Kinesiology 2236A/B Lecture Notes - Lecture 11: Hyperglycemia, Clonus, Diplopia
16 Oct 2018
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Pancreas fails to produce enough endogenous insulin. Cent get sugar out of blood and into cells: much of the sugar is filtered out by kidneys. Leads to dependence on exogenous insulin provide injections to get glucose into cells. Inadequate insulin produced by pancreas and/or some type of resistance at cellular level. Insulin receptors have trouble signaling the glut-4 receptors which allow the glucose to come in. Too much sugar present in blood stream, but can"t get into tissue. Acidosis ketoacidosis present: breath has a fruity smell, frequent urination thirst possible coma. Minimal sugar in the blood stream too much insulin: not enough food, excessive exercise decreased nutrients to the brain hunger double vision insulin shock/reaction. Major signs and symptoms hypoglycemia and hyperglycemia are similar: altered level of consciousness, dizzy, drowsy and/or confused rapid breathing rapid pulse feeling ill. Ask if they have eaten or taken insulin. Give sugar: juice, hard candy, glucose tablets, non-diet soft drinks.
