Treat Lows Quickly Unless you are eating a meal right away, the best treatment for lows is a combination of simple and complex carbohydrates plus some protein. Quickly treating lows lessens stress hormone release and lowers the chance of the blood sugar going high after a reaction. You'll feel better if the body is quickly resupplied with the fuel it needs. Your brain, muscles and other cells will thank you for not prolonging their misery.
Treatment Plan For Hypoglycemia Eat 15 to 20 grams of fast acting carbohydrates immediately. Consider how much unused bolus insulin may still be active. Decide whether complex carbohydrates and/or protein are needed to keep you stable until you eat your next meal. Test your blood sugar 30 minutes later to make sure it has risen. Repeat step 1 if necessary. After a moderate or severe low blood sugar, wait 30 to 45 minutes before driving or operating machinery. A return to normal coordination and thinking is slower than the return to a normal blood sugar. You may need to eat more than 20 grams for a low:
when you took a carb bolus for a meal but never ate it. when it has been only an hour or two since your last injection of rapid insulin. when you have been more physically active. Glucose is the "sugar" in blood sugar and may also be referred to as dextrose on labels. It comes in tablets, such as Dex4 or BD Glucose tablets, and in certain candies like Sweet Tarts. Glucose breaks down quickly and reaches the blood as 100 percent glucose, which makes it the best choice for raising the blood sugar quickly.
Table sugar consists of one glucose molecule and one fructose molecule, so when it breaks down in the stomach, only half is immediately available as glucose. Fruit juices, like orange juice, contain mostly fructose and are a relatively poor choice for quick treatment of serious hypoglycemia because they take so long to raise the blood sugar. For mild lows, these differences may not be vital, but if a low is serious, you want to choose the fastest carb available to get you back on your feet quickly. Choose high glycemic food for a quick rise of the blood sugar.
How much glucose is needed? A good rule of thumb is that 1 gram of glucose raises the blood sugar 3, 4, or 5 points for body weights of 200 lb., 150 lb., and 100 lb., respectively. For example, a 5-gram glucose tablet raises the blood sugar about 20 points at 150 lbs.
Use 15 to 20 grams of quick carbohydrate for all low blood sugars. Check to see how many grams are in each glucose tablet you use so that you actually get 15 to 20 grams. The quick carbs listed below should rapidly raise the blood sugar between 45 and 80 mg/dl (1.7 to 4.4 mmol) depending upon your weight. Test your blood sugar again in 20 to 30 minutes to ensure the low has been corrected.
Thinking and coordination remain abnormal for 30 minutes after you treat a major low blood sugar. Wait 30 to 45 minutes after the blood sugar has returned to normal before driving a car or operating machinery.
Once you have eaten simple carbs and your thinking is no longer impaired, consider your situation. A recent injection of Humalog or Novolog, extra exercise, or a missed meal will all require more than 15 to 20 grams of carbs for treatment. At bedtime, in particular, add an additional 10 to 20 grams of carbohydrate, such as a glass of milk or half an apple. Raw cornstarch, a complex carbohydrate that breaks down very slowly, is available in special bars to help prevent overnight lows. An alternative to raw cornstarch is to have a high fat and protein food, like cheese or peanut butter, or part of an athletic bar. Protein and complex carbohydrates help keep the blood sugar from dropping for several hours.
For more info, visit: http://www.diabetesnet.com/diabetes_contro l_tips/hypoglycemia_treatment.php#ixzz 0qJqXAi82
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Pounds lost: 47.5
Fitness Minutes: (214,578) Posts: 19,881 6/8/10 10:15 P
as a diabetic use of glucose tabs takes 15 minutes for the average person and the dosage is 4 that is 16 carbs which is a serving of carbohydrates those should not be taken without testing your sugar levels unless you findd yourself sitting on the floor practically you need to know where you are at and make sure it is not something else lthus you should be carrying that meter around with you anything you use including orange juice and milk take 15 minutes minimum to do the work while you sit there quietly and your brain screams at you for sugar coming out of sleep during a drastic drop i can't get my meter together much less test rarely and generally when i am able to after about 15 moinutes i find it still really low down in the 50s and when i have the drops it takes almost 48 hours for my body to really stabilze again and me to feel human..the only thing that worksd faster than anything is glucgon injection the results from that are almost instantaneous but you have to be able to test and get the pen together also with your brain screaming for nourishment..it's hard and your body needs several hours to come back from even a slight drop like down to 60 and everytime your blood sugar drops out cells die they don't come back just know that there are times when my sugar has dropped so low that i started with the glucose tabs and the brain refused to let me quit and passed out from the low and wok to find once a new bottle of 50 tabs was half gone it was open and i was holding it and it was several hours later..that my friend was totally scary because i had no memory of even the first tab never miind the other 24 that was a 100 grams of carbs and the blood sugar was still only 65 so i don't how low it went and the doc well i was lucky to wake up he said so this is the experience i have with the glucose tabs i use them for drops because they work for me most of the time and it's always about 15 minutes and you need to eat 4 of them here's hoping you don't have many of those episodes for sure but always test sometimes you get that weird stuff when the sugars are really high and you need to know exactly where you are before you treat the lady mary
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I just felt weak & hypo. I've heard that they don't have a lot of calories so I thought they might be a quick pick me up. Sometimes I work two shifts. I'm at home now. Tomorrow I'll have this checked out. My doctor is in the hospital where I work. I'm feeling better now though, but oh so tired. Thanks again, Jill
Pounds lost: 43.0
Fitness Minutes: (8,232) Posts: 27,137 6/8/10 8:35 P
Call your dr and tell him how you are feeling. If you take your blood sugar numbers you can also tell what they are. Glucose tabs are for diagnosed hypoglycemia. They usually work within 15 minutes or so but on occasion you still feel poorly for a while longer. 4 oz of real coke or 6-8 oz of orange juice will do the same thing.
What are your symptoms which make you think you need the glucose? Just curious.
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Pounds lost: 22.0
Fitness Minutes: (38,201) Posts: 92 6/8/10 7:49 P
are you weak because you have not eaten?? or is your BS low?? normally when i have to take them they work within 10minutes. and i do keep checking my BS until it is back to a range to return to work or other activities.
Fitness Minutes: (539) Posts: 258 6/8/10 7:43 P
This diet has become such a slog. I'm still trying to hang in there, but sometimes I just feel so weak. I've lost weight but am still technically pre-diabetic because of my weird FBS numbers. So...glucose tablets for when I feel weak? Like noooow! How fast do they work?
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