Dietary treatment of hypoglycaemia: Should the Australian recommendation be increased?
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Australian recommendations for treatment of hypoglycaemia are 15 g of carbohydrate repeated at 10–15 min if hypoglycaemia persists. Cited evidence is expert opinion or older studies not pertinent to current insulin regimens. This study aimed to determine the effect of increasing initial treating carbohydrate and decreasing wait-time to retreatment on resolution of hypoglycaemia in 92 free-living adults on current insulin regimens. The results support an initial treatment of 20-g carbohydrate, with a 10-min wait to repeat treatment as an optimal recommendation for the insulin-treated individual self-treating hypoglycaemia.
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Vindedzis, S.; Marsh, B.; Sherriff, Jill; Stanton, K. (2014)Hypoglycaemia in patients with diabetes on nasogastric feeding is both potentially damaging and under-researched. We retrospectively reviewed 50 such inpatients to determine factors influencing hypoglycaemia. Our results ...
Omitting follow-up food after initial hypoglycaemic treatment does not increase the likelihood of repeat hypoglycaemiaVindedzis, S.; Marsh, B.; Sherriff, Jillian; Dhaliwal, Satvinder; Stanton, K. (2013)Introduction: Guidelines for self-treatment of hypoglycaemia specify initial treatment with quick-acting carbohydrate until blood glucose levels normalize and then follow-up with longer-acting carbohydrate. The few studies ...
Vindedzis, Sally Ann (2014)This thesis, presented as seven published papers, investigates the under-researched area of dietary practices in hypoglycaemia in diabetes and elevated postload glucose. Research findings address resolution of relative ...