If you haven't
figured it out yet, your body does not like low blood glucose and
does its best to correct the condition. The body does store some
glucose in the muscles and the liver in the form of glycogen. When
the body needs glucose, the liver breaks down glycogen stores and
releases glucose into the blood. When the liver or you body is short
of glycogen, gluconeogenesis can occur. Gluconeogenesis is the term
for making new sugar in the body.
The liver and even
the kidneys, to some extent, can take the building blocks from
proteins (amino acids) and convert them into glucose. This is why
drinking alcohol is discouraged for people with diabetes. The liver
is prevented from making new glucose when it is processing alcohol.
This is the reason alcohol can cause hypoglycemia. Insulin is the
hormone that lowers blood glucose. Just about all of the other
hormones (adrenaline, glucagon, cortisol, and growth hormone) can
raise blood glucose levels.
When prescribed
correctly and taken correctly, both insulin and oral diabetes pills
can work well at controlling blood glucose levels without causing
hypoglycemia. It is when you take too much medication or eat less
food that you can cause hypoglycemia. If the body's defenses are
down or not a match for the amount of medication taken, then
hypoglycemia will result.
The following are
the symptoms of mild hypoglycemia and include, hunger, trembling,
rapid heartbeat, increased pulse, sweating, heavy breathing,
tingling, nausea, weakness, and nightmares., If you think these are
bad, here are the symptoms of moderate to severe hypoglycemia. They
include, headache, slow thinking, lack of coordination, trouble
concentrating, blurred vision, anger, dizziness, slurred speech,
seizure, coma, and potential death.
With the above
symptoms, don't count on being able to predict your blood glucose
levels by the way your feel. The only sure way of knowing is by
testing. Newly diagnosed patients often have some of the symptoms
when they are still above 100 mg/dl. This is because their body has
adapted to a higher blood glucose level and when the medication acts,
some medications do bring the blood glucose level down rapidly. This
can cause false hypoglycemia. This is the reason for testing to
prevent over reacting and eating carbs because you body is giving you
a false alarm. As your body adapts to the lower blood glucose
levels, the false alarms will stop.
The official level
for hypoglycemia is 70 mg/dl. Readings above this and below 100
mg/dl are considered normal. This is a reason to keep blood glucose
tablets and if your blood glucose test is less than 70 mg/dl then you
need to follow the rule of 15.
The rule of 15:
Treat low blood
glucose with 15 grams of carbohydrates/
Wait 15 minutes,
then test again.
If your blood
glucose had not risen 15 to 20 points, repeat the procedure.
Remember that if
your blood glucose is below 50 mg/dl, then it is better to take 30
grams of carbohydrates and then test in 15 minutes. Low blood
glucose can happen if you eat too few carbohydrates, and especially
if you skip a meal. Learn that once you start feeling of any of the
symptoms, your body can continue the symptoms for 15 to 25 minutes
after eating glucose tablets. This is because of the hormones
released by your body to combat hypoglycemia and it takes time for
these hormones to settle down.
If you continue to
eat until your felt better, you will likely eat too much. This would
then result in raising your blood glucose level to a higher level
than needed. Then you would need to possibly take more medication
and the roller coaster ride begins.
Part 3 of 4
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