Treatment FAQ

what is the main treatment for insulin shock

by Dr. Reina Zulauf Published 3 years ago Updated 2 years ago
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Treating insulin shock
Call 911, particularly if the person is unconscious. Treat as outlined above unless the person is unconscious. Don't give an unconscious person something to swallow as they may choke on it. Administer an injection of glucagon if the person is unconscious.
3 days ago

Full Answer

What should a physician do to treat insulin shock?

Try These

  • Check your blood sugar. Use your blood glucose meter as often as your doctor thinks you should. ...
  • Be mindful of exercise. Your body uses sugar when you’re active. ...
  • Take the right amount of medicine. Make sure you don’t take a bigger dose of insulin than you need. ...
  • Try an insulin pump. ...

How do you treat insulin shock?

Prevent Insulin Shock

  1. Plan Meals. A certified dietitian will help you plan your meals and snacks based on your lifestyle and dietary needs.
  2. Monitor Blood Glucose Level. Regularly check your blood glucose level. ...
  3. Keep Glucose Tablets Close. ...
  4. Carry Snacks. ...
  5. Know Your Alcohol Limits. ...
  6. Educate Yourself. ...

Can you treat insulin shock with sugar?

As with most diseases and disorders, time waits for no one; insulin shock offers additional symptoms when occurring at night. When treating insulin shock, it is imperative to call for emergency personnel right away. If the person is conscious, try to have them eat a sugar-filled snack with high protein such as nuts.

What are the signs of insulin shock?

When insulin shock becomes severe, more symptoms will arise such as:

  • Fainting and loss of consciousness
  • Seizures
  • Coma
  • Confusion
  • A headache
  • Poor coordination

See more

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What is insulin shock treatment?

Doctors may prescribe a hormone called glucagon to people who are at risk of diabetic shock. Glucagon comes in a syringe, and a person can use it in an emergency to help their blood glucose levels return to normal.

What is the immediate treatment for someone having an insulin reaction?

What Is the Medical Treatment for Insulin Reaction? Increasing blood sugar levels is the treatment of an insulin reaction. Emergency personnel may start an intravenous line and inject an ampule of D50W, a highly concentrated glucose solution.

What are the steps to treat diabetic shock?

The best treatment for low blood sugar is to have the person eat something sweet. Joslin Diabetes Center recommends following the 15-15 rule: eat fifteen grams of carbohydrates, retest your blood glucose after fifteen minutes, then repeat these steps if necessary until your levels are in a safe range.

What is the main treatment for diabetic coma?

High blood sugar Intravenous fluids to restore water to your tissues. Potassium, sodium or phosphate supplements to help your cells function correctly. Insulin to help your tissues absorb the glucose in your blood.

What is the first aid treatment for hyperglycemia?

When your blood sugar level gets too high — known as hyperglycemia or high blood glucose — the quickest way to reduce it is to take fast-acting insulin.

What is the first aid treatment for hypoglycemia?

If you have hypoglycemia symptoms, do the following: Eat or drink 15 to 20 grams of fast-acting carbohydrates. These are sugary foods or drinks without protein or fat that are easily converted to sugar in the body. Try glucose tablets or gel, fruit juice, regular (not diet) soda, honey, or sugary candy.

What should you do if you take too much insulin?

What to Do If You Have an Insulin OverdoseCheck your blood sugar. ... Drink one-half cup of regular soda or sweetened fruit juice, and eat a hard candy or have glucose paste, tablets, or gel.If you skipped a meal, eat something now. ... Rest. ... Recheck your blood sugar after 15 or 20 minutes.

How do you treat an unconscious patient with hypoglycemia?

If the person is unconscious, having seizures, or too disoriented to swallowLocate a glucagon emergency kit or glucagon nasal powder, if it's available. ... Administer the glucagon emergency kit or glucagon nasal powder. ... Turn the person on their side. ... Call 911 or your local number for emergency medical services.More items...•

What is glucagon injection?

