Hypoglycemia, A Simple Guide To The Condition, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Hypoglycemia is a state of low glucose action
Which the brain needs for its function
Without glucose the brain has no nutrition
And immediately shut down its reactions
Sugar is the life blood of the brain
That is necessary for the memory to retain
The brain can do all its functions
Otherwise it will stop its actions
Hypoglycemia makes the body faint and sweating
The whole body is shaky and trembling
The heart is going so fast and racing
The body feels tired and difficulty in breathing
Treatment is so simple: just give me some glucose tablet
It can be in the form of sweets or chocolate
Glucose will stimulate my brain cells into waking
And start the process of working and thinking
-An original poem by Kenneth Kee
Facts about the Hypoglycemia
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment of Hypoglycemia
Essentially a quick-acting carbohydrate needs to be given followed by longer-acting carbohydrate
Initially Glucose 10-20 g is given by mouth, either in liquid form or as granulated sugar (2 teaspoons) or sugar lumps.
Repeat capillary blood glucose after 10-15 minutes if the patient is still hypoglycemic then the above can be repeated (probably up to 1-3 times).
If hypoglycemia causes unconsciousness or the patient is uncooperative:
75-80 ml 20% intravenous glucose or 150-160 ml of 10% glucose (the volume will be determined by the clinical scenario)
Once the patient regains consciousness, oral glucose should be administered as above.
Glucagon 1 mg should be given by intramuscular (IM), or subcutaneous (SC) injection.
The patient must be admitted to hospital if hypoglycaemia is caused by an oral antidiabetic drug, because the hypoglycemic effects of these drugs may persist for 12-24 hours.
Ongoing glucose infusion or other therapies such as octreotide may be required.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
Hypoglycemia
A Patient on diabetic medication should always carry a sweet with him in case his blood sugar drops too low and suck the sweet if he feels giddy.
Patients on sulphonylurea oral medications or insulin injections are particularly prone to hypoglycemia.
I once made a house call to an elderly man’s house because he was in a comatose state.
When I check his medicine, it appeared that he was given a diabetic medicine.
When I check his blood sugar it was way below normal.
I gave an intravenous glucose solution and that cause him to wake out immediately.
Later he was given a glucose tolerance test and found that he has no diabetes.
It was a misdiagnosis by another doctor.
It is dangerous to give diabetes medicine to a person unless he has been confirmed by blood test to be diabetic.
What is Hypoglycemia?
Hypoglycemia is defined as blood gluco
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Hypoglycemia, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee
Hypoglycemia,
A
Simple
Guide
To
The Condition,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Hypoglycemia, Treatment and Other Related Conditions which are seen in some of my patients in my Family Clinic.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to Hypoglycemia
Hypoglycemia is a state of low glucose action
Which the brain needs for its function
Without glucose the brain has no nutrition
And immediately shut down its reactions
Sugar is the life blood of the brain
That is necessary for the memory to retain
The brain can do all its functions
Otherwise it will stop its actions
Hypoglycemia makes the body faint and sweating
The whole body is shaky and trembling
The heart is going so fast and racing
The body feels tired and difficulty in breathing
Treatment is so simple: just give me some glucose tablet
It can be in the form of sweets or chocolate
Glucose will stimulate my brain cells into waking
And start the process of working and thinking
-An original poem by Kenneth Kee
Facts about the Hypoglycemia
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment of Hypoglycemia
Essentially a quick-acting carbohydrate needs to be given followed by longer-acting carbohydrate
Initially Glucose 10-20 g is given by mouth, either in liquid form or as granulated sugar (2 teaspoons) or sugar lumps.
Repeat capillary blood glucose after 10-15 minutes if the patient is still hypoglycemic then the above can be repeated (probably up to 1-3 times).
If hypoglycemia causes unconsciousness or the patient is uncooperative:
75-80 ml 20% intravenous glucose or 150-160 ml of 10% glucose (the volume will be determined by the clinical scenario)
Once the patient regains consciousness, oral glucose should be administered as above.
Glucagon 1 mg should be given by intramuscular (IM), or subcutaneous (SC) injection.
The patient must be admitted to hospital if hypoglycaemia is caused by an oral antidiabetic drug, because the hypoglycemic effects of these drugs may persist for 12-24 hours.
Ongoing glucose infusion or other therapies such as octreotide may be required.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance