Know causes, which is the key to the treatment of hypoglycemia.
1. The treatment of acute hypoglycemia:
Glucose Applications: acute severe hypoglycemia with coma, the condition in order to avoid changes to be 50% of the rapid intravenous injection of glucose 50 ~ 100ml, duplicate, if necessary, 1 or 2 times, until the patient conscious, the following 10% glucose infusion to maintain blood glucose at 8.3 ~ 11.1mmol / L (150 ~ 200mg/dl), observation of 12 ~ 48h, in order to restore brain cells and prevent the recurrence of coma, such as when the above conditions are not on the low blood sugar coma, the dessert and drink should not be caused by suffocation, when available, such as honey or jam applied at the patient's teeth, oral mucosa, or nasal feeding dessert is one of first aid measures.
Glucagon Applications: can be after onset and 50% glucose solution at the same time the application of the general dose of 0.5 ~ 1.0mg, may be subcutaneous.
Epinephrine Application: When severe hypoglycemia associated with shock, and do not have the above-mentioned conditions, can be small and medium-dose applications, but used with caution in patients with hypertension and the elderly.
Mannitol application: After the above treatment has been restored after blood sugar, but still in a coma for more than 30min, the possible low blood sugar coma with cerebral edema, mannitol infusion could be considered.
Application of adrenocorticotropic hormone: treatment by high glucose, glucose has to maintain the 8.3 ~ 11.1mmol / L, but reached 15 ~ 30min mind are not yet clear, in order to not damage the brain, corticosteroids can be used 100 ~ 200mg.
2. The treatment of mild hypoglycemia:
Symptomatic treatment: when patients are being oral hypoglycemic agents or insulin treatment. Where there palpitations, excessive sweating, weakness, hunger or symptoms or signs such as dizziness, hypoglycemia has been aware of the performance, the immediate cookies, candy or dessert drinks (sugar content 10 ~ 20g), while monitoring blood glucose level, generally around 10 ~ 20min to resume in order to maintain a certain blood sugar level, such as to alleviate the disease is not easy, and can also be used 50% glucose or 10% intravenous glucose infusion.
Healthy diet: high protein, high-fat, low carbohydrate diet, in order to reduce the stimulation on the role of insulin secretion.
3. Etiological treatment. Hypoglycemia factors are diseases, only one of hypoglycemic agents among some hypoglycemia, have a digestive system is still, endocrine and metabolic diseases such as certain types of tumor, severe hypoglycemia can also be treated accordingly.
