During that night he had hypothermia, severe hypoglycaemia, generalized seizures, abdominal distension and mild upper gastrointestinal bleeding.
This flat profile is thought to reduce the risk of potential hypoglycaemia.
Hypoglycaemia with the sulphonylureas is particularly likely if increasing renal impairment goes unnoticed.
Education is vital from the outset regarding the prevention, recognition and treatment of hypoglycaemia.
They have the potential for causing hypoglycaemia due to their long action.
The patient should not be left alone until the risk of further hypoglycaemia is thought to have passed.
Urinalysis is not particularly useful, because this will not warn of impending hypoglycaemia.
The principal goal of treatment is to prevent acute complications of diabetes, which can affect daily life such as hypoglycaemia or hyperglycaemia and in the long-term the prevention of complications.
