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February 10, 2012
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Wilderness: Diabetic Reaction (cont.)

Medical Author:
Scott H Plantz, MD, FAAEM
Medical Editor:
N Stuart Harris, MD, MFA
Medical Editor:
Francisco Talavera, PharmD, PhD
Medical Editor:
James Kimo Takayesu, MD

Diabetic Reaction Treatment

  • Low blood sugar

    • Provide the person with low blood sugar with juice, candy, or any other sweet substance. If the person responds to treatment, further food will be required.


    • Diving is generally not safe for most people with diabetes. Wilderness trips should be made with care and planning. Blood sugar monitors and adequate medication supplies (with refrigeration for insulin) should always be taken along.


    • NOTE: When in doubt, any person with diabetes who appears to be having a reaction should be treated as if he or she has low blood sugar until a blood sugar measurement can be obtained.

  • High blood sugar

    • Encourage clear liquids with low sugar content.


    • Administer IV fluids as soon as possible. The person with high blood sugar may need extra insulin doses in a monitored medical setting.

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Diabetes Insipidus »

Central diabetes insipidus (DI) is characterized by decreased secretion of antidiuretic hormone (ADH), also known as arginine vasopressin (AVP), that results in polyuria and polydipsia by diminishing the patient's ability to concentrate urine.

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