One thing we remained in the study of diabetes in mind: Both sugar shortage and excess sugar can cause confusion and unconsciousness.
But the fact that both extremes that cause over-and hypoglycemia, the very different histories and clinical pictures fall only on us again when we saw the first patients with Hyp-O-glycemia.
He was old, thin and sullen. His wife had called the ambulance, because he signs of hypoglycaemia was shown. She had tried with good words and jelly sandwich to raise its sugar. But it did not help. He refused. Was sullen and stubborn. He sat at the kitchen table arrived ahead of his bread and jam as the emergency physician. "They scissors to hell, what do you want from me?" Get out of my house! " growled the old man to the ambulance. Measuring blood sugar? Access basket? Not him. The ambulance tried it with good words. Praised the delicious bread and jam. Referred to the concern of the wife. Warned of the sugar-shock. Nothing doing.
The old, withered man was weaker, but always aggressive. Tried to scratch an ambulance. Railed against himself. So it was always when he was hypoglycaemic, the woman said.
The decisive plan came from the experienced paramedics: The feather bed was spread on the kitchen floor. By joining forces, the little man was laid out and recorded. Now he was active again: cursed, spat, scratched and bit around. Worst insults and curses, he accused the physician on his head. On behalf of his profession was the doctor to blame for all the misery that had happened to the patient: reduced pension amputated leg, failed surgeries and countless hospital stays. Never the doctor, who was now on the patient, had been hitherto so insulted.
Nevertheless, he succeeded in an increase in the fragile veins of the struggling old man. And as soon flooded the first twenty milliliters of 40 percent glucose the organism could hear the thrashing and cursing on suddenly. "Excuse me, sir, I have offended you?" he asked timidly. While he was down on his bed acts together and jam bread turned he confessed shamefacedly that These kinds was not made for the first time. He was sorry and he apologize.
The blood sugar level, which had been removed after laying the Braunüle showed later a value around 30 mg%.
met in his later career the doctor again on hypoglycaemic which herumtigerten restless, confused. And often fought against a helping action. Developmentally, the search for the saving carbohydrates, when we are not to be stopped? Who knows?
Only three times was the emergency doctor in the following years when the old man at home. Two-time hypoglycemia. The third time, determination of death.
The woman had been shopping.
