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Oral Hypoglycemic Agent Toxicitytreatment & Management

Oral Hypoglycemic Agent ToxicityTreatment & Management Author: David Tran, MD; Chief Editor: Timothy E Corden, MD more... The main goal in oral hypoglycemic agent exposure is supportive care, which includes airway, breathing, and circulation. Intravenous administration of glucose rapidly resolves the effects of hypoglycemia. Its onset is quicker than oral administration of sugar, and it is safer in patients with a depressed mental status who should not take anything by mouth for fear of aspiration. Glucagon is helpful and can be administered intravenously, intramuscularly, or subcutaneously. Glucagon is particularly useful in the intramuscular mode when intravenous access cannot be obtained immediately. Generally, all symptomatic patients who present with hypoglycemia need admission to the hospital in a monitored setting. Patients who remain asymptomatic and who do not develop hypoglycemia in the first 8-12 hours may be discharged safely home. However, the data from one study suggest that because accidental ingestion of sulfonylurea results in delayed and often prolonged hypoglycemia, admission for at least 16 hours is recommended, with frequent glucose monitoring. [ 17 ] At minim Continue reading >>

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Popular Questions

  1. jim55

    ketone meter

    I'm contemplating buying a precision ketone meter. I've been thinking about it for some time, but just didn't want another gadget to deal with. Walmart has one for 18 buck plus cost of strips.
    How often do people test and at what time of day gives best info.
    Thanks,
    jim---_

  2. petrowizard

    Just out of curiousity, how much are the strips at Walmart?

  3. jim55

    From what i've read there expensive at just under 20 bucks for ten strips. Definantly don't want to waist them!

  4. -> Continue reading
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