Hypoglycemia Protocol: Fill & Download for Free

Jews all over the world fast on Yom Kippur, a fast lasting 25 hours. For diabetic patients and their physicians the fast is a significant challenge. The Jewish law exempts patients from fasting if the fast endangers the patient's health. In order to know if they can fast safely, many diabetic patients consult their physicians. In this review, the authors summarize the potential risk for fasting in diabetic patients and propose treatment protocols for patients who intend to fast. The principle recommendations are based on data related to fasting diabetic patients during the Ramadan fast, which is shorter than Yom Kippur. Furthermore, practical suggestions are based on a recent Israeli study on type 1 diabetic patients fasting for 25 hours, taking into account the Jewish law. Every diabetic patient who intends to fast should consult his physician for assurance that fasting is safe. The physician should pay special attention to patients on intensive insulin treatment or on sulfonylureas. Some, but not all these patients, should avoid fasting. In case these patients decide to fast, intensive monitoring of blood glucose is required during the fast to prevent severe hypoglycemia. [Diabetic patients in the Yom Kippur fast--who can fast and how to treat the fasting patients].Basically, it depends on how well they can fast. Judaism doesn’t allow people to risk their lives. I hope this article helps.

If blood glucose is high, then there will be no immediate and obvious symptoms. You can’t actually hurt them by giving them more sugar/carbs/glucose. The symptoms will be extreme thirst and copious urination.Low blood glucose levels are an emergency. If they drop enough, it can cause coma and death. If the person is conscious, they can proceed with a series of actions that will reverse this state.Taking a gel or tablets of glucose is the first step. The carbohydrates are in their simplest form and are absorbed quickly. Glucose tabs and gels can be purchased in any drug department without a prescription. As an alternative, a small tube of prepared frosting purchased in the baking department can be used.Longer-acting carbohydrates should be ingested next. Some crackers, a piece of toast, or a small bowl of cereal will kick in when the effects of the rapid-acting solutions above fade.Protein should be eaten next. Proteins are more slowly absorbed, but they last much longer. A peanut butter or cold cut sandwich takes care of the above carb intake along with the protein. Some physicians recommend that diabetics keep peanut M&Ms around for the same reason.If the person is unconscious or semi-conscious, call for the emergency ambulance first. They can use special rapid-acting protocols that produce nearly instantaneous results.The one thing you can do with the unconscious diabetic is to squeeze the glucose gel or small frosting tube through their lips and into their mouth a little at a time. No conscious swallowing is necessary. Do not ever put anything into an unconscious diabetic’s mouth that will result in choking.As you can see, if you are confused about a diabetic’s status, the obvious thing to do is to perform the fingerstick and check the glucometer. If you don’t see one and don’t know how to use it, ask the diabetic. Then, there is no question about whether they need water and no food because they are in hyperglycemia (high blood glucose), or if they are in hypoglycemia (low blood glucose). You won’t have to do anything because the diabetic can perform the necessary steps themselves.If the person is not fully conscious, then you know they are in hypoglycemia at an critical level. Then, you act as above to call the ambulance and administer the recommended steps above.

Carb intake. Control the quantity, quality and frequency of intake of the carbohydrates. Blood sugar will be in control.Quantity - as low as possible, at 25–50gm a day.Quality - fibre rich carbohydrates such as green non-starchy vegetable. Green non-starchy vegetables need not be counted into the 25gm quota.Frequency - as less frequent as possible. This goes against the common belief and advice prevailing. Eating one meal a day OMAD is the best possible protocol for a diabetic, provided it is done with careful planning and medical supervision so as not get into hypoglycemia. The quantity of 25gm also carries the risk of hypoglycemia on diabetics.