MEDI7212 Lecture Notes - Lecture 72: Lactic Acidosis, Ketone, Polyuria
Document Summary
Alcohol intake alcohol increases risk of hypoglycemia via reducing gluconeogenesis. Limit intake to 2 std drinks per day + regular alcohol-free days. High risk behaviour: recreational drugs may cloud awareness, consciousness and understanding in recognising hypoglycemia & making good decisions. Inform driver license authority of condition & have regular medical review. Low gi foods are preferred in enteral feeding as they have less impact on glycemia: high gi foods increase glycemia and cause osmotic diarrhoea, predisposing patient to hyperosmolar states (hyperglycemia, dehydration) Slow introduction of enteral feeding while glycemia is monitored. Older people: comorbidities and consequent need for polypharmacy, leading to greater risk of unfavourable drug interactions, possible reduced nutritional status or parenteral feeding, depression. Sulfonylureas and insulin may be hazardous in some older diabetes patients. Severe hypo (loc, confused) = iv glucose 50% (adult) or 10% (child) or im or sc glucagon (unable to take oral foods or fluid) ---
