Talk:Diabetic hypoglycemia

message: A former article on the above topic was deleted because of copyright violations. To me, the piece was not long or involved enough to merit its own article, so perhaps some of this article could be devoted to   hypoglycemia unawareness in diabetics, dealing with issues such as loss of adrenergic symptoms. ACEO 20:19, 17 November 2006 (UTC)
thread_title: Hypoglycemia Unawareness

message: I think that the treatment for diabetes related glycemia is to low. (4-5 ounces of regular soda) As much as 300 ml or a full can and a snakck sized piece of confectionary can be required to raise a persons blood sugar level to an acceptable level.
*Yes that much can occasionally be required, but that is the exception rather than common, and that much usually results in a blood sugar far above normal. Research on adults has repeatedly shown that (1) 15 g usually brings the glucose to the normal range of 60-130, and (2) higher amounts usually bring the glucose far higer than normal and (3) the practice is a common contributor to poor glycemic control. I would be happy to explain or discuss further, but please take a minute to make an account so you can sign your posts. alteripse 11:34, 18 January 2007 (UTC)
replies: text: Of course. Trying to specify a one-size-fits-all dose is almost as pointless as trying to specify a single insulin dose for a high sugar. But an encyclopedia is not a treatment manual and can still give an average or "ballpark" figure for those who may be completely ignorant of the whole thing. alteripse 02:06, 22 May 2007 (UTC)
replies: text: Actually, most EMS textbooks recommend the administration of 10 grams of oral glutose or glucose tablets to be administered and the blood sugar to be rechecked. If IV Dextrose is given, in infants it's usually 2cc/kg of D10W, and for children and adults it's one half of the ampule of the selected dextrose solution, followed by the administration of a d-stick test, and then if the vein is still patient and the blood sugar is <80, the administration of the rest of the dextrose. Also, alteripse, where did you get the range of 60 to 130. Most textbooks, nursing and EMS, and even most facility lab values recommend a value of 80 to 120 of a normal value.  Chancegemt 24.176.124.137 (talk) 21:12, 8 May 2008 (UTC)

text:  What all of this analysis neglects to mention is that the treatment required necessarily depends on the cause of the hypoglycemia, which varies enormously.  If the insulin requirements have suddenly, spontaneously, and dramatically declined, as they often do, then the amount of treatment required will depend on the magnitude of this decline.  If the hypoglycemia is the result of an overdose of insulin in relation to calories consumed or exercise performed, then the amount of treatment required will depend on the magnitude of these factors.  To pretend, as this article inaccurately does, that some predetermined dose will work just fine for all the endlessly varied cases and causes of hypoglycemia amounts to lethally stupid misinformation.  Since hypoglycemia can worsen more quickly than the patient can treat it, to specify some amount of carbohydrates which will suit all cases will falsely encourage patients to limit their treatment as their consciousness and capacity to respond to the hypoglycemic emergency is rapidly worsening.  I can't count the number of times I have seen diabetics in the emergency ward, totally unconscious from hypoglycemia, but clutching a half-eaten piece of candy.  — Preceding unsigned comment added by 74.14.32.183 (talk) 20:24, 16 October 2015 (UTC)
thread_title: Treatment

message: I removed the mention of risks of hypotension because that has, I think, only been reported with larger dose use for GI procedures, not treatment of diabetic hypoglycemia. I checked both Uptodate and the prescribing information. The PI warning only mentions allergic reactions and potential hypertension in patients with pheo or rebound hypoglycemia in patients with insulinoma. Like hypotension from GI procedures, these are so rare that including them in a brief discussion of use for diabetic hypoglycemia is somewhat misleading to laymen and likely to do harm if it discourages use. alteripse 05:28, 12 February 2007 (UTC)
thread_title: risks

message: I changed the format of the treatment information to provide more of clinical information, as well as to clarify some things for American readers. The Lilly kit is in use mostly outside of the United States. Also, the drug dosages are from Brady Paramedic Textbook, Second Edition, and the Infant/Neonate dose is from the S.T.A.B.L.E. Stabilization and Pre-Transport Care of Sick Infants and Neonates Textbook. Chancegemt (talk) 11:08, 8 May 2008 (UTC)
thread_title:  Changed information on Treatment 

message: I'd like to insert a link to the new journal publication 'Diabetic Hypoglycaemia' (www.hypodiab.com), which is obviously directly related to the subject of this page and expands upon the suject matter with background info and updates on research in this field. Just raising the idea first before making any amendments to the Wikipedia page, for any comments/suggestions.
Rdrake7000 (talk) 13:14, 8 July 2008 (UTC)
thread_title:  Inserting link. 

message: There is evidence, if admittedly anecdotal,that dogs (and indeed, other pets) can detect low blood sugar in their  diabetic owners. This is mentioned in "Balance" (the magazine of the charity Diabetes U.K.) for Jan-Feb 2008; I  believe that Rupert Sheldrake has also discussed this in "Dogs that Know when their owners are on the way home".Could this be mentioned here? ACEOREVIVED (talk) 21:21, 25 October 2008 (UTC)
thread_title: Dogs that can detect hypoglycemia

message: Diabetes In Control-Drugs that may affect blood glucose levels
We hope (talk) 14:07, 7 March 2010 (UTC)
thread_title: List of Meds that may affect bg levels

message: This article links to one on adrenergic, which is a stub.  Please go to that article and discuss how it relates to this one, or discuss the issues on this article.
4.249.72.179 (talk) 21:32, 23 April 2012 (UTC)
thread_title:  adrenergic 

message: It might be of practical service to readers if the Signs and symptoms section gave some examples of common signs and symptoms in plain English. --Frans Fowler (talk) 20:54, 30 November 2017 (UTC)
thread_title:  Signs and symptoms