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30 November 2009
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Diabetic emergency


What is it?

Abnormal fluctuations in blood sugar can lead to someone with diabetes becoming unwell and, if untreated, losing consciousness.

There are two conditions associated with diabetes - hyperglycaemia (high blood sugar) and hypoglycaemia (low blood sugar).

A first aider is most likely to encounter hypoglycaemia, which affects brain function and can lead to unconsciousness if untreated.

Signs and symptoms

Hypoglycaemia:

  • Hunger
  • Feeling 'weak' and confused
  • Sweating
  • Dry, pale skin
  • Shallow breathing

Hyperglycaemia:

  • Thirst
  • Vomiting
  • Fruity/sweet breath
  • Rapid, weak pulse

First aid aims

Hypoglycaemia:

  • Raise blood sugar level as quickly as possible
  • Get casualty to hospital, if necessary

Hyperglycaemia:

  • Get casualty to hospital as soon as possible

Actions

Hypoglycaemia:

  • Sit casualty down
  • Offer casualty food or a sweet drink
  • If there's an improvement, offer more to eat or drink
  • Keep casualty resting

Hyperglycaemia:

  • Call 999 immediately

Further actions

If the casualty loses consciousness


This article was reviewed by the British Red Cross in April 2007.


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