Sunday, April 21, 2019
Managing hypoglycemia in primary care as a practice nurse Essay
Managing hypoglycemia in primary c are as a practice nourish - Essay ExampleMany patients opt to increase their food intake to an extent where hyperglycemia becomes inevitable. Others resolve by being psychologically upset which in turn compromises their quality of lif e. Long-term consequences may allow in a less productive lifestyle coupled with feelings of anxiety and fear.Glucose acts as the primary fuel for the cosmic variety of functions that nervous system performs. Despite the fact that glucose is vital for neural survival, the local storage of glucose inside the substance of brain is hold in astrocytes contain glycogen which may produce glucose for a very limited period of time. For this reason, neuronal survival is mainly dependent upon a sustained supply of glucose through the daub brain barrier. Consequently, brain becomes one of the primary targets of hypoglycemia and suffers the first insult when blood glucose level starts to shine downstairs a certain level (65 mg/dl). Irregular electrical activity at neuronal level may precipitate seizures when the level falls below 40mg/dl. Neuronal electrical activity ceases to outlive when blood glucose level is below the 10mg/dl range (Ahrens et al, 2010). Since the control mechanism related to glycemia is affected in diabetes, it is common for diabetics to encounter hypoglycemic events due to reduced food intake, altered level of activity or overuse of glucose-lowering drugs. In severe cases, hypoglycemia may bring forth worst prognostic outcomes kindred coma or death.Due to the fact that different symptoms like hunger, irritability or anxiety are often attributed to hypoglycemia by health care workers without documenting actual hypoglycemia, the exact incidence of hypoglycemia cannot be determined with certainty. Among people presenting with symptoms suggestive of hypoglycemia, only 5-10% are actually hypoglycemic i.e. blood sugar levels below 50 mg/dL. Moreover, the incidence
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