Recognition and Management of Non-Diabetic Hypoglycemia: A Literature Review By Ryan Weilandich, ATS (Athletic Training Student) Lindenwood University Athletic Training Department Introduction: Hypoglycemia is defined as when your blood glucose (sugar) levels are too low, (<70 mg/dL) [1]. It is most common in patients with diabetes when they have a mismatch of medication, food, and/or exercise. Non-diabetic hypoglycemia is rare condition in which patients that do not have diabetes have chronically
As fitness professionals working with individuals with diabetes there are numerous considerations we must contemplate. For one thing we need to realize we are part of a team approach for these individuals. We need to be very cognizant that we operate within our own scope of practice, as diabetes is a disease that requires specialized approaches from physicians, dietetic experts and fitness professional for each individual’s situation. In addition to this we need to make sure before accepting the
Cynthia is a 65 year old African American female diagnosed with type 2 diabetes mellitus, diabetic peripheral neuropathy, hypertension, kidney disease, hyperlipidemia and hypothyroidism. Assessment and plan of treatment for Cynthia Diabetes Mellitus: Will treat with Glipizide 5 mg po daily Diabetic Peripheral Neuropathy: Will treat with Duloxetine 60mg po daily. Hypertension: Will treat with Lisinopril 10mg po daily. Kidney disease: Will treat with Lisinopril 10mg po daily Hyperlipidemia: Will treat
“Elaine” is a 34-year-old white female patient with an extensive medical history. She has a history of seizures, uncontrolled diabetes since the age of fourteen, neuropathy, fibromyalgia, COPD, Sleep Apnea, and is currently suffering from two venous ulcers on her feet. She came to the ER one week ago with nausea and vomiting and was found to be in Diabetic Ketoacidosis and her wounds had become infected. She spent three days in the ICU and for one day was ventilated. She was then sent out to
al). These particular enzymes are important in enabling the liver to produce glucose from glycogen and/or generate new glucose via gluconeogenesis. The inability of the liver to produce glucose from these metabolic pathways can result in severe hypoglycemia since the liver is responsible for maintaining blood glucose for the body in periods of fasting. The reduction of glycogen breakdown can also cause the kidneys and liver to become enlarged because excess glycogen is typically stored within these
the neonate is at a high risk for hypoglycemia and hypothermia (Nix, n.d.). Furthermore, neonatal skin to skin contact with its mother is highly recommended during the first few hours of life, for proper thermoregulation, maternal-infant bonding, and exclusive breastfeeding success. According to Indira & Jyotsna (2015), “hypoglycemia is one of the most common metabolic problems seen in the newborn nursery.” Early newborn hypoglycemia and prolonged hypoglycemia can lead to mental retardation and
body. There are two conditions that may result in a diabetic emergency. 1. Not enough insulin. This causes a high level of sugar or hyperglycemia. This can lead to a diabetic coma. 2. Too much insulin. This causes a low level of sugar or hypoglycemia. This may lead to insulin shock. Regardless, both conditions require the person to seek medical attention. One of the best things that a person with diabetes can do for themselves is to learn how to manage their diabetes and know when they are
The story “To Build A Fire” written by Jack London has two nearly identical versions published in 1902 and 1908 respectively. The latter is better-known and more thought-provoking because of the antagonist’s death. To begin with, the adventure took place on an extremely cold day in Klondike, consisted of a man and his dog. The man was not afraid of cold and felt confident about travelling alone at fifty degrees below zero. However, he broke through a thin skin of ice unexpectedly and wet himself
Ferrauti et al did a research study on top level tennis players. Their study was to see how blood glucose levels fluctuated over the course of multiple tournaments and practice matches, as well as to verify how many of these tennis players encountered hypoglycemia as a result of playing too much and not getting adequate nutrition to keep blood glucose levels balanced. Ferrauti et al interviewed 147 tournament tennis players. Their purpose was to find out how many of those athletes experienced hypoglycemic
Dr. Perkins, To respond to your request to determine if switching from Lantus to Levemir or Tresiba would alleviate nocturnal hypoglycemia and weight gain we provide the following information: Answer: • The literature suggests that the use of insulin degludec is recommended over the use of long-insulin glargine and insulin detemir to reduce the rate of nocturnal hypoglycemia. • The literature is inconclusive regarding switching from Lantus to Levemir or Tresiba and the alleviation of weight. Background:
high or low so you know what you can eat or cannot eat. 7. What are the symptoms of hypoglycemia? Define hypoglycemia. Hypoglycemia is Low blood sugar, the body's main energy source. Symptoms of hypoglycemia and hyperglycemia have a lot of the same symptoms like excess sweating, excessive hunger, fainting, fatigue, lightheadedness, or shakiness. 8. What is the treatment for hypoglycemia? Treatment for hypoglycemia could be consuming high-sugar foods or drinks, such as orange juice or regular soda
Particularly, such tests are performed to examine immediate neonatal hypoglycemia on high-risk newborns, such as babies born with low birth weight, small for gestational age, large for gestational age, and asphyxia. Based on the current evidence-based practice, this kind of testing is not consistent in newborns and is prone
can get hypoglycemia are easily injured and take full attention. Teacup puppies can naturally gain health problems, are too small and delicate and are a big responsibility. So teacup puppies are not a good pet to own. In addition teacup dog breeds develop heart disease because of their tiny size. No animal is meant to be so tiny. Teacup dogs weigh too little and they die earlier than normal size dogs. Teacup dogs must be fed throughout day to avoid low blood sugar, or hypoglycemia, which can
accumulation of ketones, it leads to metabolic acidosis which causes nausea and vomiting, as a result fluid and electrolytes are lost (Gibbs). There are many complications of diabetic ketoacidosis, some of the most prevalent are: Cerebral Edema, Hypoglycemia, and Acute Pancreatitis. Cerebral Edema is a rare but fatal complication of diabetic ketoacidosis. To thoroughly describe the clinical signs of cerebral edema is characterized by “deterioration in the level of consciousness, with lethargy, decrease
EMANCIPATOR K (1999) Laboratory diagnosis and Monitoring of Diabetes Mellitus, American Journal of Pathology, 112(5) PP665-674 EVERS IM, TER BRAAK EW, DE VALK HW, VAN DER SCHOOT B, JANSSEN N, VISSER GH (2002) Risk indicators Predictive For Severe Hypoglycemia During The First Trimester of Type 1 Diabetic Pregnancy, Diabetes Care, 25 (3) Pp554-559 Previous course notes, BIOM2003 MARTIN ELIZABETH A (2002) Concise Medical DictionarySixth Edition, Oxford, Oxford University Press, Pp148, 190-191, 374
adjunct tools, they can have an impact by reducing exposure to hypoglycemia and hyperglycemia and by reducing glycosylated hemoglobin A1c in those with suboptimal control. Continuous glucose monitoring can be used for the evaluation of the effects of exercise on glucose levels and to strategize the timing of insulin adjustments and extra carbohydrates relative to activity, but they may not be useful as tools to detect exercise-induced hypoglycemia because of the time delay associated with the equilibrium
120 mg/dL. If the blood sugar drops below 80 mg/dL is is called hypoglycemia, and if it goes below 40 mg/dL it is a hypoglycemia crisis. If the blood sugar goes above 120 mg/dL it is called hyperglycemia. When the blood sugar goes above 400 mg/dL it's called diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic nonketotic coma (HHNC). If the blood sugar goes then goes above 800 mg/dL it is a hyperglycemic crisis. Hypoglycemia is when the blood sugar drops below 80 mg/dL. This can happen when
Specific Purpose Statement: To inform the audience about the disease, Diabetes type 1. Thesis: Diabetes type 1 is different from type 2 and if given the wrong treatment it could lead to devastating consequences. Pattern of Organization: Topical Introduction I. [Attention-Getter] Imagine waking up in a hospital. Without knowing why you are there or how you got there. Imagine your head being dizzy, having a very blurry vision and feeling as if you just finished two marathons. II. [Reveal Topic] This
Short-acting regular insulin Native or regular insulin molecules associate as hexamers in aqueous solution at a neutral pH and ¬¬¬___ aggregation slows absorption following subcutaneous injection. Regular insulin should be injected 30-45 minutes before a meal. Regular insulin also may be given intravenously or intramuscularly. Short-acting insulin analogs The development of short-acting insulin analogs that retain a monomeric or dimeric configuration is a major advance in insulin therapy. These
those dependant on benefits or food stamps. For people with Diabetes the problem goes beyond hunger and they may end up with Hypoglycemia. As stated by O’Brien “The basic idea is that people struggling to make it paycheck-to-paycheck might run out of money at the end of the month—and