan. This may involve adjusting medication, modifying diet, or addressing other contributing factors.

- Carry a glucagon kit and fast-acting carbohydrates:

Always be prepared to treat hypoglycemia promptly, especially if you experience frequent episodes.

- Educate yourself and others:

Learn the symptoms of hypoglycemia and how to treat it. Inform your family, friends, and colleagues about your condition and how to help you in an emergency.

Remember:

  • Early recognition and prompt treatment of hypoglycemia are crucial to prevent serious complications like seizures, coma, and even death.
  • Always consult your doctor for proper diagnosis and management of hypoglycemia.
  • This information is for educational purposes only and should not be interpreted as medical advice.

Symptoms of low blood sugar in diabetics are due to hypoglycemia in the nervous system and hypoglycemia

Symptoms of low blood sugar in diabetics:

In individuals with diabetes, low blood sugar, also known as hypoglycemia, can occur due to various reasons, such as excessive insulin or certain diabetes medications, inadequate food intake, increased physical activity, or delayed meals. When blood sugar levels drop below normal, it can lead to a range of symptoms, primarily affecting the nervous system and other body systems.

some common signs and symptoms:

The symptoms of low blood sugar can vary among individuals, but some common signs and symptoms include:
  • Shakiness or trembling.
  • Sweating.
  • Palpitations or rapid heartbeat.
  • Hunger or increased appetite.
  • Dizziness or lightheadedness.
  • Fatigue or weakness.
  • Confusion or difficulty concentrating.
  • Irritability or mood changes.
  • Blurred vision.
  • Headache.
  • Nausea.
  • Anxiety or nervousness.
  • Slurred speech.
  • Seizures or convulsions (in severe cases).

Sensitivity of the nervous system to diabetes levels:

The nervous system is particularly sensitive to changes in blood sugar levels, and these symptoms are primarily a result of the brain's response to hypoglycemia. When glucose, which is the brain's main source of energy, becomes insufficient, it can lead to neurological symptoms such as confusion, difficulty concentrating, irritability, and even seizures in severe cases.

Necessary precautions:

It's important for individuals with diabetes to monitor their blood sugar levels regularly, follow their prescribed treatment plan, and take appropriate action to prevent or treat low blood sugar episodes. If someone with diabetes experiences symptoms of low blood sugar, consuming a fast-acting source of glucose, such as fruit juice or glucose tablets, can help raise their blood sugar levels quickly. It's always recommended to consult with a healthcare professional for personalized advice and management of diabetes-related concerns.

Factors that affect the level of diabetes in the blood: excessive insulin secretion. Insufficiency in the functioning of the adrenal and pituitary glands

Factors Affecting Blood Sugar Levels in Diabetes:

Several factors can influence blood sugar levels in individuals with diabetes, and you've mentioned three important ones:

1. Excessive Insulin Secretion:

While insulin is crucial for lowering blood sugar by shuttling glucose into cells, excessive secretion can paradoxically lead to hypoglycemia (low blood sugar). This can occur in type 2 diabetes when the pancreas tries to compensate for insulin resistance by producing more insulin than needed. Factors contributing to this include:

- Medications:

Sulfonylureas and meglitinides, diabetes medications that stimulate insulin production, can cause hypoglycemia if not taken properly.

- Skipping meals:

When meals are missed after taking insulin, the insulin remains active without enough incoming glucose, leading to a drop in blood sugar.

- Individual factors:

Insulin sensitivity varies among individuals, and some may be more prone to hypoglycemia from excessive insulin secretion.

2. Insufficiency in Adrenal Function:

The adrenal glands play a vital role in blood sugar regulation through stress hormone production. Adrenal insufficiency (Addison's disease), where the adrenal glands don't produce enough cortisol, can affect blood sugar control in ways like:

- Decreased glucagon secretion:

Glucagon, another hormone crucial for raising blood sugar levels, is primarily stimulated by cortisol. With less cortisol, glucagon release may be insufficient, leading to hypoglycemia.

- Reduced appetite and nutrient absorption:

Adrenal insufficiency can cause fatigue, nausea, and decreased appetite, leading to lower food intake and potentially hypoglycemia.

- Increased insulin sensitivity:

In some cases, adrenal insufficiency can paradoxically enhance insulin sensitivity, causing hypoglycemia after meals.

3. Pituitary Gland Dysfunction:

The pituitary gland produces various hormones, including:

- Growth hormone:

Promotes glucose utilization and glycogen breakdown, raising blood sugar.

- ACTH:

Stimulates cortisol production in the adrenal glands, indirectly supporting blood sugar control.

- TSH:

Thyroid hormone, stimulated by TSH, also influences metabolism and indirectly affects blood sugar.

