Today’s diabetics, unlike those of half a century ago can usually mange their disease with relative ease. But still complications are in hand with diabetes. Most common of are insulin shock and diabetic coma. The patients who are taking insulin are subject to insulin reaction and shock. Diabetic coma developed due to insulin-deficiency. Insulin reactions or hypoglycemia is more rapid and sudden in occurring. On the other hand diabetic coma may take 24 hour or more to develop.
It is caused by too rapid and extreme a drop in blood sugar. Normally a healthy individual has about a teaspoonful of sugar in his blood before breakfast. This level rise slightly after each meal but kept well in normal range by insulin discharged by pancreas. In no time does his pancreas produce more insulin activity than is needed to keep his blood sugar level in normal range. An individual suffering with diabetes has higher blood sugar level before breakfast. It rises more than normally after each meal. Since the normal insulin supply is not enough, additional insulin is injected. This injected insulin if does not match its activity to the blood sugar level cause havoc to the functionality of internal systems of that individual. Whenever a diabetic has more insulin activity than can be matched by the available blood sugar, brain and nervous system are deprived form an essential source of energy. This results in an insulin reaction which if unchecked, can rapidly lead to shock. Following activities can lower the level of blood sugar which leads to hypoglycemia.
- Missing a meal because of rush of work
- Delay a meal to prolong the containing assignment.
- Fasting during a Holy Day.
- Skip a meal in preparation of traveling.
- Engage in unexpected physical activity such or playing your favorite sports.
- Doing some hectic shopping in a crowded shop
These entire situations, by reducing the amount of available food, lower the level of blood sugar which the insulin does is balanced to match. This brings about a relative excess of insulin and a raid into the body’s needed store of sugar.
Coma, the second major complication of diabetes, is the exact opposite of insulin shock. Shock begins with an abnormal drop in blood sugar due to too much insulin activity. Coma develops from abnormal rise in blood sugar due too little insulin activity.
The development of this follows the same routine as untreated diabetes. Lacking insulin activity which to metabolize sugar. The body hungrily raids its own fat and protein tissue for utilizing energy sources. It rises up the ketene and acetone in the blood. It results into rises of fatty acids, acidosis in normally alkaline blood and coma follows.
Unlike insulin reaction, diabetic coma is slow and un-dramatic. It is also relatively infrequent today. Before the discovery of insulin many adults eventually died due to this. Age of the patient, nature of the provocation and nature of diabetes are the factor that influence coma. The best control of diabetes, obviously, would be that which permits the diabetic to live as normally as possible with the greatest protection from complications.