Management of hypertension and hypoglycemia in the elderly

Elderly people need to have a proper diet and rest, keep their souls at ease and inferior to strong emotional inhibitions to prevent hyperglycemia and hypoglycemia. When there are signs of hyperglycemia or hyperglycemia, especially if this happens frequently, must be examined by a physician and instructed to take medication.

Fast blood sugar test (Photo: TTO) The type of sugar present in the blood is glucose, so the blood-sugar level, if called correctly, must be the blood glucose level (hereinafter referred to as Gh).

In general, normal Gh (measured when the body is resting, away from the meal) is 0.8-1,2g / l (ie 4,4-6,6mmol / L). It is enough for the brain cells to be nourished, while the remaining cells need insulin support. When Gh down to 0.7g / l is considered low start and from 0.6g / l (ie 3.3mmol / L) or less is really lower. From over 1.3g / l (ie 7.2mmol / L) is considered a high start.

When old age, Gh air conditioning system in the elderly is no longer sensitive, reliable, so easy to bring to high or low Gh.

Hypothyroidism in the elderly

Hypothyroidism due to sudden increase in use , while the storage of glucose in the liver is no longer abundant, or it cannot be mobilized. In general, elderly liver reduces the ability to store glucide, especially when away from meals (some elderly people need to eat many meals). When approaching the cold environment (due to sudden cold but not warm enough, or due to being in the cold for a long time), young people are adaptable, and the elderly are very easy to take down Gh.

Also, when the elderly use the abrupt force that lacks the activation for the body to adapt. For example, suddenly perform a series of relatively strong exercise, or exercise on an empty stomach . When there is prolonged anger, do not control yourself .

Hypoglycemia due to reduced liver reserve. In the elderly, immediately after eating, the total amount of glucose in the liver remains low. This condition is more pronounced if chronic liver disease (cirrhosis, liver failure) occurs. It is noteworthy that the alcohol of the alcoholic . Many addicts since young, gradually have a habit of drinking but forget to eat. In general, older people need to eat more meals, especially at night (for example, a glass of milk at 21 o'clock).

A sign of the low-lying night condition is sleepy and tired, and in my dreams I find myself eating a lot and delicious. One risk is that the body's protein stores may be depleted by turning into glucose to fight down Gh. Consequently, malnutrition (difficult to recover).

Hypothyroidism due to overuse of diabetes remedies (patients need to pay close attention to this complication). It is possible that patients use a poor diet of glucid for the purpose of actively treating and preventing complications. Remember, despite diabetes, the patient still needs a sufficient amount of glucide, mainly whole-grain glucid. However, most diabetics suffer from hypoglycaemia due to excessive use of hypoglycemic agents (hopefully better control of the disease) without following the physician's instructions and do not periodically monitor Gh.

The only brain cells that only use glucose as food, do not use fat, protein as every other cell; therefore, if the sudden drop down to 0.7g / l, there will be immediate neurological symptoms: trembling, flower eyes, bad luck; if reduced to 0.5g / l, there will be faintness, dizziness, cold sweating, rapid heartbeat, weak pulse . If there is a further downfall, there will be stiffness, confusion, and loss of muscle tone (falls coma. The same level of Gh reduction, older people often have a worse disease, more difficult to cure (compared to young people).

If Lower Gh slowly, at first hungry starving, the digestive apparatus has a strong squeeze (yoke brain, boils). However, many older people lose their sense of hunger, ie losing an early symptom to make a diagnosis. After that, there was also trembling, flower eyes, cold sweat, limp limbs; due to prolonged movements, the young body has enough time to adjust (mobilize protein); on the contrary, this mobilization proved to be slow and ineffective in the elderly, so the consequences are often severe: coma can be prolonged, the force may be prolonged, it can deplete the hard-to-recover protein store . In general, if the elderly person has decreased appetite, eat more small meals every day.

In this situation, the elderly need to eat immediately the easily absorbed types of glucid: candy, sweet cake, more urgent can use sugar water (no sugar), fruit juice, milk . Emergency must pass glucose into the blood.

High Gh in the elderly

Contrary to lower (with bad consequences), high Gh status in most cases is temporary (when exercising, when the mental state is too excited: angry, frightened, angry, worried . .). For the elderly, just remember that if the situation is prolonged and occurs frequently, it can exacerbate adrenalin, glucid-depleted liver - threatening to switch to Gh. In addition, these psychological states also negatively affect cardiovascular and blood pressure.

Cases of prolonged hyperthermia occur in diabetes. In the elderly, this disease is not due to lack of insulin, but because the cells use it inefficiently, so in general, the first few years do not need to be treated with insulin (as with young people). There have been many long-term medicines for treatment and use, but choosing the right one should be instructed by the physician and the patient is self-monitoring.

Early detection of diabetes in the elderly is not easy because high Gh does not cause any symptoms that cause the patient to pay attention. However, at the age of over 60, it is advisable to periodically measure Gh according to medical guidelines. Do not measure in urine (because there is glucose in the urine that has progressed for a long time).

High Gh usually does not manifest externally with symptoms that make patients feel. Must be detected by Gh measurement. In many cases, urinary glucose was present (Gh level exceeded 1.7g / l) that the person himself did not know at all; When you happen to be new, you have found diabetes.

These are two common symptoms in the elderly, which can be prevented. In order to prevent disease, the elderly need to have a proper diet and rest, keep the soul at ease and inadequate with strong emotional inhibitions. When there are signs of hyperglycemia or hyperglycemia, especially when this happens, it is often required to be examined by a physician and instructed to take medication.