Hypoglycaemia

Hypoglycaemia on a trip to the USA

Recently, while travelling on an aircraft to the USA, a lady seated next to me got up to use the restroom and collapsed on the floor just outside the bathroom.

Fortunately, a fellow passenger and a flight attendant were nearby to check on her well-being.

However, the situation escalated when an announcement was made for any medical doctors on the flight to identify themselves to the crew.

An American doctor quickly came forward, and after several minutes of assessing the situation, he determined that we were facing a medical emergency that required immediate assistance for the young lady.

A flight attendant approached and asked if the lady who had collapsed was sitting next to me; I confirmed she was and pointed out her hand luggage.

I mentioned that the lady had slept for most of the flight and had refused food and fluids. When she got up, she seemed very unsteady on her feet, and I suspected she might be diabetic.

This suspicion was later confirmed by the doctor and the paramedics at Toronto Airport.

Thankfully, the time from the incident to getting the lady the medical assistance she needed was about 30 minutes.

Hypoglycemia is a serious health risk for anyone with diabetes, particularly when there is an imbalance between the amount of insulin in the body and the food consumed.

Initially, symptoms of hypoglycemic shock can appear quite mild, and most diabetics are aware of the warning signs, allowing them to mitigate the risk by eating regularly, taking prescribed medication on time, and monitoring their physical activity.

However, sometimes they may overlook these symptoms, leading to a rapid decline and potentially resulting in hypoglycemic shock.

This condition requires urgent medical attention, as hypoglycemia can lead to coma or even death if not treated immediately.

What is hypoglycaemia

Hypoglycaemic shock occurs when blood sugar levels drop too low, leading to insufficient energy for the body’s cells, which typically rely on carbohydrates for fuel.

The pancreas produces insulin, which helps regulate blood sugar levels and prevents them from becoming excessively high.

When blood sugar levels rise too much, it can result in severe dehydration, which can be life-threatening.

Additionally, chronic overconsumption of sugar can lead to serious damage to the eyes, heart, and nervous system.

In individuals without diabetes, the body regulates insulin production so that it releases just the right amount needed to maintain normal blood sugar levels.

However, in people with diabetes, the body may not produce insulin at all or may not respond to it effectively.

As a result, medication is often necessary to increase insulin levels in these individuals.

Hypoglycaemia occurs when there is excess insulin in the body, causing blood glucose levels to drop rapidly.

If a person with diabetes has not eaten, their body will burn through blood sugar faster.

Similarly, engaging in physical activity can also lead to dangerously low blood sugar levels.

What can cause Hypoglycaemia

Blood sugar levels can drop if a person engages in more physical activity than usual, skips a meal, takes insulin at an unusual time, or consumes excessive alcohol without eating.

These are some common causes of low blood sugar.

What are the warning signs

Individuals suffering from this condition often experience irritability, dizziness, sweating, confusion, headaches, and may even faint, lose consciousness, or slip into a coma.

How can you treat Hypoglycaemia?

In mild cases, it is important to raise blood sugar levels quickly.

This can be done by having the person eat or drink something sugary, such as a Mars bar, a can of full-sugar Coke, warm sweet tea, or fruit juice.

After 10 minutes, they should check their blood sugar levels.

If the levels are still low, they will need to consume a little more sugary food or drink and check their blood sugar levels again.

If the person loses consciousness, immediate medical attention is required.

Conclusion

A lady experienced a hypoglycemia episode while on an aircraft, but she survived thanks to the quick actions of a doctor on board.

The doctor promptly arranged for the aircraft to be diverted to the nearest airport, ensuring the lady received urgent medical attention.

It’s important to consider the risks associated with such situations.

Eating at regular intervals and taking medication on time can help prevent these emergencies.

Fortunately, the lady was fit enough to continue her journey just a couple of days later.

However, it could have turned out very differently if the doctor had not acted decisively that day.

On our First Aid at Work course and on our Paediatric First Aid course, we cover this in quite a bit of depth.