Page 92 - Participant Manual
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If food intake, exercise and medication are not in balance, the person may experience a diabetic emergency.

            ■    Hypoglycemia (excessively low blood glucose   ■    Hyperglycemia (excessively high blood glucose
                levels) can result if a person misses a meal or   levels) can result if a person eats too much food,
                snack, eats too little food, exercises more than   takes too little medication, exercises less than
                usual, vomits or takes too much medication.     usual or experiences physical or emotional stress.

            Signs and Symptoms of Diabetic

            Emergencies
                                                                              THE PROS KNOW.
            A person who is having a diabetic emergency will seem generally ill.   _______
            He or she may feel dizzy or shaky, have a headache, or have cool,
            clammy skin. The person’s behavior may change (for example, he    A person who is experiencing a
            or she may become irritable, aggressive or argumentative). If the   diabetic emergency may appear
            person is experiencing hyperglycemia, his or her breath may have   to be under the influence of
            a fruity or sweet odor. Severe hypoglycemia or hyperglycemia can   alcohol. For example, the person
            result in confusion, seizures or loss of consciousness and may be life   may slur his or her words or have
            threatening.                                                      difficulty walking. Interviewing
                                                                              the person (or bystanders) using
                                                                              SAMPLE and conducting a
            First Aid Care for Diabetic                                       head-to-toe check may help you

            Emergencies                                                       identify the true cause of the
                                                                              person’s signs and symptoms.
            Call 9-1-1 or the designated emergency number if the person
            is unresponsive, not fully awake or having a seizure. While you
            wait for help to arrive, provide appropriate care. For example, if
            the person is not fully awake, interview bystanders and conduct a
            head-to-toe check, then put the person in the recovery position.
            Make sure the person’s airway is clear of vomit and monitor
            the person’s breathing until help arrives. If the person is having
            a seizure, take steps to keep the person safe while you let the
            seizure run its course.

            If the person is known to have diabetes and thinks he or she
            is having a diabetic emergency, you may be able to help the
            person by giving him or her some form of sugar. Only offer
            the person sugar by mouth if the person is responsive, able to
            answer your questions and able to swallow. Some people may
            be responsive but not fully awake and therefore not able to safely
            swallow; in this case, do not attempt to give the person sugar by
            mouth. Instead, call 9-1-1 or the designated emergency number.
            You should also call 9-1-1 or the designated emergency number
            if you are not able to immediately obtain an acceptable form of
            sugar. Acceptable forms of sugar include:

                                   ■    Glucose tablets.
                                   ■    Candies that can be chewed.                                                   © 2011, 2016 The American National Red Cross. All rights reserved.

                                   ■    Fruit juice.
                                   ■    Fruit strips.
                                   ■    Regular (non-diet) soda.

                                   ■    Milk.
                                   ■    A spoonful of sugar mixed into a glass of water.


                               Chapter 5 Sudden Illness  |   84   |  First Aid/CPR/AED Participant’s Manual                                             Chapter 5 Sudden Illness  |   85   |  First Aid/CPR/AED Participant’s Manual
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