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- XIII
-
- DIABETIC EMERGENCIES
-
-
-
- Sugar is required in the body for
- nourishment. Insulin is a hormone
- that helps the body use the sugar.
- When the body does not produce enough
- Insulin, body cells do not get the needed
- nourishment and diabetes results.
-
- People with this condition take Insulin
- to keep their diabetes under control.
-
- Diabetics are subject to two very
- different types of emergencies:
-
- 1. INSULIN REACTION (OR INSULIN SHOCK)
-
- This condition occurs when there is TOO
- MUCH INSULIN in the body. This condition
- rapidly reduces the level of sugar in the
- blood and brain cells suffer.
-
- Insulin reaction can be caused by taking
- too much medication, by failing to eat, by
- heavy exercise and by emotional factors.
-
- SIGNS & SYMPTOMS
-
- Fast breathing, fast pulse, dizziness,
- weakness, change in the level of
- consciousness, vision difficulties,
- sweating, headache, numb hands or feet,
- and hunger.
-
-
- 2. DIABETIC COMA
-
- This condition occurs when there is TOO
- MUCH SUGAR and too little INSULIN in the
- blood and body cells do not get enough
- nourishment.
-
- Diabetic coma can be caused by eating too
- much sugar, by not taking prescribed
- medications, by stress and by infection.
-
- SIGNS AND SYMPTOMS
-
- Diabetic coma develops more slowly than
- Insulin shock, sometimes over a period of
- days. Signs and symptoms include
- drowsiness, confusion,deep and fast
- breathing, thirst, dehydration, fever, a
- change in the level of consciousness and
- a peculiar sweet or fruity-smelling
- breath.
-
- FIRST AID FOR INSULIN REACTION AND
- DIABETIC COMA
-
- Looking for the signs and symptoms listed
- above will help to distinguish the two
- diabetic emergencies. In addition, if the
- patient is conscious, you can ask two very
- important questions which will help
- determine the nature of the problem:
-
- 1. ASK "HAVE YOU EATEN TODAY?"
-
- Someone who has eaten, but has
- not taken prescribed medication may
- be in a diabetic coma.
-
- 2. ASK "HAVE YOU TAKEN YOUR MEDICATION
- TODAY?"
-
- Someone who has not eaten, but did
- take their medication, may be having
- an Insulin reaction.
-
-
- DISTINGUISHING BETWEEN THE TWO TYPES OF
- DIABETIC EMERGENCIES CAN BE DIFFICULT.
-
- (Always look for an identifying bracelet
- which may reveal a person's condition)
-
- OF THE TWO CONDITIONS, INSULIN SHOCK IS A
- TRUE EMERGENCY WHICH REQUIRES PROMPT
- ACTION!
-
- A PERSON IN INSULIN SHOCK NEEDS SUGAR,
- QUICKLY! IF THE PERSON IS CONSCIOUS, GIVE
- SUGAR IN ANY FORM: CANDY, FRUIT JUICE OR
- A SOFT DRINK!
-
- SUGAR GIVEN TO A PERSON IN INSULIN SHOCK
- CAN BE LIFE-SAVING! IF THE PERSON IS
- SUFFERING FROM DIABETIC COMA, THE SUGAR
- WILL NOT CAUSE THEM FURTHER HARM.
-
- Monitor victims carefully. Seek
- professional help.
- ***
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