This section highlights the importance of monitoring and managing blood sugar control.
Which of the following are signs and symptoms of hypoglycaemia?
Correct Answer All of the above are signs and symptons of hypglycaemia.
Often, during pregnancy, women with diabetes lose their ‘hypo awareness’ – what does this mean?
Correct Answer Normally when someone has a hypo, they suffer many of the symptoms listed above once their blood sugar reaches a certain level (often between 2.8-3.3 mmol/l). In pregnancy, a woman’s blood sugar can drop dangerously low (below 2.8 mmol/l) before she has any of the normal warning signs of a hypo – therefore she is at higher risk of going into a coma. Thus, women in pregnancy should check blood sugars more frequently – even during the night; never drive without checking blood sugar level first; educate partners and family on management of hypoglycaemia.
How would you treat mild hypoglycaemia?
Call 999 Milk and Chocolate High glucose drink followed by sandwich
Correct Answer The correct answer is a high glucose drink followed by a sandwich.
How would you treat moderate to severe hypoglycaemia?
High glucose drink followed by sandwich Call 999 Hypostop gel if conscious; glucagon sc if unconscious Insulin injection
Correct Answer The correct answer is to call 999 or Hypostop gel if conscious; glucagon sc if unconscious. If you selected an insulin injection, this is definitely incorrect and would be potentially life threating.
What is Ketoacidosis?
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Correct Answer Diabetic ketoacidosis is a state of severe uncontrolled diabetes characterised by hyperglycaemia and hyperketonaemia in the face of absolute insulin deficiency. Can cause death. Women should be encouraged in pregnancy to test their urine regularly for ketones.