Wilderness: Diabetic Reaction (cont.)
Diabetic Reaction Treatment
Low Blood Sugar Treatment
- 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.
- 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 Treatment
- 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.
Scott H Plantz, MD, FAAEM
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