Glucagon injection is an emergency medicine used to treat severe hypoglycemia (low blood sugar) in diabetes patients treated with insulin who have passed out or cannot take some form of sugar by mouth. Glucagon injection is also used as a diagnostic aid during X-ray tests of the stomach and bowels.

What is the difference between diabetic coma and insulin shock?

Insulin shock means you have very low blood sugar levels. Diabetic coma is when you pass out due to either high or low blood sugar. These two diabetic emergencies can happen if you don't keep your glucose and insulin levels under control.

What type of shock is diabetic shock?

Severe hypoglycemia, or insulin shock, is a serious health risk for anyone with diabetes. Also called insulin reaction, bcause of too much insulin, it can occur anytime there is an imbalance between the insulin in your system, the amount of food you eat, or your level of physical activity.

What is part of first aid procedures for diabetic ketoacidosis?

Treatment usually involves: Fluid replacement. You'll receive fluids — either by mouth or through a vein — until you're rehydrated. The fluids will replace those you've lost through excessive urination, as well as help dilute the excess sugar in your blood.

What Causes Insulin Shock?

Having too much insulin in your blood can lead to having too little glucose. If your blood sugar falls too low, your body no longer has enough fuel...

How Does Insulin Shock Affect The body?

If your blood sugar drops a bit below normal, you may experience mild to moderate symptoms, including: 1. dizziness 2. shaking 3. sweating/clammine...

How to Prevent Insulin Shock

Insulin shock is not a pleasant experience. But there are things you can do to prevent it from happening.Follow these tips to reduce your risk of e...

How to treat insulin shock?

When treating insulin shock, it is imperative to call for emergency personnel right away. If the person is conscious, try to have them eat a sugar-filled snack with high protein such as nuts. Sometimes, a conscious person will not be able to eat and should be given a pure sugar product.

What causes insulin shock?

This can even happen with close monitoring as several factors can lead to insulin shock. Skipping a meal. Switching insulin intake schedule. Changing amount or timing of meals. Increasing physical activity. Drinking alcohol on an empty stomach.

How to control insulin levels?

1. Plan Meals. A certified dietitian will help you plan your meals and snacks based on your lifestyle and dietary needs. Follow a healthy diet plan that outlines what time of day to eat specific foods to regulate the body’s insulin and glucose levels. Do not skip meals or snacks.

Why does insulin shock happen?

This can happen after a meal. Insulin shock occurs when there is a lack of glucose to use as energy and too much insulin in your blood. Your body begins to stop functioning, as though it is starving.

How does the body use glucose as energy?

To begin, our body converts carbohydrates into glucose, a sugar found in our blood. It is the foundation of our body’s energy, and we are able to use glucose as energy with the help of a hormone known as insulin . The pancreas produces and releases insulin into the bloodstream to balance the glucose levels when they begin to rise.

What to do if you are unconscious?

If the person is unconscious, you can give a glucagon injection from a prescribed pen they may have on their person. If there is no glucagon, rub some sugar on the gums in their mouth or under their tongue. Do not try to put food in an unconscious person’s mouth.

What to wear when you have an insulin pill?

It is also practical to wear a medical identification bracelet or necklace to alert emergency personnel to your condition if need be.

Causes and Symptoms of Insulin Shock

Friends and family members of a diabetic patient should be aware of the reasons of severe hypoglycemia in a diabetic person. Excessive medication, excessive intake of insulin, fasting, skipping breakfast or meals, intensive exercise, alcohol consumption, vomiting and diarrhea, can cause insulin shock.

Insulin Shock Treatment

It is true that the above symptoms can be noticed in case of other health problems too; but if you know that your friend or family member has diabetes, and he takes insulin shots and medications to lower blood glucose levels, then the above symptoms mostly indicate insulin shock.

What is Hypoglycemia?

If you have diabetes, you already understand the crucial role insulin plays in the human body. Depending on your diabetes diagnosis, you may have trouble producing or responding to insulin.

What Causes Hypoglycemia?

