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hello everyone I am dr. Ahmed arrogant
founder of sugar remedies and in today's
video we are going to talk about how to
avoid hypoglycemia which is low blood
sugar right so in the first two videos
we talked about symptoms of hypoglycemia
and we talked about treatment of
hypoglycemia and today we are going to
talk about what causes hypoglycemia so
that we can understand how to avoid
hypoglycemia right so there are a couple
basic things you need to know about
hypoglycemia for I probably assume yet
to happen you need to have a reason
right so normal people do not have
hyperbolized so if you're on medications
that cause hypoglycemia you will
eventually have one so insulin is number
one and sulfonylurea agents which are
most commonly prescribed medications in
the primary care world which is
glipizide glyburide dilemma pride so
these agents are the most common pills
that cause low blood sugar why because
they are designed to make insulin but
they are not designed to stop the
insulin production so once you take the
pill you're not you're not roll your
insulin is going up and if you do not
eat your blood sugar may drop so if you
skip a meal if you are physically very
active forget it you may have a low
blood sugar so you have to be very
careful about these agents I try to
avoid Safin delirious for that reason
insulin is another common reason you
have to know what you are doing with
insulin it needs a lot of Education it
needs a lot of repetition it needs a lot
of practice it's not just your physician
is just giving you some insulin I take
this you'll be okay it's not just like
that so save yourself some trouble and
make sure you know how the insulin works
and when to take it how to take it when
to take it more going to take it less
the
all the required practice now this is
not going to be sent to you from heaven
or from the sky you have to obtain the
knowledge yourself now you're watching
this video great but the practice takes
time so the best thing to do is to stay
in touch with your endocrinologist or
your diabetes coach so every time you
have a moment you have a question asked
about it because emotional learning is
the most important so if you have a
problem and you solve that problem in
the moment with a coach then you are
learning but if you are having
hypoglycemia by time see see you see
your doctor a couple months later
you forgot the bottle already like what
cost I probably Samiha when that happen
what triggered it right most most of the
time people even do not remember those
events so the doctor is like I don't
know what to do you know you're telling
me your blood Sugar's are low but we
don't even know when they are low so it
is very important number one check your
blood sugars track your blood sugars
note on when you have low blood sugar
and understand what causes that try to
keep a diary so what you have eaten
what was your activity level right did
you take extra medication did you make a
mistake in your insulin all these make a
difference so it is very important so at
sugar remedies we are 24/7 available
diabetes coaches diabetes doctors always
available
call text anytime and you will hear back
immediately now let's go a little bit
deeper about understanding hyperglycemia
so we discussed about the insulin and
sulfonylureas as as a primary reason so
if you do not match your insulin with
your carbohydrate if you skip meals when
you're on Southland ureas you may have
low blood sugars so I try to avoid
insulin and Southen Ariya if I can at
all cost to try to reduce the risk of
hypoglycemia because it does not feel
good at all so if you are social maybe
sometimes to social and you like to
drink now that may be a problem
especially if you're an insulin alcohol
will shut down your liver
so your liver is not going to be able to
help you with the blood sugar because
the liver is the primary Depot of the
sugars when you are fasting prolonged
amount of time eight to eight hours ten
hours or more your liver is the primary
source of sugar if you drink alcohol
especially without any snacks or without
any mixing then you are really looking
for trouble especially if you're on
insulin so try to avoid alcohol but if
you have to make sure you have some
snacks or some beverage together to
avoid hypoglycemia later now your diet
also has to be very consistent right so
if you are taking agents that can cause
hypoglycemia then you have to really
understand the consistency concept so
carbohydrate consistencies it is a
concept carbohydrate counting is another
concept these things generally umass are
on these if you are willing to if you're
motivated and if you are willing to work
with your diabetes coach and
endocrinologist next thing you know
you're gonna be a pro and you will avoid
all the low blood sugars so physical
activity is another important thing so
when you're physically very active your
body absorbs all the sugar that's what
we tell you all the time
physical activity do more you get out do
something physical that may your body
will utilize the blood sugar so but the
problem with that if you are not
physically normally active and you
decided to go for a marathon or not that
drastic but maybe you just decided to do
some garden work well that may be a
problem especially if you do not
understand what what's happening with
with the exercise so let's say you take
ten units of insulin for your for your
dinner and today you decide to do some
gardening that the 10 units may be
perfectly working for you in normal
circumstances but today because of the
gardening that 10 units will give you a
low blood sugar why because that insulin
10 unit will take care of certain amount
of blood sugar in your blood but then if
that blood sugar is absorbed by your
muscles then you don't have enough blood
sugar and then insulin will not give you
any mercy so it's gonna do the job and
will bring your blood sugar down
so as a result you will need to
understand how to adjust your insulin
and the best way to do this is to again
ask your endocrinologist and get a
consultation and understand how to
adjust your insulin sometimes is trial
and error but you don't want to just try
and learn yourself through it it would
be a hard way to learn but it's better
to stay in touch with your doctor and
understand what to do I get some good
advice and learn from your mistakes as
well now checking blood sugars checking
blood sugars checking blood sugars
yes finger sticks are cruel we don't
like them but if you do not have a
continuous glucose monitoring system
such as the XCOM g6 or freestyle Libre
or Medtronic or anything that can make
your life easier that would be great and
as an endocrinologist I always encourage
my patients and I prescribe a ton of it
so that the patients are comfortable
they are actually confident because the
continuous glucose monitoring systems
not only they monitor your blood sugars
and make it easier to monitor with our
finger sticks but also they can alert
you especially the XCOM g6 is great for
that it will alert you even half an hour
an hour before an event happens this
could be a high blood sugar it could be
a low blood sugar you will be notified
way before it happens so that's a great
feature so try to take advantage of that
your physician may have to do a
prioritization its bunch of paperwork
it's a disaster in this day and age it
is very cumbersome but guess what if it
is gonna work for my patient I will do
it lastly remember to have an ID so if
you have diabetes and you're in the
insulin and you've got 4-bit you pass
out somewhere or you lose consciousness
they need to know you have diabetes they
need to know that you have glucagon on
you they need to know that they have to
tell the emergency services that they
that you have diabetes it could be a low
blood sugar so it is not a bad idea to
have a bracelet of some sort some sort
of identification on you
that that tells you that you are
diabetic and you're an medication that
can cause low blood sugars you don't
have to call yourself insulin dependent
diabetic that is stigma I don't like
that term but you can say that that I'm
on insulin or or actually just saying
that I have diabetes will alert the
medical team that you may be having
hyperglycemia now if you know all those
facts I hope this was very helpful to
you and if you liked the video please
give it thumbs up and subscribe to our
video and please check our website at
sugar MDS com have a wonderful day
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