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Insulin Reaction

Insulin Reaction Overview

An insulin reaction is an excessively low blood sugar level (hypoglycemia), usually lower than 50 mg/dL. Insulin reactions result from an excess of insulin via an injection or an excess of an insulin-stimulating oral hypoglycemic agent, usually in the sulfonylurea class of drugs. Insulin reactions are more common in people with severe diabetes. Hypoglycemia occurs more often when a person is attempting to achieve near normal blood sugar levels.



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Insulin Reaction

Diabetic Reaction Overview

There are 2 main forms of diabetes:

  • Juvenile-onset (type I) - Absent or low insulin preventing cells from taking up and using glucose for energy, generally requires insulin injections

  • Adult-onset (type II) - Cell resistance to insulin preventing glucose uptake, generally requires pills to improve the sensitivity of cells to insulin

Low blood sugar is the most common form of diabetic reaction and the most likely blood sugar problem encountered on a dive or wilderness trip. A low blood sugar diabetic reaction is caused by increased exertion and use of glucose. The body may “run out” of glucose stores more quickly, thus bringing on a hypoglycemic attack. Persistent excessive alcohol intake may cause this reaction because alcohol decreases glucose stores in the liver.

High blood sugar is a rare problem in most people with diab...

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Read What Your Physician is Reading on eMedicine

Somogyi Phenomenon »

In the 1930s, Somogyi speculated that hypoglycemia induced by insulin could cause a counter-regulatory hormone response that produces hyperglycemia.

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