Technically speaking, hypoglycemia and insulin shock are not the same things. Instead, hypoglycemia is the body’s reaction to excess insulin in the bloodstream. While insulin typically helps glucose enter cells, the lower levels of blood sugar associated with hypoglycemia mean there isn’t enough glucose to go around.

Are There Symptoms of Hypoglycemia or Warning Signs of Insulin Shock?

The symptoms associated with hypoglycemia and insulin shock vary based on how far the situation has progressed. In the early stages of hypoglycemia, some relatively minor warning signs can indicate low blood sugar, including:

How Is Hypoglycemia Treated?

In many cases, you can deal with mild to moderate hypoglycemia quickly. If your blood sugar is below 80, all you need to do is consume 15g of a fast-acting carbohydrate in the form of glucose tablets, food, or drink.

Let Us Help You Avoid Insulin Shock

Hypoglycemia and insulin shock are annoying at best and potentially deadly at worst. With the knowledge shared in this article, we hope you can more effectively treat and prevent these conditions.

What is insulin shock?

Insulin shock is also referred to as “severe hypoglycemia” or “diabetic shock”. It is one of the most serious complications of diabetes, particularly type 1 diabetes. It is the result of injecting too much insulin so that the blood sugars drop to dangerous levels. It can also be due to not eating enough to cover for your insulin dose and increasing your physical activity so that you use up glucose at too fast a rate. In the beginning, the symptoms of insulin shock are minor. You may feel a little hungry, dizzy, sweaty, or slightly confused. If you notice any of these symptoms, you need to act quickly because, if you become unconscious as a result of insulin shock, it is much more difficult to treat because you cannot eat or drink anything to bring the blood sugars back up. Insulin shock can be life threatening. This is why it is important for you to recognize the early signs of the condition and for your family to know how to treat the disease should you become unconscious and need medical attention right away. Hypoglycemia Hypoglycemia is another name for “low blood sugar”. Under normal conditions, the cells inside your body make use of glucose that is absorbed by the GI tract after you have eaten some carbohydrates. Insulin is then released by the pancreas in order to bring the blood glucose into the cells to allow for cellular metabolism. Insulin in normal people rarely leads to insulin shock but instead bring the blood glucose levels into the normal range. Hyperglycemia and Diabetes High blood sugar can be dangerous as well. It can cause diabetic ketoacidosis and dehydration, which can threaten your life. If the blood sugar is left untreated, there can be secondary complications, such as diabetic neuropathy (nerve damage), diabetic retinopathy (eye damag Continue reading >>

What happens if you take too much insulin?

If this happens, they may end up with too much insulin in their blood. This, in turn, can lead to hypoglycemia, also called low blood sugar. A serious condition called insulin shock may occur if a person: ignores mild hypoglycemia takes too much insulin by mistake misses a meal completely does excessive unusual exercise without changing their carbohydrate intake Insulin shock is a diabetic emergency. It involves symptoms that, if left untreated, can lead to diabetic coma, brain damage, and even death. How insulin works When we consume food or beverages that contain carbohydrates, the body converts them into glucose. Glucose is a type of sugar that fuels the body, giving it the energy it needs to perform everyday functions. Insulin is a hormone that works like a key. It opens the door in the body’s cells so they can absorb glucose and use it as fuel. People with diabetes may lack enough insulin or have cells that aren’t able to use insulin as they should. If the cells of the body aren’t able to absorb the glucose properly, it causes excess glucose in blood. This is called high blood glucose, which is linked with a number of health issues. High blood glucose can cause eye and foot problems, heart disease, stroke, kidney problems, and nerve damage. Insulin shots help people with diabetes use glucose more efficiently. Taking an insulin shot before eating helps the body absorb and use glucose from the food. The result is a more balanced and healthy blood sugar level. Usually, it works great. Sometimes, however, things go wrong. What causes insulin shock? Having too much insulin in your blood can lead to having too little gluco Continue reading >>

What happens when blood glucose is low?

