I agree with you completely but sometimes in some countries there is no ambulance at the right moment if you leave the patient to die in peaceIf I find a person unconscious, I call an ambulance and leave them to work out what is the cause.
If they are awake, have diabetes but unsure whether they are hypo or hyper, I ask their permission to take a BG reading.
If there is a chance they will have a hypo, they should have their own meter to test.
Thank you but unfortunately even this is sometimes unavailableThe only way I know is to test their blood sugar.
What you can best do for them whilst hopefully awaiting medical help will be different depending on whether they are low or high
https://www.nhs.uk/conditions/diabetic-ketoacidosis/In hyperglycemia Smells the smell of acetone in the mouth (smell of apple damaged)
I thank you very much for all this valuable information but let me tell you I do not mean to act in this. Just want everyone to know about this topic.As I understand it the default is to give glucose, because hyperglycemia is unlikely to be fatal in the very short term but severe hypoglycemia can be quickly fatal. The patient will either regain consciousness or not.
However if you are not a trained first aider with an epipen of glucose (glucagon) AND of insulin (in which case you would also have a BG meter) then how are you going to treat them?
For an unconscious and unresponsive casualty you don't even know if they are diabetic. You also don't know if their coma is due to diabetes, even if you suspect that they are diabetic. They could have fainted from low blood pressure and hit their head.
So the base line is that if you can't reliably diagnose, then do nothing.
If the casualty is a T1 diabetic with epipens for both hypo and hyper events, plus a testing kit, then you might consider testing to see if BG is very low or very high. Even then unless you have been trained to inject both insulin and glucagon any messing around is likely to cause more harm than good.
Some information here. https://www.diabetes.co.uk/emergencies.html.
If someone who is insulin dependent either T1 or T2 is concerned that they might become severely hyper or hypo then it seems logical to carry a tester, emergency insulin and emergency glucagon kits along with very clear instructions on how to use them. This seems to match your "no ambulance available" scenario.
The very last thing you want is to be unconscious with a hypo and have someone who has watched a TV drama a couple of years ago confidently give you a couple of shots of insulin because "that is what you do with diabetics". Not responding, must need another shot. Perhaps another, just for luck..............
I understand that some emergency glucagon kits also require pre-mixing. Not the best situation for someone who is not familiar with the kit. Already mixed and ready to go seems sensible.
If you find someone unconscious and wearing a pump, then I pass the question over to insulin pump users!!
Yes, the idea of putting information about you is a good ideaThis is why I wear a medical alert necklace and information in my wallet.
I have never needed it, but you never know!
Not everyone has the symptoms of being high, I don't for one I feel just the same, I'm not sleepy I don't pee a lot nd I'm not thirsty! I do have symptoms when I'm low.Simple when your high your crank sleepy pee a lot and drink to much water your mouth taste fruity and you feel miserable when low your unconscious shakey can't speak to save your life or form a sentence awkward twitches hungry you may end up on the food channel and binge eat while watching people cook or eat
*Edited to remove swear word.
I think below 180mg/dl the level you will not find symptomsNot everyone has the symptoms of being high, I don't for one I feel just the same, I'm not sleepy I don't pee a lot nd I'm not thirsty! I do have symptoms when I'm low.
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