Hi my mum is type 2 and is having hypos the care home where she is are treating this with 1 glucose ( I have told them several times how to do this they don't listen) aa cup of sweet coffee and biscuits is this OK are is it too much sugar??
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Hypos
- Thread starter Juju13
- Start Date
D
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The affect of treating hypo with sweet coffee depends on how much milk is in the coffee and how much fat is in the milk.
Fat slows down the absorption of sugar which is why (unfortunately) chocolate is not a very good hypo treatment.
Likewise, the fat in biscuits can slow down the sugar absorption and prolong a hypo.
As others have mentioned, the impact of this depends on how long your mother's BG is.
The glucose is definitely good.
Fat slows down the absorption of sugar which is why (unfortunately) chocolate is not a very good hypo treatment.
Likewise, the fat in biscuits can slow down the sugar absorption and prolong a hypo.
As others have mentioned, the impact of this depends on how long your mother's BG is.
The glucose is definitely good.
that is not bad... 7.8 is a bit high but okay safe also when just having treated her for a hypo, it is difficult to hit like right between 5 and 6 mmol .. many times it is safer to be a bit too high if one easily hypos, I think is not a worrying number right after a hypo, as it is better to be a few mmol´s too high than the opposite..
yes there is not enough people in such places to really sit beside a worried person for longer hours .. many times there are only a few 2-3 persons to take care of like 20 people and the others still needs to get new diapers on and come on the loo and be helped to eat and lots of others stuff it is difficult to be one to one person for more than a few quarters of an hour once in a while, that's why family is actually still very important in the old days, I have tried the same with my father if more people are critically ill at the same time the people working there need to run from one person to the other all the time
yes there is not enough people in such places to really sit beside a worried person for longer hours .. many times there are only a few 2-3 persons to take care of like 20 people and the others still needs to get new diapers on and come on the loo and be helped to eat and lots of others stuff it is difficult to be one to one person for more than a few quarters of an hour once in a while, that's why family is actually still very important in the old days, I have tried the same with my father if more people are critically ill at the same time the people working there need to run from one person to the other all the time
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Lamont D
Oracle
- Messages
- 17,915
- Type of diabetes
- Reactive hypoglycemia
- Treatment type
- I do not have diabetes
Hi, Juju13 you mentioned the drug Glicizide.
This is what is causing the hypos.
Have they adjusted her dose, if not speak to her medical practitioner to reduce her dosage or come off the drug altogether.
You have to be careful with treating hypos depending on the reaction of the treatment, but using some form of sugar or carbs to raise her blood levels is important as is monitoring her after the treatment.
This is what is causing the hypos.
Have they adjusted her dose, if not speak to her medical practitioner to reduce her dosage or come off the drug altogether.
You have to be careful with treating hypos depending on the reaction of the treatment, but using some form of sugar or carbs to raise her blood levels is important as is monitoring her after the treatment.
She is due to have bloods soon they haven't been managing her diabetes very well I just wanted clarification or not whether giving her coffee with sugar in several biscuits and dextrose tablets is the correct way of treating it from what I thought I understood one of these would be enough initially not jump in with all three
lou258
Well-Known Member
- Messages
- 73
- Type of diabetes
- Type 1
- Treatment type
- Insulin
I’m t1 so not sure if it’s different but I was told some fast acting glucose (like jelly babies or glucose tabs) and follow up (if you’re not near a planned meal) with some slower release carbs like a digestive or piece of bread. Hope this helps
Daibell
Master
Hi. Yes, it sounds like the Gliclazide dosage may be too high. See if the GP will reduce it.
If Blood glucose level is below 4mmol treat it with 15g fast acting glucoze than check BG if ok have 15-20g low act carbs like biscuit or cake or sandwich. its important to do it always with fast act glucoze at first otherwise you risk further droping BG level or delay effect high BG as pancracea will release glucagon when BG below 3.5mmol which will release glucose stored in lever and rise BG very high level. longer hypoglicemia more glucagon release 15g fast act carbs are 3 jelly babies, 3 tea spoon sugar solved with little water. regular orange juice 250ml etc may you buy in farmacy hypo treatment are cheap and easy to store.
I would totally agree with the above comments.
An older person in a care home is likely to eat little, lose weight and have other problems like impaired renal function that all contribute to hypos with gliclazide.
It may be that she does not need any tablet to control her glucose levels, or a gliptin might be a far more sensible choice.
Checking an armful of bloods for renal function and blood count and glucose level etc is useful, but an HbA1c can be falsely elevated if your Mum is anaemic, be all over the place if her kidney function eGFR is under 20 (and the path lab sums for eGFR are inaccurate in frail elderly) and the HbA1c is just an average, not reflecting the variation from high to low which can be quite marked.
Finally, one would use an individualised HbA1c target in all people, balancing risks and benefits - this might be a bit higher in a care home resident than in a young otherwise healthy person (I would never be ageist, but one must first do no harm)
best wishes
An older person in a care home is likely to eat little, lose weight and have other problems like impaired renal function that all contribute to hypos with gliclazide.
It may be that she does not need any tablet to control her glucose levels, or a gliptin might be a far more sensible choice.
Checking an armful of bloods for renal function and blood count and glucose level etc is useful, but an HbA1c can be falsely elevated if your Mum is anaemic, be all over the place if her kidney function eGFR is under 20 (and the path lab sums for eGFR are inaccurate in frail elderly) and the HbA1c is just an average, not reflecting the variation from high to low which can be quite marked.
Finally, one would use an individualised HbA1c target in all people, balancing risks and benefits - this might be a bit higher in a care home resident than in a young otherwise healthy person (I would never be ageist, but one must first do no harm)
best wishes