Pituitary dysfunction:

Pituitary dysfunction can disrupt the production of these hormones, leading to:

- Growth hormone deficiency:

Can contribute to hypoglycemia, especially in children.

- ACTH deficiency (secondary adrenal insufficiency):

Similar effects to primary adrenal insufficiency on blood sugar regulation.

- Thyroid dysfunction:

Hypothyroidism (underactive thyroid) can worsen insulin resistance and contribute to hyperglycemia, while hyperthyroidism (overactive thyroid) can increase blood sugar through various mechanisms.

Remember:

  • This information is for educational purposes only and should not be interpreted as medical advice.
  • Consult your doctor for proper diagnosis and management of diabetes and any suspected hormonal imbalances.
  • Individual cases vary, and a combination of factors might influence blood sugar levels in diabetic patients.

Reason for the low level of sugar in the natural persons after two hours of eating on the level of fasting

Blood sugar after eating:

A drop in blood sugar after eating, specifically two hours later, compared to your fasting level, can occur for several reasons. Here are some possible explanations:

Normal digestion and insulin response:

- Postprandial glucose dip:

After a meal, your blood sugar naturally rises as your body absorbs carbohydrates. In response, your pancreas releases insulin, which helps move glucose from the bloodstream into your cells for energy. This typically causes a peak in blood sugar around 1-2 hours after eating, followed by a gradual decline as the glucose is used or stored. A slight dip below your fasting level in this phase is normal and healthy.

- Individual variations:

The timing and magnitude of the postprandial glucose dip can vary significantly between individuals due to factors like age, metabolism, insulin sensitivity, and the composition of the meal. Smaller or less carbohydrate-rich meals may lead to a less pronounced dip or even a sustained rise in blood sugar, while larger or high-glycemic meals can trigger a sharper rise and subsequent fall.

Other potential reasons for low blood sugar:

- Reactive hypoglycemia:

This condition involves an exaggerated insulin response to certain foods, particularly high-glycemic foods, leading to a rapid drop in blood sugar after eating. Symptoms like sweating, shakiness, dizziness, and hunger can occur.

- Diabetes:

Improper insulin management in people with diabetes can lead to low blood sugar after meals, especially if they take too much insulin or skip meals after taking insulin.

- Certain medications:

Some medications, like oral diabetes medications and sulfonylureas, can also cause hypoglycemia.

- Medical conditions:

Gastroparesis (delayed stomach emptying), liver disease, and adrenal insufficiency can affect blood sugar regulation and contribute to hypoglycemia.

doctor consultation:

If you experience frequent or unexplained dips in blood sugar after eating, especially accompanied by symptoms like shakiness or dizziness, it's important to consult your doctor. They can help determine the cause of your low blood sugar and recommend appropriate treatment or management strategies.

Remember, I am not a medical professional and this information is not a substitute for professional medical advice. Always consult your doctor for personalized diagnosis and treatment.

Signs and symptoms of hypoglycemia.. shock sharp drop in blood sugar

Signs and symptoms of hypoglycemia:

Hypoglycemia, or low blood sugar, occurs when the glucose level in your bloodstream falls below 70 mg/dL. It's a serious condition that can lead to coma or even death if not treated promptly.

Early signs and symptoms of hypoglycemia:

  • Shakiness or trembling.
  • Sweating.
  • Dizziness or lightheadedness.
  • Headache.
  • Hunger.
  • Anxiety.
  • Irritability.
  • Fatigue.
  • Blurred vision.
  • Difficulty concentrating.

Later signs and symptoms of severe hypoglycemia:

  • Confusion.
  • Loss of coordination.
  • Slurred speech.
  • Seizures.
  • Loss of consciousness.

Steps to combat high diabetes levels:

If you experience any of these symptoms, it's important to act quickly. Here are the steps to take:
  • Check your blood sugar level with a glucometer. If it's below 70 mg/dL, you need to treat hypoglycemia immediately.
  • Eat or drink 15 grams of fast-acting carbohydrates. This could be anything from glucose tablets to juice to candy. Avoid foods that are high in fat or protein, as these will slow down the absorption of glucose.
  • Wait 15 minutes and check your blood sugar again. If it's still below 70 mg/dL, repeat steps 2 and 3.
  • Once your blood sugar level is above 70 mg/dL, eat a small meal or snack to prevent your blood sugar from dropping again.

tips for preventing hypoglycemia:

Here are some additional tips for preventing hypoglycemia:
  • Eat regular meals and snacks throughout the day. Don't skip meals.
  • Choose healthy foods that are low in sugar and high in fiber.
  • Carry a glucometer and fast-acting carbohydrates with you at all times.
  • Talk to your doctor about your hypoglycemia and how to manage it.

