whipple triad HYPOglycemia fuel anemia

"Every Day And In Every Way I Am Getting Better And Better" ...
.
.
.

"The brain is the major player in hypoglycemia."

Be aware that the glucometers that people use for diabetes are most accurate in

the low 100s and have very poor accuracy when it is reading concentrations

below 60 mg/dl. Additionally there is quite a bit of individual variation, so

don't think you are safe until you get to the 30s, because you may not be.

WOMEN
fasting 68-110 mg/dl
24 hrs fasting 34-81 mg/dl
48 hrs fasting 37-62 mg/dl
72 hrs fasting 15-68 mg/dl
MEN
fasting 66-111 mg/dl
24 hrs fasting 55-103 mg/dl
48 hrs fasting 50-99 mg/dl
72 hrs fasting 50-85 mg/dl.

Some normal women can get very low glucose levels and have no hypoglycemic symptoms.
Therefore a low glucose level does not give someone the diagnosis of
hypoglycemia.

So what do doctors consider proof of hypoglycemia? For the well accepted
diagnosis of hypoglycemia, a patient needs to have something called "Whipple's
triad." Whipple's triad is:

1) symptoms of hypoglycemia (see lesson one for these)
2) a low glucose level at the same time as the symptoms and
3) improvement and/or resolution of the symptoms with administration of
carbohydrate (injected or eaten).
http://www.fred.net/slowup/hcauses.txt

Some patients with diabetes can experience hypoglycemia at slightly higher blood glucose levels. Patients whose blood glucose levels are high for long periods of time may have symptoms of low blood glucose and feel poorly when levels approach 100 mg/dL. These patients should intensify their diabetic regimen to get blood glucose levels into a range that is closer to normal. This will lower the blood glucose level at which a patient feels symptoms. http://www.uptodate.com/patients/content/topic.do?topicKey=~gVqTkbDbnrE/v

You may have symptoms of low blood sugar if your blood sugar drops from a high level to a lower level. For example, if your blood sugar level has been higher than 300 mg/dL for a week or so and the level drops suddenly to 100 mg/dL, you may have symptoms of low blood sugar even though your blood sugar is in the normal range. However, if you have had diabetes for many years, you may not have symptoms of low blood sugar until your blood sugar level is very low.

http://www.revolutionhealth.com/conditions/diabetes/blood-sugar/blood-sugar-overview/index

Although low blood sugar is defined as less than 70 mg%, some patients

with chronic diabetes may have symptoms of low blood sugar when it is

below 100 mg%. You may want to check your blood sugar often. Some

people with diabetes may have rapid drop in the blood sugar. If you have

this problem, discuss with your physician how often you should check your

blood sugar for safe driving.

http://www.rancho.org/patient_education/diabetes_drive_safely.pdf

People may have symptoms of hypoglycemia without really having low blood sugar. In such cases, dietary changes such as eating frequent small meals and several snacks a day and choosing complex carbohydrates over simple sugars may be enough to ease symptoms. http://www.labtestsonline.org/understanding/analytes/glucose/test.html

Fasting Blood Sugar Levels	Before Meals means:
0-70	Danger. Too low. Get sugar immediately.
70-90	Possibly too low. Get sugar if you feel hungry, nervous, or weak.
90-160	Normal. This is the ideal range.
160-240	Too high. Work on bringing blood sugar down (see above).
240-300	This is very high and indicates that diabetes is out of control.
300-up	Danger. Call your doctor immediately.

What to do for Hypoglycemia

If patients with hypoglycemia are awake, they should immediately drink a glass of fruit juice or a non-diet soft drink (one that has sugar in it). Other alternatives include eating a handful of candy, 3 or 4 teaspoons of honey, or 3-4 glucose tablets. They should check their blood sugar again in 15 minutes and then several more times over the next few hours until their blood sugar is well above 100 and stays above 100. If the blood sugar drops low again, then medical advice should be sought immediately. http://depts.washington.edu/uwcoe/healthtopics/diabetes.html

