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Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is a term describing recurrent episodes of symptomatic hypoglycemia occurring within four hours [1] after a high carbohydrate meal in people with and without diabetes. [2] The term is not necessarily a diagnosis since it requires an evaluation to determine the cause of the ...
Another possible cause of exercise induced nausea is overhydration. Drinking too much water before, during, or after extreme exercise (such as a marathon) can cause nausea, diarrhea, confusion, and muscle tremors. [4] Excessive water consumption reduces or dilutes electrolyte levels in the body causing hyponatremia. [4]
Diabetes mellitus, also known as type II diabetes, is a disease that affects over three million people in the U.S. per year. This disease affects the glucose levels in the body by causing them to rise higher than normal. In type II diabetic patients, the body develops insulin resistance that initiates an increase in blood glucose levels. [1]
Exogenous insulin can drive down blood sugar, leaving those with diabetes at risk of hypoglycemia during and immediately after exercise, then again seven to eleven hours after exercise (called the "lag effect"). [62] Conversely, high-intensity exercise can result in a shortage of insulin, and consequent hyperglycemia. [62]
Among people with diabetes, prevention starts with learning the signs and symptoms of hypoglycemia. [3] [2] Diabetes medications, like insulin, sulfonylureas, and biguanides can also be adjusted or stopped to prevent hypoglycemia. [3] [2] Frequent and routine blood glucose testing is recommended.
Symptoms and effects can be mild, moderate or severe, depending on how low the glucose falls and a variety of other factors. It is rare but possible for diabetic hypoglycemia to result in brain damage or death. Indeed, an estimated 2–4% of deaths of people with type 1 diabetes mellitus have been attributed to hypoglycemia. [2] [3]
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However, diabetes does cause higher morbidity, mortality and operative risks with these conditions. [41] Diabetic foot, often due to a combination of sensory neuropathy (numbness or insensitivity) and vascular damage, increases rates of skin ulcers (diabetic foot ulcers) and infection and, in serious cases, necrosis and gangrene. It is why it ...