Hypoglycemia
Alternate Names : Insulin shock, Low blood sugar
Treatment
Treatment depends on the cause. In people with diabetes who take medication that lowers blood sugar, a snack or drink containing sugar will raise the blood glucose level. Try to drink no more than 4 ounces of juice or sugar soda. You should see an immediate improvement in symptoms. If you do not, check blood sugar and repeat after 15 minutes. Overtreatment of low blood sugar can cause problems with high blood sugar in people with diabetes.
Persons with severe hypoglycemia are treated with glucose injections or the hormone glucagon. Immediate treatment is needed to prevent serious complications or death. Your doctor may tell you to change your diet so that you get more even amounts of glucose into your body throughout the day. This may prevent further episodes of low blood sugar. You may be told to eat small, frequent meals with complex carbohydrates, fiber, and fat and to avoid simple sugars, alcohol, and fruit juice. You should also eat meals at regular intervals, and balance extra exercise with extra food. If hypoglycemia is caused by an insulinoma (insulin-secreting tumor), surgery to remove the tumor is the best treatment.
Complications
Untreated, hypoglycemia from too much insulin can lead to loss of consciousness and coma. Severe hypoglycemia is a medical emergency that may result in seizures and permanent damage to the nervous system if not treated. Severe hypoglycemia that results in unconsciousness is also called insulin shock. Learn to recognize the early warning signs of hypoglycemia and treat yourself quickly and appropriately.
Calling Your Health Care Provider
Go to the emergency room immediately or call a local emergency number (such as 911) if early signs of hypoglycemia do not improve after you've eaten a snack containing sugar. Get immediate medical help if a person with diabetes or a history of hypoglycemia loses alertness or if you can't wake them up.
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