When you have low blood sugar (usually below 70), hormones are released that tend to increase the blood sugar level for 12-24 hours. This is a normal body response to the low level. Do not increase your diabetes medication to cover the high level � this should balance out after 24 hours. If it does not, consult your doctor. Also, if you overtreat a low blood sugar response with too much juice, soda or other forms of carbohydrate, your blood sugar may rebound into an abnormally high range.

http://www.querycat.com/faq/adf034fc82e4aa9e2f9813f427f49d70

Acute symptoms occur at certain lower blood sugar levels. These include hand tremors or an inner shakiness which accompany hunger. Often these are accompanied by sweating anywhere on the body, sometimes most intensely during the night. Frequent is heart pounding or 'palpitations' and acute anxiety in the pit of the stomach. Nightmares are common. This combination disturbs sleep and causes more fatigue. More frightening however is the accentuation of these symptoms into full-blown "panic attacks". These acute events last fifteen to thirty minutes and are induced by the sudden release of larger amounts of adrenaline.

http://www.angelfire.com/hi/TheSeer/bloodsugar.html

A rare type of hypoglycemia, known as reactive hypoglycemia, may occur in children and teens without diabetes. In reactive hypoglycemia, blood glucose levels drop to 70 mg/dl approximately four hours after a meal is eaten, causing the same symptoms of low blood sugars that can occur in people with diabetes.

http://www.answers.com/topic/hypoglycemia?cat=health

Scale amount 1:
Above 180 mg/dL

A blood sugar level greater than 180 mg/dL, one to two hours after the start of a meal, or greater than 130 mg/dL before a meal, shows that your diabetes is not under good control.

• Call your doctor to talk about your blood sugar level if you high blood sugar several times a week. You may need a check-up, or you may need a change in your Action Plan.
  
• Your goal is a blood sugar of less than 180 mg/dL after a meal.
  

Scale amount 2:
100 to 140 mg/dL
This is your target blood sugar range at bedtime.

Scale amount 3:
90 to 130 mg/dL
This is your target "fasting" blood sugar range before you eat.

Scale amount 4:
70 mg/dL or below
You may have low blood sugar or hypoglycemia.

• Here's a rule of thumb: If your blood sugar is less than 70 mg/dL and you have symptoms, like dizziness, shakiness, sweating, and a pounding heartbeat, you have low blood sugar.
  
• You also have low blood sugar if your levels are less than 70 mg/dL, even if you have no symptoms.
  

If it's low, eat or drink something sugary. You can take glucose tablets, hard candy, or fruit juice.

Rest for 15 minutes. Then, recheck your blood sugar. If it's still low, eat something sugary again. Rest and then, check blood sugar again. Repeat steps until blood sugar is over 70 mg/dL.

Seek medical attention if you get low blood sugar several times a week. http://www.diabetes.com/ip010007.html

IF BLOOD SUGAR IS LESS THAN 60,

DRINK OR EAT ONE OF THE FOLLOWING:

4 oz. fruit juice

4 oz. regular soda

4 packs sugar

6-7 lifesavers

3-4 glucose tablets

If you are unable to eat or drink, an injection of glucagon should be given, and someone should call your local emergency number for help.

WAIT 10-15 MINUTES THEN TEST AGAIN!

IF BLOOD SUGAR IS 60-80

DRINK OR EAT ONE OF THE FOLLOWING:

8 oz. milk

1 slice bread

6 saltines

1 roll

3 graham crackers

WAIT 10-15 MINUTES THEN TEST AGAIN!

If the result is STILL LESS THAN 80

Repeat the treatment.

Wait 10-15 minutes and re-test.

Continue this until blood sugar is 80.

If the result is over 80, and if it is more than 1/2 hour until your next meal, have a

snack (such as crackers and peanut butter) so your sugar doesn't get too low again.

IF YOU HAVE SYMPTOMS BUT YOUR BLOOD SUGAR IS 90 OR ABOVE

• Have a small snack such as crackers or milk.

• Re-check your blood sugar after 20 minutes or so if the symptoms

persist.

Sometimes, if your blood sugar changes quickly, you may experience low blood sugar symptoms but still have a normal glucose.

http://pfrc.med.nyu.edu/handouts/pdf/describe/diabeteslbs.pdf