The VHA has chosen to target glycemic overtreatment as one focus, with an emphasis upon hypoglycemic safety.
The VHA Choosing Wisely Task Force proposes a voluntary program to improve patient-centered care and support Patient-Aligned Care Teams (PACTs) across the country. Diabetes treatment plans are designed to match the dose and timing of medication to a person’s usual schedule of meals and activities.
Epinephrine causes early warning symptoms of hypoglycemia such as shakiness, sweating, anxiety, and hunger.
When people think their blood glucose is too low, they should check the blood glucose level of a blood sample using a meter. Their diabetes medications.A It is important to knowA  which diabetes medications can cause hypoglycemia and explain how and when to take medications. Their use of alcoholic beverages.A Drinking alcoholic beverages, especially on an empty stomach, can cause hypoglycemia, even a day or two later. Their diabetes management plan.A Intensive diabetes managementa€”keeping blood glucose as close to the normal range as possible to prevent long-term complicationsa€”can increase the risk of hypoglycemia. Severe hypoglycemiaa€”very low blood glucosea€”can cause a person to pass out and can even be life threatening. Physical activity has many benefits for people with diabetes, including lowering blood glucose levels. The health care provider may suggest extra blood glucose checks, especially after strenuous exercise.
Some people with diabetes do not have early warning signs of low blood glucose, a condition called hypoglycemia unawareness. Hypoglycemia unawareness develops when frequent episodes of hypoglycemia lead to changes in how the body reacts to low blood glucose levels. However, taking these pills along with other diabetes medicationsa€”insulin, pills that increase insulin production, or botha€”increases the risk of hypoglycemia.
Treatment for Hypoglycemia:If the person having these symptom is conscious, giving them something to eat or drink such as candy, milk, or orange juice will bring their glucose levels up and drive their insulin levels down.


Disclaimer: All content on this website is for informational purposes only and should not be considered to be a specific diagnosis or treatment plan for any individual situation.
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For good diabetes management, people with diabetes should take diabetes medications in the recommended doses at the recommended times. Heavy drinking can be particularly dangerous for people taking insulin or medications that increase insulin production. Those whose goal is tight control should talk with a health care provider about ways to prevent hypoglycemia and how best to treat it if it occurs. Glucagon will rapidly bring the blood glucose level back to normal and help the person regain consciousness.
However, physical activity can make levels too low and can cause hypoglycemia up to 24 hours afterward. People with hypoglycemia may have trouble concentrating or seeing clearly behind the wheel and may not be able to react quickly to road hazards or to the actions of other drivers. This condition occurs most often in people with type 1 diabetes, but it can also occur in people with type 2 diabetes. The body stops releasing the hormone epinephrine and other stress hormones when blood glucose drops too low.
Characteristically, diabetes is the result of too much sugar (hyperglycemia) in the blood, but in cases where gaining control of glucose (sugar) levels in the blood, hypoglycemia can result.In Type 1 diabetes, low blood sugar is as much of a concern as high blood sugar. After an episode such as this a call to the physician for further instructions should be made as soon as possible. Use of this website and the information contained herein does not create a doctor-patient relationship. The ultimate goal of these voluntary efforts is to foster evidence-based, patient-centered, critical clinical thinking and shared informed decisions between VHA healthcare teams, clinicians and Veterans. For example, taking a dose of insulina€”or other medication that increases insulin levelsa€”but then skipping a meal could result in hypoglycemia.


To prevent problems, people at risk for hypoglycemia should check their blood glucose level before driving. People with hypoglycemia unawareness may need to check their blood glucose level more often so they know when hypoglycemia is about to occur. The loss of the body’s ability to release stress hormones after repeated episodes of hypoglycemia is calledhypoglycemia-associatedA autonomicA failure, or HAAF. Always consult with your own doctor in connection with any questions or issues you may have regarding your own health or the health of others. People with diabetes should eat regular meals, have enough food at each meal, and try not to skip meals or snacks. Family, friends, or coworkersa€”the people who will be around the person at risk of hypoglycemiaa€”can learn how to give a glucagon injection and when to callA  to get medical help. This can easily happen when there is too much insulin in the body which leads to low amounts of blood glucose.
Eating a snack before bedtime can prevent blood sugars from dipping too low during sleep.Coordinate your eating times and physical activity with taking your insulin. When taking long trips or traveling, make sure you have enough insulin supplies with you to keep check on glucose levels and to give yourself the needed insulin to keep sugar levels in normal limits.Never skip meals.
A person suffering from low blood sugar may exhibit signs and symptoms of confusion, dizziness, increased hunger, and headache.
When counting carbohydrates, you will know just how much insulin is needed to keep glucose values steady. Be sure that your doctor knows all the medications you are taking, including over the counter meds.



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Comments

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