Talk:Diabetic hypoglycemia
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[edit] Temperature Extremes
I would like this article to open up debate on whether temperature extremes (either extreme cold conditions or extreme hot conditions) can make risk of hypoglycaemia in diabetics more likely. Any information on this subject will be gratefully received. ACEO 08:12, 24 July 2006 (UTC)
- A better place is the talk:Diabetic hypoglycemia page, before putting anything in an article. If you move the question there I will tell you what I know about the topic. alteripse 11:31, 24 July 2006 (UTC)
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- Thank you Alteripse. I have now raised this question on the Wikipedia site talk: Diabetes, so I do hope that you will be able to respond. By the way, are you a qualified medical doctor? I have seen a number of comments from you on medical articles in Wikipedia, and also believe that your name is in the category
Category:Wikipedian physicians. I am not a medical doctor myself (my doctorate is a Ph.D. in Psychology, not an M.D.) but do find medical articles in Wikipedia very interesting and, from what I know about medicine, pretty good compared with some other health information on the web! ACEO 12:44, 26 July 2006 (UTC)
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- This article is the best place to talk about diabetic hypoglycemia. In general, be wary of medical articles on wikipedia. They can be excellent or poor and can change overnight when a crank drops by. Witness our difficulties with the chromium-obsessed at diabetes mellitus or the Armour-thyroid-evangelists at desiccated thyroid extract or those who think that fraud is just another equally respectable point of view at HGH quackery.
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- Temperature extremes can affect hypoglycemia risk in several possible ways, but the effects are not always direct and are rarely large. The principal direct effect of both extremes is similar to exercise but smaller. One increases glucose consumption rates at both very hot or very cold to defend body temperature; this effect tends to lower glucose. However, like exercise, there is a concurrent stress effect involving adrenalin, which is hard to predict and may drive glucose up. Extremes can also affect recognition of lows. Extreme heat and cold can interfere with performance of several meters. Extreme heat and cold might accelerate insulin degradation, especially in a pump, which could lead to hyperglycemia. Does that cover the issues? alteripse 19:24, 26 July 2006 (UTC)
- Thank you Alteripse, that covers issues nicely. It makes me wonder whether a similar principle might be at work in hibernation insofar as I can see how that could result in changes in glucose metabolism at extreme temperatures. I found the bit about how temperature extremes might affect ability to recognise blood glucose levels especially interesting. By the way, I take your points about medical information on Wikipedia - especially the way that articles might change overnight, I suppose that that is both the strength and the weakness of Wikipedia. Wikipedia can be very up-to-date, but the last time I looked at the article on whooping cough, it still seemed a little dated. ACEO 19:37, 26 July 2006 (UTC)
- I think hibernation is pretty straightforward. The metabolic rate slows, glucose consumption slows, food intake and storage drops to zero, and less energy is expended maintaining a temperature gradient. The net effect: your average type 1 bear needs a drastic reduction in his insulin dose. alteripse 02:16, 27 July 2006 (UTC)
- Thank you Alteripse, that covers issues nicely. It makes me wonder whether a similar principle might be at work in hibernation insofar as I can see how that could result in changes in glucose metabolism at extreme temperatures. I found the bit about how temperature extremes might affect ability to recognise blood glucose levels especially interesting. By the way, I take your points about medical information on Wikipedia - especially the way that articles might change overnight, I suppose that that is both the strength and the weakness of Wikipedia. Wikipedia can be very up-to-date, but the last time I looked at the article on whooping cough, it still seemed a little dated. ACEO 19:37, 26 July 2006 (UTC)
- Temperature extremes can affect hypoglycemia risk in several possible ways, but the effects are not always direct and are rarely large. The principal direct effect of both extremes is similar to exercise but smaller. One increases glucose consumption rates at both very hot or very cold to defend body temperature; this effect tends to lower glucose. However, like exercise, there is a concurrent stress effect involving adrenalin, which is hard to predict and may drive glucose up. Extremes can also affect recognition of lows. Extreme heat and cold can interfere with performance of several meters. Extreme heat and cold might accelerate insulin degradation, especially in a pump, which could lead to hyperglycemia. Does that cover the issues? alteripse 19:24, 26 July 2006 (UTC)
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[edit] Hypoglycemia Unawareness
A former article on the above topic was deleted because of copyright violations. To me, the piece was not long or involved enough to merit its own article, so perhaps some of this article could be devoted to hypoglycemia unawareness in diabetics, dealing with issues such as loss of adrenergic symptoms. ACEO 20:19, 17 November 2006 (UTC)
