Signs and symptoms of hypoglycemia --- Note sweating, tremor, palpitation, hunger, irritability, headache, seizures, paralysis, blurred vision and coma and other symptoms and onset time, frequency, duration and ease the situation. Examination: Note size and abdominal examination, especially for mass situation.
--- Sympathetic nerve symptoms and signs of hypoglycemia symptoms: hunger, weakness, pale, dizziness, palpitation, rapid pulse, cold sweats, trembling limbs, etc.
Signs and symptoms of hypoglycemia --- brain dysfunction symptoms: palpitations, agitation, hallucinations, mania,, convulsions, drowsiness and even coma and death. Hypoglycemia diagnostic tests 1 test
Fasting and the onset of blood glucose, plasma insulin, C-peptide level to calculate the insulin release index (fasting insulin / fasting glucose), if necessary, do hunger test (fasting 12 ~ 72h is induced low blood sugar) and insulin suppression test (static drops R10.1U / (kg? h), comparing before and after injection of serum C-peptide levels).
Hypoglycemia diagnostic tests 2 abdominal B-ultrasound
Necessary to make.
3.X-ray diagnostic tests hypoglycemia
Suspected insulinoma patients, do abdominal CT, particularly the pancreas CT, portal vein and splenic vein catheter measured blood insulin, selective pancreatic angiography.
Hypoglycemia diagnostic tests 4. Hypoglycemia Diagnosis
Should include: ① diagnosed with hypoglycemia; ② clear cause of hypoglycemia.
The treatment of hypoglycemia 1 symptomatic treatment:
Patients with mild low blood sugar, fruit juice or syrup, etc. can be oral treatment; have a history of taking acarbose, can only use glucose treatment. Severe or not oral administration of 50% glucose solution 50ml, intravenous injection. In the large dose of insulin or oral hypoglycemic agents in patients, there is risk of recurrent hypoglycemia, need for continuous intravenous infusion to maintain glucose solution. Type of hypoglycemia in patients with continued treatment at least 48h.
Treatment of hypoglycemia (2) cause of treatment:
Treatment of hypoglycemia (1) insulinoma: surgery is still the most effective treatment. Of inoperable cancer patients choose chemotherapy, but the effect is not satisfactory.
(2) adrenal insufficiency: use of hormone replacement therapy, commonly used intravenous hydrocortisone 100mg, quickly and effectively to restore normal blood glucose levels.
(3) reactive hypoglycemia: choice of low carbohydrate and high protein food, and pay attention to ways to eat smaller meals; pectin reduces stomach surgery reactive hypoglycemia. Available Propantheline 15mg, 3 / d orally.
(4) alcohol-induced hypoglycemia: non-alcoholics. After intravenous infusion of glucose were not restored quickly, can be added with hydrocortisone 100 ~ 300mg, intravenous infusion.
--- Sympathetic nerve symptoms and signs of hypoglycemia symptoms: hunger, weakness, pale, dizziness, palpitation, rapid pulse, cold sweats, trembling limbs, etc.
Signs and symptoms of hypoglycemia --- brain dysfunction symptoms: palpitations, agitation, hallucinations, mania,, convulsions, drowsiness and even coma and death. Hypoglycemia diagnostic tests 1 test
Fasting and the onset of blood glucose, plasma insulin, C-peptide level to calculate the insulin release index (fasting insulin / fasting glucose), if necessary, do hunger test (fasting 12 ~ 72h is induced low blood sugar) and insulin suppression test (static drops R10.1U / (kg? h), comparing before and after injection of serum C-peptide levels).
Hypoglycemia diagnostic tests 2 abdominal B-ultrasound
Necessary to make.
3.X-ray diagnostic tests hypoglycemia
Suspected insulinoma patients, do abdominal CT, particularly the pancreas CT, portal vein and splenic vein catheter measured blood insulin, selective pancreatic angiography.
Hypoglycemia diagnostic tests 4. Hypoglycemia Diagnosis
Should include: ① diagnosed with hypoglycemia; ② clear cause of hypoglycemia.
The treatment of hypoglycemia 1 symptomatic treatment:
Patients with mild low blood sugar, fruit juice or syrup, etc. can be oral treatment; have a history of taking acarbose, can only use glucose treatment. Severe or not oral administration of 50% glucose solution 50ml, intravenous injection. In the large dose of insulin or oral hypoglycemic agents in patients, there is risk of recurrent hypoglycemia, need for continuous intravenous infusion to maintain glucose solution. Type of hypoglycemia in patients with continued treatment at least 48h.
Treatment of hypoglycemia (2) cause of treatment:
Treatment of hypoglycemia (1) insulinoma: surgery is still the most effective treatment. Of inoperable cancer patients choose chemotherapy, but the effect is not satisfactory.
(2) adrenal insufficiency: use of hormone replacement therapy, commonly used intravenous hydrocortisone 100mg, quickly and effectively to restore normal blood glucose levels.
(3) reactive hypoglycemia: choice of low carbohydrate and high protein food, and pay attention to ways to eat smaller meals; pectin reduces stomach surgery reactive hypoglycemia. Available Propantheline 15mg, 3 / d orally.
(4) alcohol-induced hypoglycemia: non-alcoholics. After intravenous infusion of glucose were not restored quickly, can be added with hydrocortisone 100 ~ 300mg, intravenous infusion.
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