Management of Hypoglycemia in Insulin Therapy: Recognition, Immediate Care, and Prevention

Описание: Hypoglycemia is a common and potentially dangerous complication of insulin therapy, occurring when blood glucose levels fall below normal. It is often caused by excessive insulin dosing, delayed or missed meals, increased physical activity, or alcohol consumption. Early recognition and prompt management are essential to prevent severe outcomes.

Mild to moderate hypoglycemia typically presents with symptoms such as sweating, trembling, hunger, palpitations, dizziness, irritability, and confusion. Immediate treatment follows the “15–15 rule,” which involves consuming 15 grams of fast-acting carbohydrates—such as glucose tablets, fruit juice, or sugar—then rechecking blood glucose after 15 minutes and repeating if necessary. Once glucose levels normalize, a longer-acting carbohydrate or meal should be consumed to prevent recurrence.

Severe hypoglycemia may cause loss of consciousness or seizures and requires urgent intervention. In such cases, glucagon administration by a trained person or intravenous glucose in a medical setting is required. Preventive strategies include regular blood glucose monitoring, individualized insulin dose adjustment, proper meal planning, patient education, and awareness of hypoglycemia warning signs. Effective management improves safety, confidence, and overall quality of life for individuals using insulin therapy.

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