Various symptoms:

It's important to note that the symptoms of hypoglycemia can vary from person to person. Some people may only experience mild symptoms, while others may have more severe symptoms. If you're concerned about hypoglycemia, it's important to talk to your doctor. They can help you develop a plan to manage your blood sugar levels and prevent hypoglycemia from happening.

Causes of high or low blood sugar levels.. Hyperglycemic hyperosmolar coma. Hormonal imbalances. Diabetic ketoacidosis coma. Differences between Thyroid, Adrenal, and Pituitary Glands

Blood Sugar Levels:

High and Low (Hyperglycemia and Hypoglycemia)
Blood sugar levels can fluctuate for various reasons, leading to both hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar). Here are some of the main factors affecting them:

Factors contributing to high blood sugar (hyperglycemia):


- Diabetes:

This is the most common cause, where the body either doesn't produce enough insulin (type 1) or can't use it effectively (type 2). Insulin is crucial for transporting sugar from the bloodstream into cells for energy. Without sufficient insulin, sugar builds up in the blood.

- Certain medications:

Some medications, like steroids and some beta-blockers, can raise blood sugar levels as a side effect.

- Stress and illness:

Physiological stress and illnesses like infections can release hormones that elevate blood sugar.

- Diet and lifestyle:

High consumption of sugary foods and drinks, physical inactivity, and excessive alcohol intake can contribute to hyperglycemia.

- Genetic factors:

Family history of diabetes increases the risk of developing the condition.

Factors contributing to low blood sugar (hypoglycemia):


- Overuse of insulin in diabetic patients:
Taking too much insulin or missing meals after taking insulin can lead to hypoglycemia.

- Certain medications:

Medications like sulfonylureas, used to treat type 2 diabetes, can cause hypoglycemia if not taken properly.

- Liver or kidney disease:

These conditions can impair the body's ability to store and release glucose, leading to hypoglycemia.

- Eating disorders:

Bulimia and anorexia nervosa can disrupt normal blood sugar regulation, leading to hypoglycemia.

- Hormonal imbalances:

Conditions like Addison's disease and hypopituitarism can affect hormone levels, impacting blood sugar control.

Diabetic Coma:

Diabetic coma is a life-threatening complication of both uncontrolled hyperglycemia and severe hypoglycemia. Symptoms can vary depending on the type of coma, but often include:

- Hyperglycemic hyperosmolar coma:

Confusion, drowsiness, extreme thirst, vomiting, rapid breathing, dry skin, and fruity-smelling breath.

- Diabetic ketoacidosis coma:

Nausea, vomiting, abdominal pain, rapid breathing, fruity-smelling breath, and confusion.

- Hypoglycemic coma:

Seizures, sweating, pale skin, confusion, slurred speech, and loss of consciousness.
If you suspect someone is experiencing a diabetic coma, seek immediate medical attention.

Differences between Thyroid, Adrenal, and Pituitary Glands:

While all three glands are essential for hormone production and regulation, they differ in their specific functions:

- Thyroid gland:

Located in the neck, the thyroid produces hormones like thyroxine and triiodothyronine that regulate metabolism, body temperature, and heart rate. Hyperthyroidism (overactive thyroid) can cause weight loss, anxiety, and rapid heartbeat, while hypothyroidism (underactive thyroid) can lead to fatigue, weight gain, and depression.

- Adrenal glands:

Located above the kidneys, the adrenals produce hormones like cortisol, adrenaline, and aldosterone, which regulate stress response, blood pressure, and electrolyte balance. Hypercortisolism (Cushing's syndrome) can cause weight gain, high blood pressure, and muscle weakness, while adrenal insufficiency (Addison's disease) can lead to fatigue, low blood pressure, and weight loss.

- Pituitary gland:

Located at the base of the brain, the pituitary gland is often called the "master gland" as it produces hormones that control other endocrine glands and various bodily functions. Pituitary hormone deficiencies can affect growth, metabolism, reproduction, and other bodily processes, while pituitary tumors can disrupt hormone production and cause various symptoms.

I hope this information provides a helpful overview of the factors affecting blood sugar levels, diabetic coma, and the differences between these three important glands. Please remember that this information is not a substitute for professional medical advice. Always consult a healthcare professional for personalized diagnosis and treatment of any medical conditions.

Symptoms of low blood sugar and what to do.. Sweating. Trembling in the body. Feeling hungry. Blurred vision. Loss of consciousness and fall

Diabetic Symptoms:

It is very important to know diabetic symptoms low blood sugar and in order to avoid loss of consciousness or fall which increases the problem by creating other problems, as well as the risk of hypoglycemia lies in that if continued for a long time leads to brain damage.

The symptoms of hypoglycemia are:

  • Sweating (sweating).
  • Parkinson (shiver in the body).
  • Speed ​​up the heart rate.
  • Of stress and anxiety.
  • Feeling hungry.
  • Dizziness (vertigo, Time).
  • Headache.
  • Blurred vision (blurred on the eye).
  • Lack of comprehension and confusion.
  • Anticonvulsants (seizure).
  • Loss of consciousness and fall.

