
Hyperglycemia was defined as the increase in blood glucose levels. The most common causes are receive less insulin than needed, having consumed more carbohydrates than normal, submitting an infectious disease.
The most common symptoms are intense thirst, need for frequent urination and fatigue. Also headache or abdominal pain, vomiting or cramps in the legs.
Treatment
If after conducting a blood glucose monitoring detected high levels, should be given an extra dose of insulin according to the treatment regimen for each child (see personal card).
If symptoms resulting from this situation (vomiting, malaise) should contact the parents or medical staff.
Hypoglycemia is the decrease in blood glucose levels. In children with diabetes, hypoglycemia is considered a level below 70 mg / dl.
The most common causes:
1. Insulin dose is too high.
2. Excessive physical exercise.
3. Intake of low carbohydrates.
4. Vomiting or severe diarrhea that prevents the absorption of food.
5. Delay in the timing of meals.
Common symptoms (highly variable depending on each child):
* Pale, cold sweat, trembling, hunger or behavior changes (irritability).
* In severe cases, drowsiness with the possibility of loss of consciousness and seizure.
Treatment:
If symptomatic hypoglycemia or glucose <60 mg / dl administer sugar water, fruit juice or other sweetened drinks. Repeat in 10 minutes to control the glucose level has increased.
Once the child is recovered should be given carbohydrate slow absorption.
In severe cases where there is loss of consciousness, do not give the child anything by mouth, and it is necessary to administer a hormone called glucagon prior written consent of the parents / guardians.
Glucose can be injected subcutaneously or intramuscularly. Any responsible adult (teacher or health) can manage, since it is a simple and immediate treatment but carries no risk to the child.
The dose depends on age and weight of the child, but it is generally recommended half vial in children under 7 years and 1 vial after this age.
Parents should facilitate glucose to school along with medical indications for its administration. Glucose should be kept refrigerated.