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HYPOGLYCEMIA PREVENTION |
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Drug-induced hypoglycemia Preventing hypoglycemic insulin reactions in diabetics requires taking glucose readings through frequent blood sampling. Insulin can then be regulated based on those readings. Maintaining proper diet is also a factor. Programmable insulin pumps implanted under the skin have proven useful in reducing the incidence of hypoglycemic episodes for insulin-dependent diabetics. As of late 1997, clinical studies continue to seek additional ways to control diabetes and drug-induced hypoglycemia. Tests of a substance called pramlintide indicate that it may help improve glycemic control in diabetics. Reactive hypoglycemia The onset of reactive hypoglycemia can be avoided or at least delayed by following the same kind of diet used to control it. While not as restrictive as the diet diabetics must follow to keep tight control over their disease, it is quite similar. There are a variety of diet recommendations for the reactive hypoglycemic. Patients should: Avoid overeating. Never skip breakfast. Include protein in all meals and snacks, preferably from sources low in fat, such as the white meat of chicken or turkey, most fish, soy products, or skim milk. Restrict intake of fats (particularly saturated fats, such as animal fats), and avoid refined sugars and processed foods. Be aware of the differences between some vegetables, such as potatoes and carrots. These vegetables have a higher sugar content than others (like squash and broccoli). Patients should be aware of these differences and note any reactions they have to them. Be aware of differences found in grain products. White flour is a carbohydrate that is rapidly absorbed into the bloodstream, while oats take much longer to break down in the body. Keep a "food diary." Until the diet is stabilized, a patient should note what and how much he/she eats and drinks at every meal. If symptoms appear following a meal or snack, patients should note them and look for patterns. Eat fresh fruits, but restrict the amount they eat at one time. Patients should remember to eat a source of protein whenever they eat high sources of carbohydrate like fruit. Apples make particularly good snacks because, of all fruits, the carbohydrate in apples is digested most slowly. Follow a diet that is high in fiber. Fruit is a good source of fiber, as is oatmeal and oat bran, which slows the buildup of sugar in the blood during digestion. A doctor can recommend a proper diet, and there are many cookbooks available for diabetics. Recipes found in such books are equally effective in helping to control hypoglycemia. |
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| HYPOGLYCEMIA RELATED ITEMS | ||
