So you figured out that you are not getting the shakes from too much coffee, but rather reactive hypoglycemia. Largely misunderstood by the medical community, hypoglycemia in the absence of being medication induced, can be difficult to control and requires extreme dedication to a controlled diet. Misinformation regarding how to control this condition is rampant online and even from primary care physicians. It is a rare condition that is not given much attention in medical school, other than in reference to induced hypoglycemic reactions in diabetics. It is not completely clear, but it is thought that a person with reactive hypoglycemia creates too much insulin in response to carbohydrates that are converted to glucose in the body. …show more content…
Most fruits are high in carbohydrates. The lowest carbohydrate fruits are berries of any kind. Blueberries, strawberries, and cranberries are an excellent choice compared to bananas, apples or pears. For protein, reactive hypoglycemics should choose beans, nuts, and meat. Lean meat is the preferable choice as beans and nuts contain carbohydrates. Most reactive hypoglycemics can tolerate nuts fairly well except in large quantities, but tolerance of beans, like whole-grain products and some vegetables, vary from person to person. Beans are considered high in slow-acting carbohydrates. Another important key to the reactive hypoglycemic diet is food combinations. It is imperative that every meal and snack contain a protein, good fats, and vegetable. For example, a healthy hypoglycemic-friendly meal might be a chicken breast cooked in olive oil, large leafy green salad with berries, peas (if you can tolerate their carbohydrate level) and cheese. Snacks between meals that can help control insulin release are cheese, nuts, meat, eggs, or plain yogurt. There are many levels of carbohydrate tolerance for reactive hypoglycemics. Everyone is different and must find what types of foods they can tolerate and what food combinations work for them. A few weeks after changing to a low-carbohydrate diet, most reactive hypoglycemics find their ailments related to the large insulin release and blood
Intravenous drug use is a dangerous, yet increasing activity around the world. Persons who inject themselves with illicit drugs are at risk for several complications such as infection caused by contaminated needles. These infections can be serious and often lead to hospitalization as well as other health-related complications. A situation that often arises is determining the best type of treatment for IV drug users who are being discharged from the hospital. Physicians and pharmacists are commonly faced with choosing outpatient IV antibiotic therapy versus oral antibiotics when treating infections caused by IV drug use. This presents an ethical dilemma, particularly concerning the ethical principles of beneficence and
This is why a UAB clinic treats its type-2 diabetic patients with a carb-restricted diet. “Carbohydrates should come from a small amount of starchy vegetables and high-fiber fruit, such as berries. The high consumption of dietary carbohydrate, especially processed grains and added sugars, is really what is responsible for the current epidemics of obesity and metabolic disease, such as diabetes and cancer,” Dr. Gower said.
to unnecessarily overprescribe medications to their pediatric patients. Of these prescription drugs, opioid pain killers, antibiotics, and psychiatric medications are the most commonly overprescribed in child care. For example, opioid prescriptions have increased 300 percent in the past seventeen years (Boerner 20), over 50 million unnecessary antibiotic prescriptions are written each year (Murray 266), and 6.4 million psychiatric prescriptions are given to children between the ages of four and seventeen each year (Johnson 19). The overprescribing of these medications leads to children experiencing unnecessary side effects, increases the chances of addictions, and encourages drug resistance. In this essay, I will be proposing that there should be a (i) government enforced set of extensive regulations and checklists that each patient must fulfill before receiving a prescription and (ii) governmental laws prohibiting careless prescribing by doctors and hold doctors more accountable for the prescriptions they write.
It is important to teach diabetic patients or those who are at risk to watch carbohydrate intake because that directly influences glucose levels. Non-animal sources of protein such as legumes and whole grains should be consumed. High fiber is recommended, specifically soluble fiber such as lentils, oats, grapefruits, broccoli, beans or brussel sprouts. Teach the patient that alcohol consumption can cause
First, the medical assistant should convert the doctor’s prescription into layman’s terms for Doris. Medication A is two teaspoons by mouth every four hours. Medication B is 2.5 milliliters by mouth three times daily (Fulcher, Fulcher, & Soto, 2012, p. 1b). Doris should be cautious of confusing her medication dosages as that could lead to possible overdose. If Doris is afraid of mixing her medications, the medical assistant should convert to the unit that Doris is more comfortable with. For example, if Doris prefers milliliters, she should take around 9.8 milliliters of medication A. Alternatively, medication B could be taken at .5 teaspoons (Fulcher, Fulcher, & Soto, 2012, p. 131). Patients taking multiple medications should have a medication
Grains, starches, fruits, vegetables, legumes, milk and sugary foods all contain carbohydrates. By limiting your food portion size, you will eat fewer carbohydrates, which will keep your blood glucose levels down, which is important for diabetes (Canadian Diabetes Association). Blood glucose levels can also be managed by using the glycemic index. Foods lower on the glycemic index will help keep your blood glucose levels low. The higher an item is on the glycemic index, the more it will raise your blood glucose, and the less of it you should eat in a sitting. Items such as oatmeal, pasta, sweet potatoes, beans, peas, legumes and most fruit are low on the glycemic index. Items such as white bread, instant oatmeal, white rice, pretzels, popcorn, melons and pineapple are high on the glycemic index. In order to balance a meal, and have less of an effect on blood glucose levels, food items high on the glycemic index can be combined with items low on the glycemic index (American Diabetes
An 80 year old female patient with admitting diagnosis of Congestive Heart Failure was refusing care. She presented with unremarkable vital signs, shortness of breath on exertion, decreased air entry right lower field, heart sound 1 muffled, heart sound 2 regular. She had oedematous legs bilaterally. Due to excessive oedema, she had ecchymosis to dorsal left foot, her dorsalis pedis were not palpable and experienced foot pain exacerbated with passive range of motion. She also had a small open coccyx wound. Again, patient was non-compliant with care, refused to be repositioned and refused administration of all medication.
