SUGAR COME, SUGAR GO!
Mama was wheeled into the Emergency Room by her anxious daughter and son-in-law. She was clearly unconscious and had been so for sometime. Questioning of her anxious relatives showed she had been on her way to the bathroom and was found on the floor unconscious.
Mama is a known diabetic and hypertensive, she had previously complained of hunger and had episodes of shaking before the event.
A simple test of mama's blood sugar on presentation showed it was quite low which could have accounted for her falling into coma. A diagnosis of hypoglycaemic coma was thus favoured.
WHAT IT IS
Hypoglycaemic comaoccurs when someone's blood sugar drops to dangerously low proportions. It is a medical emergency with a frightening outcome and very simple solution.
Normal blood sugar range is between 60-110mg/dlAny value below that is at risk for hypoglycemia.
PEOPLE AT RISK
Though it could occur in normal people during periods of starvation, it usually occurs in diabetics when the dosage of their drugs is not properly regulated - this leads to a reduction in their blood sugar level to dangerously low proportions.
Ironically both low and high blood sugar levels are not desirable.
RECOGNIZING THE SYMPTOMS
In a diabetic this could include sweating, hunger and tremors.
SO WHAT BECAME OF MAMA?
A simple glucose infusion was given and in a few minutes, mama opened her eyes, began chatting and smiling and eventually got up and started walking.