Diabetes

It is often desirable to obtain a baseline blood glucose measurement when detainees with diabetes are initially assessed and for this to be repeated if necessary throughout the detention period. All doctors should have the means to test blood glucose, using either a strip for visual estimation or a quantitative meter. Several small portable meters are now available.

Oral hypoglycemics and insulin should be continued and consideration given to supervision of insulin injections. Regular meals and snacks should be provided, and all patients with diabetes should have access to rapidly absorbed, carbohydrate-rich food.

Hypoglycemia is easily treated. If the blood glucose is less than 4 mmol/L in a conscious person, oral carbohydrates should be given. In a detainee who is unconscious or restless, an intravenous bolus of 50 mL of 50% dextrose solution may be difficult to administer and may result in skin necrosis if extravasation occurs; therefore, 1 mg of glucagon can be given intramuscularly, followed by 40% glucose gel orally or applied to the inside of the mouth. Glucagon can give an initial glycemic response even in a patient with alcoholic liver disease (13); however, it should be remembered that in severe alcoholics with depleted glycogen stores, the response to glucagon may be reduced or ineffective.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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