| The conventional diabetic diet is calculated in terms of the total requirement for calo- ries and a ratio of these calories in grams of carbohydrates, proteins and fats. | | The conventional diabetic diet is calculated in terms of the total requirement for calo- ries and a ratio of these calories in grams of carbohydrates, proteins and fats. |
− | # Faintness, weakness, tremulousness, palpitation, diaphoresis, hunger and nervousness, such as may result from epinephrine administration. Epinephrine is a hormone that has multiple effects to prepare the body for many different kinds of stress. Its effect on glucose is very rapid and can produce minute-to- minute changes in blood glucose levels. Stress stimulates epinephrine release, and the hormone then serves to mobilize glycogen to yield a higher blood glucose level. Epi- nephrine also suppresses insulin release to further enhance blood glucose levels. Acute hypoglycemia with epinephrine-like symptoms indicates that endogenous epinephrine- induced glycogen mobilization has already started. | + | # Faintness, weakness, tremulousness, palpitation, diaphoresis, hunger and nervousness, such as may result from epinephrine administration. Epinephrine is a hormone that has multiple effects to prepare the body for many different kinds of stress. Its effect on glucose is very rapid and can produce minute-to- minute changes in blood glucose levels. Stress stimulates epinephrine release, and the hormone then serves to mobilize glycogen to yield a higher blood glucose level. Epi- nephrine also suppresses insulin release to further enhance blood glucose levels. Acute hypoglycemia with epinephrine-like symptoms indicates that endogenous epinephrine- induced glycogen mobilization has already started. |
− | # A pattern of central nervous system symptoms including headache, confusion, visual disturbances, motor weakness, palsy, ataxia, and marked personal changes. These CNS disturbances may progress to loss of consciousness, convulsion and coma. With recur- ring episodes of hypoglycemia in the same patient, the symptoms may be repetitive, al- though the tempo and severity of an attack may vary. Symptoms of anxiety, including sweating, headaches, hunger, tachycardia, weak- ness, and occasionally seizures and coma may suggest hypoglycemia but not necessarily. | + | # A pattern of central nervous system symptoms including headache, confusion, visual disturbances, motor weakness, palsy, ataxia, and marked personal changes. These CNS disturbances may progress to loss of consciousness, convulsion and coma. With recur- ring episodes of hypoglycemia in the same patient, the symptoms may be repetitive, al- though the tempo and severity of an attack may vary. Symptoms of anxiety, including sweating, headaches, hunger, tachycardia, weak- ness, and occasionally seizures and coma may suggest hypoglycemia but not necessarily. At any rate, the underlying cause is the same and that is enervation leading to toxicosis and eventual impairment of all (not just one) bodily functions. The various symptoms demonstrate systemic involvement. |