Hypoglycemia in Diabetic Patient

HYPOGLYCEMIA
IN DIABETIC
PATIENT
PRESENTED BY :
OUR GOALS :
 Presenting the Case Scenario
 Answer the possible questions
 Introduction of hypoglycemia
 management
 prevention
THE CASE
Dania. 7yrs old, known case of type I DM
for 3yrs,
she is on Novo rapid pre meal and 14 fU Lantus
once at morning she presented to the casualty
last night because of abnormal movement.
At afternoon Dania visited her grandma,
when she came back to home she started to complain from
headache, she became pale, sweaty then developed tonic
convulsion involved LT upper limb associated with rolling up of
her eyes and bluish discoloration of lips, mam gave her
some honey and convulsion stopped, mam did not record
blood sugar at that time, this event lasted for about 2

min followed by lethargy and sleep
No history of fever. blurred vision, no previous history
of head trauma.
Mam explained this no vomiting or diarrhea,
no palpitation or
attack by heavy exercise.
.
QUESTION :
Q.1 Q.2 Q.3 Q.4

What are the What could be D/D her How to manage Mention one of
information’s should be condition ? hypoglycemic attacks in emergency treatment
taken in the history ? diabetic patients ? could be used in this
situation ?
. Q.1 WHAT ARE THE INFORMATION’S SHOULD BE TAKEN IN 5
THE HISTORY ?
GOOD ANALYSIS OF THE MAIN SYSTEMIC REVIEW :

COMPLAIN :
• Sweating
ask about abnormal movment : • Fainting
• Generlazid or localized
• dizziness
• duration of attack
• Pallor
• up roiling of eye
• Hunger
• secretion from mouth,
• Polyuria -Polydipsia
• cyanosis , • Vomiting (projectile)
• com or deep sleep , • Abdominal pain
• any intervention , • Cozumel breathing
• Associated symptoms • Headache
• photophobia
. Q.1 WHAT ARE THE INFORMATION’S SHOULD BE TAKEN IN 6
THE HISTORY ?
PAST MEDICAL : EDUCATION :

• History of the same illness
• History of other Chronic • Adjustment of the insulin to
diseases (epilepsy) heavy exercises and illness
• history of known case diabetes • Educated on how to
• H\o Admitions \ ICU recognize and treat
hypoglycmia
• Drug (dose)
• Recent changes in diet and
• Route ( change site -given by
exercise routine
who? – eating after )
• Regular monitering of blood
• S\E
sugar
• Episodes of low blood sugar in
• How to use glucometer
the past
• Regular follow up
• H\o DKA
7
FAMILY SOCIAL NUTRITION DEVELOPMENT

AL
H/O same illness

H/O chronic illness Diet
(epilepsy) outcome Carb count performance
consanguinity Special diet
Q.2 WHAT COULD BE OF
D/D HER CONDITION?
 Hypoglycemia
 epilepsy,
 meningitis
 stroke
 Brain tumor
 cerebral edema
Q.3
How to
manage
hypoglycemic
attacks in
Lorem ipsum dolor sit amet, adipiscing elit
diabetic
patients ?
 WHAT'S HYPOGLYCEMIA ? 10
Hypoglycemia is a condition that occurs when the blood

glucose level in a diabetic patient drops below normal
levels (less than 70 mg/dL)
This can happen due to various reasons such as ..
taking too much insulin or other diabetes medications,
skipping meals, exercising excessively.
Symptoms of hypoglycemia include sweating, shaking,
dizziness, confusion, irritability, and weakness. If left
untreated, severe hypoglycemia can lead to seizures, loss
of consciousness or even death.
Diabetic patients are advised to monitor their blood
glucose levels regularly and take appropriate measures to
prevent hypoglycemia.
Investigation :
• A blood sugar level below 70 mg/dL (3.9 mmol/L)
• blood glucose meter
• random blood sugar sample
.0111
MANAGEMEN
T DEPEND ON
:
Conscious level
severity
 PREVENTION
 monitor blood sugar levels
regularly and keep them within
the target range
 inform family and friends about
hypoglycemia and what
symptoms to look for so they
can alert you to early symptoms
 Great effort must be invested in
patient education on
hypoglycemia prevention and
management
 Education about adjustment of
the insulin doses before heavy
exercise
MANAGEMEN
T DEPEND ON
:
Conscious level
severity
Q.3 How to manage hypoglycemic attacks 14
in diabetic patients ?
 IN CONSCIOUS PATIENT  IN UNCONSCIOUS PATIENT

(MILD TO MODERATE ) (SEVER) (EMERGENCY)
WE NEED APPROXIMATELY 15  CALL FOR HELP

GRAMS OF GLUCOSE TO CORRECT  AIRWAY
HYPOGLYCEMIA  BREATHING
 CIRCULATION :
● TAKE AT LEAST ½ CUP FRUIT
JUICE , 3 SPOONS OF SUGAR IN • INSERT IV LINE AND GIVE 2-5
GLASS OF WATER OR SPOON OF ML/KG D10%
HONEY . • IF NO IMPROVEMENT >
REPEAT
● 3 GLUCOSE TABLETS • IF NO IMPROVEMENT >
REPEAT AGAIN
●AFTER 15 MINUTES, CHECK YOUR  OTHER METHOD:
BLOOD SUGAR AGAIN AND REPEAT
A DOSE OF FAST-ACTING
• GLUCAGON (IM)
CARBOHYDRATES IF THE SUGAR IS
STILL LOW.
Presentation title 15
SUMMARY
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data architecture, we help organizations virtually manage agile workflows.
We thrive because of our market knowledge and great team behind our
product. As our CEO says, "Efficiencies will come from proactively
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THANK YOU
Mirjam Nilsson
[email protected]
www.contoso.com

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HYPOGLYCEMIA

blood sugar at that time, this event lasted for about 2

Q.1 Q.2 Q.3 Q.4

GOOD ANALYSIS OF THE MAIN SYSTEMIC REVIEW :

PAST MEDICAL : EDUCATION :

FAMILY SOCIAL NUTRITION DEVELOPMENT

H/O same illness

Hypoglycemia is a condition that occurs when the blood

 IN CONSCIOUS PATIENT  IN UNCONSCIOUS PATIENT

WE NEED APPROXIMATELY 15  CALL FOR HELP

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