LOW BLOOD SUGAR (HYPOGLYCEMIA)
CAUSES
· It develops if the blood glucose level dips below the normal level of 70 mg/dl.
· This may be caused by insufficient intake of food, too much exercise, or excessive alcohol.
· People who inject insulin, or consume oral pills, are at a greater risk of developing hypoglycemia.
· Although the condition is manageable, occasionally it can become severe or life-threatening.
SYMPTOMS
· Mild symptoms usually include sweating, trembling, hunger and rapid heartbeat.
· Severely low blood glucose levels can also cause neurological symptoms such as confusion, weakness, disorientation and aggressiveness.
· People with hypoglycemia may have trouble concentrating or seeing clearly behind the wheel.
· They may not be able to react quickly to road hazards or to actions of other drivers.
· In rare, worst-case scenarios, hypoglycemia can lead to coma, seizure and death.
PRECAUTIONS
· As hypoglycemia can appear without warning, diabetics should check the blood glucose level before starting out at work, or on the road, as a preventive measure.
· During long road trips, check the blood glucose levels frequently and eat carbohydrate snacks, glucose tablets, candy and fruit juice so as to keep the level at 70mg/dl or above.
· Take regular snack breaks in your office, and a walk every once in a while to release stress.
· Keep yourself hydrated and make sure you come to office with a fresh mind, with good sleep.
· Eat some carbohydrates before and during exercising to prevent fatigue and hypoglycemia.
· Make sure that your diet includes wholegrain, fibre and green vegetables at frequent intervals.
· Plan smaller meals and avoid alcohol.
NEW DRUGS
· Insulin shots and oral medications in excess increase the risk of hypoglycemia.
· A new class of drugs such as GLP 1 can minimize the risk of hypoglycemia besides controlling blood sugar in Type 2 diabetics, after consultation with your doctor.
· These drugs enhance insulin secretion from the pancreas only in the presence of high sugar, thus minimizing the risk for hypoglycemia.
· Diet, exercise and medication are the three main pillars of effective diabetes management.