Topic: Preventing high blood sugar emergencies from diabetes
Introduction
High blood sugar (hyperglycemia) in diabetes occurs when the sugar (glucose) level in the blood rises above normal. For a person who has diabetes, high blood sugar may be caused by missed diabetes medication (insulin or pills), eating too much food, skipping exercise, or by illness or stress.
Unlike low blood sugar, high blood sugar usually develops slowly over hours or days. Blood sugar levels well above your target range may make you feel tired and thirsty. If your blood sugar level stays higher than normal, your body will adjust to that level. If your blood sugar continues to rise, your kidneys will produce more urine and you can become dehydrated. If you become severely dehydrated, you can go into a coma and possibly die. Over time, high blood sugar damages the eyes, heart, kidneys, blood vessels, and nerves.
Unless you fail to notice the symptoms, you usually have time to treat high blood sugar so that you can prevent an emergency. Three things can help you prevent high blood sugar problems:
Test your blood sugar often, especially if you are sick or not following your normal routine. You can see when your blood sugar is above your target range, even if you don't have symptoms of high blood sugar (increased thirst, increased urination, and fatigue). Then you can treat it early.
Call your doctor if you have frequent high blood sugar or your blood sugar is consistently above your target range. Your medication may need to be adjusted or changed.
Drink extra water or noncaffeinated, nonsugared drinks to prevent dehydration
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Topic: Dealing with low blood sugar when your child takes insulin
Introduction
Low blood sugar, also called hypoglycemia, occurs when the sugar (glucose) level in the blood of a person with diabetes drops below what the body needs to function normally. Taking too much insulin, not eating enough food or skipping meals, or exercising more than usual can cause blood sugar levels to drop rapidly.
If your child's blood sugar level drops very low and he or she does not get help, your child could go into a coma and possibly die.
These four simple steps might save your child's life:
Test your child's blood sugar often so that you do not have to guess when his or her blood sugar is low.
Be alert to the early signs of low blood sugar: sweating, shakiness, hunger, blurred vision, and dizziness.
Have your child keep some hard candy, raisins, or other foods that contain sugar with him or her at all times. Your child should eat some at the first sign of low blood sugar.
Teach all of your child's caregivers what to do if your child's blood sugar is very low
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Topic: Preventing high blood sugar emergencies in children with diabetes
Introduction
High blood sugar, also called hyperglycemia, occurs when the sugar (glucose) level in the blood rises above normal. For a person who has diabetes, high blood sugar may be caused by missed oral diabetes medicine or insulin injection, eating too much, skipping physical activity, or illness or stress. The rapid growth during the teen years can also make it more difficult to keep your child's blood sugar levels within a target range.
Unlike low blood sugar, high blood sugar usually develops slowly over a period of hours or days. But it can also develop quickly (in just a few hours) if you eat a large meal or miss an insulin dose. Blood sugar levels just above the safe range may make a person feel tired and thirsty. If your child's blood sugar level stays higher than normal, his or her body will adjust to that level. Over time, high blood sugar damages the eyes, heart, kidneys, blood vessels, and nerves. If your child's blood sugar continues to rise, his or her kidneys will increase the amount of urine produced and your child can become dehydrated. If your child becomes severely dehydrated, he or she can go into a coma and possibly die.
Unless you or your child fails to notice the symptoms, you usually have time to treat high blood sugar so that it doesn't become an emergency situation. Three steps can help you prevent high blood sugar problems:
Test your child's blood sugar often, especially during illnesses or when he or she is not following a normal routine. A child may not have symptoms of high blood sugar, which are fatigue and increased thirst and urination.
Notify the doctor if your child has frequent high blood sugar levels or the blood sugar level is consistently staying above the target range. The medicine or insulin dosage may need to be adjusted or changed.
Encourage your child to drink extra water or noncaffeinated, sugar-free drinks to prevent dehydration
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Topic: Dealing with low blood sugar from insulin for diabetes
Introduction
Low blood sugar (hypoglycemia) occurs in people with diabetes when the sugar (glucose) level in the blood drops below what the body needs to function normally.
Key points
If your blood sugar drops below 65 milligrams per deciliter (mg/dL), you most likely will have symptoms, such as feeling tired, weak, or shaky.
If your blood sugar drops very low (usually below 20 mg/dL) and you do not get help, you could become confused, drowsy, or even lose consciousness and possibly die. If you are pregnant, your baby could be harmed.
Low blood sugar can develop if you take too much insulin, do not eat enough food or skip meals, exercise without eating enough, or drink too much alcohol (especially on an empty stomach).
You can usually treat mild—and sometimes moderate—low blood sugar by eating something that contains sugar.
You should teach your friends and coworkers what to do if your blood sugar is very low
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Topic: Urinary Problems and Injuries, Age 12 and Older
Topic Overview
Most people will have some kind of urinary problem or injury in their lifetime. Urinary tract problems and injuries can range from minor to more serious. Sometimes, minor and serious problems can start with the same symptoms. Many urinary problems and injuries are minor, and home treatment is all that is needed to relieve your symptoms.
See pictures of the female urinary system and male urinary system .
Urinary symptoms
Common symptoms of a urinary problem include:
Burning with urination (dysuria). This is the most common symptom of a urinary tract infection.
Frequent urge to urinate without being able to pass much urine (frequency).
Urgent need to urinate (urgency).
Feeling like you cannot completely empty your bladder.
Blood in the urine (hematuria). Your urine may look red, brown, or pink. Blood in the urine may occur after exercise, such as running or bicycling.
Leaking urine (incontinence).
