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Endocrine drugs: insulin and oral hypoglycemics, thyroid drugs

Pharmacology · MBBS

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A type 1 diabetic is confused and sweaty — blood sugar 45 mg/dL. Hypoglycemia's neuroglycopenic + adrenergic signs (confusion, sweating, tremor) demand fast glucose — conscious: oral glucose/juice; unconscious: IV dextrose or IM glucagon. Every insulin user must carry glucose and teach family glucagon. Recurrent lows suggest too much basal or missed meals — adjust, don't just treat. The brain runs on glucose — lows injure faster than highs.

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