The most important aspect of dietary management of diabetes is carbohydrates. Complex carbohydrates found in breads, cereals, potatoes, vegetables and other foods raise the blood sugar approximately the same amount as simple sugars. Carbohydrates and the glucose they generate are an energy source. Insulin produced
My point of view regarding the issue of using psychotropic medications to treat ADHD (and/or EBD) in children and adolescents.
Psychotropic drugs are medications which affect the central nervous system. It changes how the brain processes information and alters the mood, thoughts, behaviors and perceptions. Most psychotropic drugs are prescribed after the method of psychoeducation and therapy have failed in improving the current state and condition of the patient.
I agree that medications should be used as a treatment intervention to treat substance-related disorders if it is supportive and helpful. Medication-Assisted Treatment (MAT) is used in combination with counseling and it is primarily used for clients who are dependent on alcohol and opiates (McNeece & DiNitto, 2012). McNeece and DiNitto (2012) notes that MAT reduces cravings and withdrawal symptoms by either imitating the actions of the brain’s chemicals (agonists), encourage negative feeling about the substance that is being abused (analogs), or blocks the effects that come with using a substance (antagonist); however, no medication promises a cure. For example, buprenorphine imitates the effects of opioid by restricting the effects, so it
Every 14 minutes, a person is killed by prescription drugs -- and unlike most other causes of preventable death, which have been on the decline for years, medication-induced deaths are on the upswing across the US. According to a recent analysis conducted by the Los Angeles Times (LA Times), drug-induced deaths have become so prevalent that their average yearly total now exceeds the number of deaths caused by traffic accidents. It is truly a sad day in the world when the very medications prescribed for treating disease are one of the leading causes of death, including among young children. And based on data retrieved by the LA Times, the number of drug fatalities has doubled within the past ten years, as legal drugs now kill nearly 38,000 Americans
Psychotropic medication may help mask symptoms, but it also has side effects. Evidence that has been presented above shows how recreational therapy has the ability to take away unneeded psychotropic medications. There are still skeptics who would say that medicine is the most precise way to relieve psychological symptoms in patients. It is a good argument that often sways doctors to choose medication over natural healing. Medication has a downside that they forget about, such as side effects and dependency. Side effects are silent killers, as they can take away coherency and cause medical problems. According to a survey done by Whitney Allen, a health researcher, found that over 80% of antidepressant medicine takers stopped taking the pills
Imagine that your best friend in the entire world had been seeming dejected or sad. He/she doesn’t seem to want to come out of the house, hang out, or anything that they used to like, they don’t like anymore. These are two of many signs that they are dealing with depression. Should depression continue to be treated with medication and therapy, or should depression not be treated with medication and therapy? Depression should be treated with medication and therapy for the following reasons, medication can balance out their serotonin levels and help them feel more relaxed, talk therapy can help them to open up and possibly find the good from every situation, as well as medication and therapy can help “cure” the depressive symptoms.
Gary Scheiner has experiences 32 years for type 1 diabetes. He is an author of many books. He also works with patients and focuses more on type 1 diabetes. After I attended the meeting, I learned that diabetes people need to keep their scale balance between physical activities, food intake and psychological. I gained deeper understanding about diabetes nutritional. That knowledge will help me in my future career, and it gave me a chance to review what I learned from classes that are actually apply to the reality. I learned that people who intake more fat in their meal, it would decrease the slow digestion. Besides that, huge amount of fat can cause insulin resistance that is the main reason of type 2 diabetes. When body has high insulin, the liver will have to work harder to secrete more than usual. Based on what information that he presented, I was able to see a brighter picture of what I learned from classes, and now it makes more sense to me in reality. Next, I learned that protein could also raise blood sugar. However, there are only two special case that protein can raise blood sugar are when people do not have enough carbohydrates, or when they eat too much protein. In these cases, protein can increase the blood sugar very fast. Besides protein and fat, people who have diabetes should decrease carbohydrate intake. There is only one type of carbohydrate will not increase blood sugar is fiber. That is why people with diabetes are highly