When you only have one symptom or if your symptoms are vague, it can be harder to figure out what the problem is. If you are slightly dehydrated, your urine will be more concentrated, and urinating may cause discomfort. Drink more fluids—enough to keep your urine light yellow or clear like water—to help decrease discomfort.
Urinary tract infections
When you have a urinary tract infection (UTI), you may have several urinary symptoms. UTIs are more common in women than in men. This is because the urethra is shorter in women and comes into contact with bacteria from the skin, anus, and vagina. You can reduce your chance of having a UTI by controlling risk factors that can cause these infections.
Infections that commonly cause UTI symptoms include:
Bladder infections, which are the most common type of UTI, and occur most often in sexually active women between the ages of 20 and 50. An estimated 50% of women develop bladder infections sometime during their lives.
Kidney infections, which are less common and more serious than bladder infections.
Prostatitis and epididymitis. These are urinary tract problems that are common in men. For more information, see the topics Prostatitis and Epididymitis.
Urethritis, which can occur with sexually transmitted diseases (STDs), causing pain with urination. For more information, see the topic Exposure to Sexually Transmitted Diseases.
Other urinary problems
Kidney stones are another urinary problem that can cause mild to severe urinary symptoms. Men between the ages of 20 and 30 are affected most often with kidney stones, but anyone can get stones at any age. For more information, see the topic Kidney Stones.
An injury to the genital area can cause severe pain. Usually the pain subsides over the course of a few minutes to an hour. The severity of the pain is not always an indicator of the severity of the injury. After an injury such as a hit to the genital area, it is important to watch for urinary problems. You usually need to see your health professional if you are having trouble urinating, cannot urinate, have blood in your urine, have swelling, or have ongoing pain.
In women and girls, genital skin irritation can cause pain with urination.
Urinary problems related to aging
As people age, some urinary problems become more common. Stress incontinence is the most common form of urinary incontinence in older women. Multiple childbirths, aging, and decreasing hormone levels may cause changes in the pelvic muscles and supportive structures that lead to stress incontinence. It may also occur in men, especially those who have had prostate surgery. For more information, see the topic Urinary Incontinence in Women or Urinary Incontinence in Men
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Topic: Home Ear Examination
Test Overview
A home ear examination is a visual inspection of the ear canal and eardrum using an instrument called an otoscope . An otoscope is a handheld instrument with a light, a magnifying lens, and a funnel-shaped viewing piece with a narrow, pointed end called a speculum.
A home ear examination can help detect many ear problems, such as ear infections, excessive earwax, or an object in the ear canal.
After receiving instructions and training from a health professional, home ear examinations can be helpful for parents of young children who frequently get ear infections and earaches. Sometimes a child may have an ear infection in which the only outward symptom may be fussiness, a fever, or tugging at the ear. A home ear examination may help reveal the cause of these symptoms; however, it is challenging to learn to use an otoscope, so consultation with a health professional is generally necessary.
Why It Is Done
A home ear examination may be done to:
Look for signs of infection when a person has an earache or when a young child has vague symptoms.
Check for a foreign object in the ear, such as an insect or a bean.
Check for earwax buildup when a person complains of hearing loss or of fullness or pressure in the ear.
How To Prepare
No special preparation is needed before having this test. Always remember to clean the ear speculum in hot, soapy water before using it.
How It Is Done
If you are going to examine a young child, have the child lie down with his or her head turned to the side, or have the child sit on an adult's lap and rest his or her head on the adult's chest. Older children or adults can sit with their head tilted slightly toward the opposite shoulder. Sitting is the best position for identifying fluid behind the eardrum (otitis media with effusion).
Select the largest viewing piece that will fit easily into the ear canal, and attach it to the otoscope.
If the person is only having problems with one ear, examining the other ear first may make it easier to determine what is different about the affected ear.
When checking the ear of a child older than 12 months or an adult, hold the otoscope in one hand and use your free hand to pull the outer ear gently up and back. This straightens the ear canal and improves visualization. In babies younger than 12 months, gently pull the outer ear down and back. See a picture of the position of the otoscope during an ear examination.
Now, slowly insert the pointed end of the viewing piece into the ear canal while looking into the otoscope. The sides of the ear canal can be quite sensitive, so try not to put pressure on the ear canal. It may help to steady your hand on the person's face so your hand moves along with their head in case they move quickly.
Do not move the otoscope forward without looking into it. Make sure you can see the path through the ear canal. You do not need to insert the viewing piece very far into the ear—the light extends well beyond the viewing tip.
Angle the tip of the viewing piece slightly toward the person's nose to follow the normal angle of the canal. While looking through the otoscope, move it gently at different angles so that you can see the canal walls and eardrum. Stop at any sign of increased pain. If your view is blocked by earwax, see the directions for removing earwax in the What to Think About section of this medical test.
Ask your health professional to review this technique with you and to watch you do an examination. Then practice on some healthy, willing adults so you can learn what a normal ear canal and eardrum look like. Don't be discouraged if you can't see the eardrum at first—it takes some practice and experience.
How It Feels
Examining a healthy ear using an otoscope is usually painless but may cause some mild discomfort if the person being examined has an ear infection.
Risks
The pointed end of the otoscope can irritate the lining of the ear canal. Make sure that you insert the otoscope slowly and carefully. If you do scrape the lining of the ear canal, it rarely causes bleeding or infection, but you must be careful to avoid pain or injury.
An otoscope can push an object closer to the eardrum. If you suspect an object in the ear, do not move the otoscope forward once you see the object. Don't try to remove the object; seek medical help.
There is a slight risk of damaging the eardrum if the otoscope is inserted too far into the ear canal. Do not move the otoscope forward if it feels like something is blocking it.
Results
A home ear examination is a visual inspection of the ear canal and eardrum , using an instrument called an otoscope .