Doctor insights on:
Can Someone Please Explain Hypoglycemia And Hyperglycemia
Glucose value: Normal blood glucose is in the neighborhood of 100 mg/dl. When it is higher one is hyperglycemic. When it is lower one is hypoglycemic. A blood sugar of 350 is clearly worse than one of 150 and will have more symptoms of thirstiness, frequent urination, fatigue and blurred vision. Same for hypoglycemia. The lower the value the more the sweats, tremulousness, irritability and mental cloudiness. ...Read moreSee 1 more doctor answer
Multiple causes: The most common cause of hypoglycemia (low blood glucose) is use of diabetes drugs (such as Insulin or sulfonylureas). There are also many other forms of hypoglycemia: due to organ underfunctioning (adrenal, pituitary, heart, liver, kidney, thyroid), other drugs (beta blockers, salicylates, etc), tumors (insulin- and non-insulin secreting), post-meal (dumping syndrome, reactive), among others.... ...Read more
Diabetic coma: When blood sugar goes excessively high, diabetics may not be able to metabolize it. There will be a build up of ketones as a result and a shift of the acid-base balance of the body and brain to an acidotic state. The build up sugar and ketones will alter the movement of minerals in and out of the brain cells causing abnormal function leading to coma. ...Read more
I'm trying to understand the relationship of hypoglycemia and hypotension. How does hypoglycemia cause hypotension?
Yes, is difficult to: understand relationships between issues which are not related, at least not in ANY simple way. Blood glucose & blood pressure are two very different physiological behaviors. While both are controlled from the mind/brain, there have never been any evidence of any simple linkage. Linkage would be both highly inappropriate & life threatening because of many different life issues involved in each. ...Read more
Nope. : Unless you are speaking about your baby! Hyperglycemia ( or high blood sugar) is a prediabetes condition! You must aggressively change your lifestyle. Changing your behavior is HARD! Here is a health game that will help! Commit to tracking your nutrition and weighing in weekly. Losing just 10 pounds can reverse diabetic state. https://itunes.apple.com/us/app/personal-medicine+/id84637988 ...Read more
Big discussion: Hi. You need to talk with your doc! Chronic hypergly. causes the chronic complications of diabetes (eye, kidney, nerve, amputation, heart). Hypoglycemia is an acute complication of some therapies (but principally insulin); ONE severe hypoglycemia can cause really bad outcomes. You need to review your diabetes medicines, BG goal range, and BG testing with with your doc. To your safe, tight control! ...Read more
Multiple factors: Gangrene or tissue death (necrosis) can occur when there is insufficient blood flow to tissues. Both the larger blood vessels and the smallest vessels are affected by diabetes. Also, neuropathy due to the effect of diabetes on nerves can lead to loss of protective sensation making tissues more susceptible to trauma which can lead to tissue loss. ...Read moreSee 1 more doctor answer
Loss of sugar&water: Even though most people with type 2 diabetes are obese or overweight, but people who present with diabetes are passing lots of urine and sugar in their urine which may make them loose weight.But once they are started on oral meds like tzds and sulphonyl ureas and Insulin will make most people gain weight which is a complication of the treatment and not desirable. ...Read more
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