Diabetic shock emergencies occur either when your blood glucose level becomes dangerously low (hypoglycemia) or when it becomes dangerously high (hyperglycemia). Hypoglycemia, or low blood glucose, can occur in diabetics for a variety of reasons. It can be the result of simply having skipped a meal or having exercised too much for the amount of food you have consumed or medication you have taken. It can also be the consequence of insulin or insulin promoting medications. Symptoms of low blood sugar levels can range from mild to severe: Shakiness Weakness Dizziness/Lightheadedness Confusion Sweating/Clamminess Headache Irritability Impaired vision Heart palpitations/Racing heart Seizures Unconsciousness Since the problem in hypoglycemia is low blood glucose, the treatment for mild symptoms is a dose (usually 15 to 20 grams) of glucose or simple carbohydrate, which is easily broken down into glucose. A 15-to-20-gram dose of glucose can be in the form of a variety of things from glucose tablets to 4 oz. of juice to a tablespoon of honey. For hypoglycemia treatment, it’s imperative that you check your blood glucose level 15 minutes later to be certain you are back within a safe range. In more severe cases of hypoglycemia—true hypoglycemic emergencies such as when diabetic shock (including seizures or unconsciousness) occurs—injectable glucagon, a hormone that causes your liver to release glucose into the blood stream, is needed. Glucagon injection kits are available by prescription and can be injected into the arm, buttocks, or thigh. Diabetics who have glucagon kits should be sure their friends, family, and coworkers are educated on glucagon administration in the event of an emergency. The glucagon typically takes effect within five to 15 minutes. Oral glucose should Continue reading >>

What is insulin shock therapy?

Insulin shock therapy or insulin coma therapy was a form of psychiatric treatment in which patients were repeatedly injected with large doses of insulin in order to produce daily comas over several weeks. It was introduced in 1927 by Austrian-American psychiatrist Manfred Sakel and used extensively in the 1940s and 1950s, ...

When was insulin shock therapy first used?

Insulin shock therapy or insulin coma therapy was a form of psychiatric treatment in which patients were repeatedly injected with large doses of insulin in order to produce daily comas over several weeks. It was introduced in 1927 by Austrian-American psychiatrist Manfred Sakel and used extensively in the 1940s and 1950s, mainly for schizophrenia, ...

What is the name of the therapy for a coma?

These included the convulsive therapies ( cardiazol/metrazol therapy and electroconvulsive therapy ), deep sleep therapy and psychosurgery. Insulin coma therapy and the convulsive therapies are collectively known as the shock therapies .

How long did insulin injections last?

Different hospitals and psychiatrists developed their own protocols. Typically, injections were administered six days a week for about two months. The daily insulin dose was gradually increased to 100–150 units until comas were produced, at which point the dose would be levelled out.

Why is insulin coma therapy considered uncritical?

In the US, Deborah Doroshow wrote that insulin coma therapy secured its foothold in psychiatry not because of scientific evidence or knowledge of any mechanism of therapeutic action, but due to the impressions it made on the minds of the medical practitioners within the local world in which it was administered and the dramatic recoveries observed in some patients. Today, she writes, those who were involved are often ashamed, recalling it as unscientific and inhumane. Administering insulin coma therapy made psychiatry seem a more legitimate medical field. Harold Bourne, who questioned the treatment at the time, said: "It meant that psychiatrists had something to do. It made them feel like real doctors instead of just institutional attendants".

When did insulin comas start?

Insulin coma therapy was used in most hospitals in the US and the UK during the 1940s and 1950s. The numbers of patients were restricted by the requirement for intensive medical and nursing supervision and the length of time it took to complete a course of treatment. For example, at one typical large British psychiatric hospital, Severalls Hospital in Essex, insulin coma treatment was given to 39 patients in 1956. In the same year, 18 patients received modified insulin treatment, while 432 patients were given electroconvulsive treatment.

What happens after insulin injection?

After the insulin injection patients would experience various symptoms of decreased blood glucose: flushing, pallor, perspiration, salivation, drowsiness or restlessness. Sopor and coma—if the dose was high enough—would follow.

