Management of Hypoglycemia NIK MUHAMAD ARIFF BIN MOHD AZMI BMS 13091713
Definition Hypoglycemia is defined by either one of the following conditions: a)Low plasma glucose level ( < 4.0 mmol /L ) b) Development of autonomic or neuroglycopenic symptoms in patients with insulin or OADs which are reversed by caloric intake.
Patient Advice Patients at high risk for severe hypoglycaemia should be informed of their risk and counselled, along with their family members and friends. Patients at risk of hypoglycaemia are discouraged from driving, riding, cycling or operating heavy machineries , as these activities may endanger oneself and the public. Patients receiving anti-diabetic agents that may cause hypoglycaemia should be counselled about strategies for prevention, recognition and treatment of hypoglycaemia. Individuals may need to have their insulin regimen adjusted appropriately to lower their risk.
References 1. Clinical Practice Guidelines Management of Type 2 DM 5 th edition 2. Davidson’s Principles and Practice of Medicine 22nd edition