Hypoglycemia (low blood sugar) usually occurs in the diabetic – person suffering from diabetes. Hypoglycemia in the nondiabetic patient is rare. Therefore, the following recommendations take into account the presence of diabetes mellitus disease.
General measures
- Aim for normal weight!Determine BMI (body mass index, body mass index) or body composition using electrical impedance analysis and participate in a medically supervised weight loss program.
- Nicotine restriction (refrain from tobacco use).
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day), as alcohol can lead to hypoglycemia (low blood sugar).
- Limited caffeine consumption (max. 240 mg caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea).
- Regular examinations of the feet and footwear (foot care).
- Avoidance of psychosocial conflict situations:
- Bullying
- Mental conflicts
- Social isolation
- Stress
- Avoidance of environmental stress:
- Nitrosamines (carcinogenic substances).
- Fungal toxins
- Ackee fruit
Conventional non-surgical therapy methods
- If the signs of hypoglycemia appear, supply of dextrose, for example.
Operative therapy
- In the presence of an insulinoma, surgical removal
Vaccinations
The following vaccinations are advised, as infection can often lead to worsening of the present disease:
- Pneumococcal vaccination
- Flu vaccination
Regular checkups
- Regular medical checkups
Nutritional medicine
Nowadays, the diet for a person suffering from diabetes is not as strict as it was a few years ago. It is also allowed to eat sugary foods.
- Nutritional counseling based on a nutritional analysis.
- The goal of the dietary change must be weight reduction to normal weight!
- Observance of the following special nutritional medical recommendations:
- Frequent small meals
- Meals of diabetics should contain 15-20% protein (protein), 30% fats and 50-60% carbohydrates.
- Avoidance or reduction of monosaccharides (simple sugars) and disaccharides (double sugars).
- Diet rich in fruits and vegetables and marine fish (due toOmega-3 fatty acids).
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance training (cardio training) and strength training (muscle training).
- If diabetic: exercise lowers blood glucose levels and improves insulin sensitivity. However, since diabetics during and after exercise blood glucose fluctuations can occur, a blood glucose measurement before and after exercise is important.
- Preparation of a fitness or training plan with suitable sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Psychotherapy
- Stress management, if necessary
- Detailed information on psychosomatics (including stress management) can be obtained from us.
Training
- In a diabetic training course, those affected are primarily shown the correct use of insulin and taught the importance of blood glucose self-monitoring and an adapted diet. Hypoglycemia can thus be avoided. Furthermore, a mutual exchange of experiences can take place in such groups.