How to treat high blood sugar?

If your blood sugar level is too high, you may need: 1 Intravenous fluids to restore water to your tissues 2 Potassium, sodium or phosphate supplements to help your cells function correctly 3 Insulin to help your tissues absorb the glucose in your blood 4 Treatment for any underlying infections

What to do if blood sugar is too high?

If your blood sugar level is too high, you may need: Intravenous fluids to restore water to your tissues. Potassium, sodium or phosphate supplements to help your cells function correctly. Insulin to help your tissues absorb the glucose in your blood. Treatment for any underlying infections.

What to do if you have diabetes and have no training?

If you have no training in diabetes care, wait for the emergency care team to arrive. If you are familiar with diabetes care, test the unconscious person's blood sugar and follow these steps: If the blood sugar level is lower than 70 mg/dL (3.9 mmol/L), give the person an injection of glucagon.

What to do if you pass out from high blood sugar?

If you feel the symptoms of extremely high or low blood sugar, call 911 or your local emergency number to make sure help is on the way before you pass out. If you're with someone with diabetes who has passed out or is acting strange, possibly as if he or she has had too much alcohol, call for immediate medical help.

What is the best way to raise blood sugar?

If your blood sugar level is too low, you may be given a glucagon injection, which will cause your blood sugar level to quickly rise. Intravenous dextrose also may be given to raise blood glucose levels.

What to wear if you are in a diabetic coma?

If you have diabetes, you may want to wear a medical ID bracelet or necklace.

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Function

Causes

  • Insulin shock occurs when there is a lack of glucose to use as energy and too much insulin in your blood. Your body begins to stop functioning, as though it is starving. This can even happen with close monitoring as several factors can lead to insulin shock. Cardiac arrest may also occur as a result of the diabetic shock. In some cases, the patient may not react to treatment and slip into …
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Diagnosis

  • Now that we understand how easily insulin shock can happen, lets learn what symptoms and signs to look for. When diabetic shock occurs, it is vital that the person get immediate medical attention. A combination of some of these symptoms may give the impression that the sufferer is drunk.
See more on doctorshealthpress.com

Symptoms

  • As with most diseases and disorders, time waits for no one; insulin shock offers additional symptoms when occurring at night.
See more on doctorshealthpress.com

Treatment

  • When treating insulin shock, it is imperative to call for emergency personnel right away. If the person is conscious, try to have them eat a sugar-filled snack with high protein such as nuts. Sometimes, a conscious person will not be able to eat and should be given a pure sugar product. If the person is unconscious, you can give a glucagon injectio...
See more on doctorshealthpress.com

Prevention

  • Prevention is key and the first step is to understand the medications you have been prescribed. Whether you have an insulin-induced pill or an injection device, discuss treatment plans with your medical professional and make plans for times when life disrupts your routine schedule. It is also practical to wear a medical identification bracelet or necklace to alert emergency personnel to y…
See more on doctorshealthpress.com

Diet

  • A certified dietitian will help you plan your meals and snacks based on your lifestyle and dietary needs. Follow a healthy diet plan that outlines what time of day to eat specific foods to regulate the bodys insulin and glucose levels. Do not skip meals or snacks.
See more on doctorshealthpress.com

Prognosis

  • Insulin shock is a possible reality for millions of people every day. It is a serious health risk for people with diabetes and, if untreated, can lead to life-threatening conditions including death. It is important for patients and their close family and friends to understand the signs and symptoms that can lead to diabetic shock. If caught in time, it can be stopped and the patient can recover …
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Resources

  • Sources: Story, C., Insulin Shock: Warning Signs and Treatment Options, Healthline, March 2, 2017; http://www.healthline.com/health/diabetes/insulin-shock#Overview1, last accessed March 31, 2017. What is Insulin Shock: Causes, Symptoms, Treatment, Prevention, Complications, ePain Assist; https://www.epainassist.com/shock/what-is-insulin-shock, last accessed March 31, 2017…
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