How to cope with low blood sugar:

He must diabetics that carries with it a local juice or a piece of candy for emergencies, and divide the meals into multiple small meals during the day, and adherence to treatment and not to increase the potions himself or taking treatment and not eating.

Serious lack of a sense of low blood sugar in Hypoglycemic unawarness

Loses patient prognostic signs that you pay for juice or soft drinks, has raided the patient while driving which leads to an inability to focus and possibly loss of consciousness (coma), which could lead to an accident. I remember a patient who suffered a heart low static led to diabetes to climb in his car on a mediating fields fountain. Knows himself only in the hospital after treatment intravenous glucose Center.

Low level of sugar in the blood.. Lack a basic meal. Doing violent exercises or longer than usual or irregularity in taking medication

This situation occurs when the sugar level access to 60 mg / dl. And are often for patients who are treated with insulin, but may occur in other types of treatments. Happen decline in the level of sugar as a result of various factors, including the lack a basic meal, doing heavy exercises or longer than usual or irregularity in taking medication. 
The initial symptoms of low blood sugar include: increased sweating, chills, weakness, feeling hungry, dizziness and nausea. If there was a reduction of sugar to 40 mg / dl, the patient will feel drowsy, confusion and graduated words of the patient is not clear (find verbal ability of the injured). If you feel any of these symptoms, you should immediately drink or eat anything that helps to raise the rate of sugar quickly, such as candy, soda or juice. 
In some severe cases, there is a decline in the level of sugar to the point of fainting patient (known بإغماء sugar). 
The best immediate treatment for this case is injected into the patient Paljlakojin (Glycogen ), A type of hormone that stimulates the secretion of sugar in the body. 
I have family members or persons living with the patient, to learn how to give the injection to the patient in case of fainting.

How to handle friends or family with the case of low blood sugar

If the patient is conscious and aware of what people around him are given a glass of fruit juice (such as orange sugared) or three tablespoons of honey, or a glass of water sugared, and should not be given to the patient chocolate or ice cream because of the amount of fat the lead to slow movement stomach.
If the patient is not conscious ask the ambulance immediately and do not try to open the patient's mouth by force and given sugary solutions dumping in his mouth, it could lead to sip the liquid into the lungs and pneumonia Aspiration pneumonia At the hospital, the patient is given 25-50 ml of glucose 50% infusion center. The patient can be given hormone glucagon 1 mg muscle or deep under the skin in
If there is no phenomenon in the patient's veins to give glucose solution through it. It must be reviewed by the patient's physician to determine the cause of low blood sugar, and try to avoid it in the future.

The reasons that lead to hypoglycemia in diabetics.. Inadequate doses of insulin or tablets reduced Diabetes

1 - Use a large dose is appropriate reduced insulin or tablets for diabetes such as glibenclamideGelepennekelamed gliclazide Gliclazer, or chlorpropamide Chlorpropamide (Which no longer exists in most countries of the world).
2 - neglect one of the main meals in the food.
3 - Action Exercise severe or extreme physical exertion without consulting your doctor to reduce the dose of insulin or pills reduced diabetes.
4 - The presence of hepatic or renal insufficiency, which leads to the inability of the body to get rid of the grain covered by the diabetic patient.
And increase the life of these drugs in the blood t ½ , And must exclude the presence of hepatic or renal insufficiency in patients who suffer from frequent decline of sugar in the blood. 
5 - impairment of the autonomic nervous system, which leads to decreased gastric motility Gastroparesis0 and thus the survival of the food in the stomach for a long time before it goes to the intestines where they are digested and absorbed into the bloodstream.

Bouts of low blood sugar or hypoglycemia without coma prognostic symptoms such as race, chills and increased heart rate

This is known not to recognize low blood sugar Hypoglycemic unawareness He has many reasons:
1 - impairment of the autonomic nervous system, one of the complications of diabetes Autonomic neuropathy 0
2 - eating certain types of drugs to treat high blood pressure, such as beta inhibitors β-Blockers (Such asAenolol).
3 - alcohol, which leads to lack of awareness and lack of a sense of prognostic marks, and also lead to low blood sugar after 3-6 hours of eating it.
4 - high incidence of low blood sugar as a result of taking high doses of insulin or neglect meals.

The level of sugar in the blood in a patient who is suffering from low blood sugar

Onset of the disease when it reaches the level of blood sugar to 60 mg / dL and possibly symptoms appear at Sugar much less than that (45 mg / dL) in the case of recurrence of low blood sugar, while it can occur these symptoms when your blood sugar level more than 65 mg / dL in patients who suffer from high blood sugar level for a long time.