Diabetes Self-Management Blog

In his blog entry this week, Andy Stuckey writes about feeling the symptoms of low blood glucose, or hypoglycemia. This article from the archives reviews symptoms and discusses how to prevent and treat hypoglycemia as well as how to deal with hypoglycemia unawareness, or the absence of the usual signs of hypoglycemia.

Click here to read the article.

And remember that articles on a wide variety of diabetes topics are always available in our magazine archives section!

POST A COMMENT       
  

Comments
  1. The assertion that hypoglycemia unawareness is both preventable and treatable is unsubstantiated by the facts. While it is usually preventable in most patients, Diabetes Self-Management is implying that hypoglycemia unawareness is due to patient error exclusively. Unfortunately, the reality is that its not that simple.

    More correctly, hypoglycemia is the result of the interplay of absolute or relative insulin excess and compromised glucose counterregulation in established (C-peptide-negative) T1DM. As plasma glucose levels decline, insulin levels do not decrease-they are simply a passive reflection of the absorption of exogenous insulin, and glucagon levels do not increase. The mechanism of the latter defect is poorly understood, but it is tightly linked to, and possibly the result of, insulin deficiency. Thus, the first and second defenses against hypoglycemia are lost in established T1DM, leaving patients with only one element of counterregulatory function.

    Further, the epinephrine response is typically attenuated, i.e., the glycemic threshold for the epinephrine response is shifted to lower plasma glucose concentrations. This reduction of the third defense is largely the result of recent antecedent iatrogenic hypoglycemia, thus this one element may be prevented, but clinicians have no ability to address the other counterregulatory impairments.

    Posted by Scott |
  2. Robert S. Dinsmoor’s article on hypoglycemic unawareness has a corollary: heart attack unawareness.

    In short, with glucose damaged nerves, some people do not feel an MI. Yet, when the docs do the heart imaging stuff, you can see the scar tissue.

    My father was thus compromised.

    Moreover, the same process damages the autonomic nerves, causing among other things, difficulty in controlling blood preasure and thus MI and stroke.

    What a life!

    Posted by spongeCakeBob |

Post a Comment

Note: All comments are moderated and there may be a delay in the publication of your comment. Please be on-topic and appropriate. Do not disclose personal information. Be respectful of other posters. Only post information that is correct and true to your knowledge. When referencing information that is not based on personal experience, please provide links to your sources. All commenters are considered to be nonmedical professionals unless explicitly stated otherwise. Promotion of your own or someone else's business or competing site is not allowed: Sharing links to sites that are relevant to the topic at hand is permitted, but advertising is not. Once submitted, comments cannot be modified or deleted by their authors. Comments that don't follow the guidelines above may be deleted without warning. Such actions are at the sole discretion of DiabetesSelfManagement.com. Comments are moderated Monday through Friday by the editors of DiabetesSelfManagement.com. The moderators are employees of R.A. Rapaport Publishing, Inc., and do not report any conflicts of interest. A privacy policy setting forth our policies regarding the collection, use, and disclosure of certain information relating to you and your use of this Web site can be found here. For more information, please read our Terms and Conditions.


Low Blood Glucose
Study to Evaluate Needle-Free Glucagon Treatment (04/09/14)
Controlling the Dawn Phenomenon (12/04/13)
Slow Changes (11/14/13)
Severe Lows Occur Often in People With Type 2 (08/01/13)

Kids & Diabetes
Researcher Seeks Type 1 Diagnosis Experiences (04/14/14)
Study to Evaluate Needle-Free Glucagon Treatment (04/09/14)
College Scholarships From the Diabetes Scholars Foundation (01/25/14)
Neuropathy Common in Young Adults (12/13/13)

Blood Glucose Monitoring
Potential A1C Test Alternative; Glucose Meter Recall (01/21/14)
Why Do Test Strips Cost So Much? (Part 2) (09/25/13)
Why Do Test Strips Cost So Much? (09/24/13)
Why Raise Your A1C? (08/28/13)

 

 

Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.


Carbohydrate Restriction: An Option for Diabetes Management
Some people find that decreasing the amount of carbohydrate they eat can help with blood glucose control. Here’s what to know about this approach.

Insulin Patch Pumps: A New Tool for Type 2
Patch pumps are simpler to operate than traditional insulin pumps and may be a good option for some people with Type 2 diabetes who need insulin.

How Much Do You Know About Vitamins?
Learn what these micronutrients can and can’t do for you.

Complete table of contents
Get a FREE ISSUE
Subscription questions