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Board Review
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What is hypoglycemia?
Low blood sugar
Hypoglycemia occurs when blood glucose falls below approximately:
80 mg/dL
Hypoglycemia commonly occurs in what type of patients?
Insulin-dependent diabetics (Type I)
Why are morning appointments often recommended for diabetic patients?
Blood glucose is usually more stable
What should always be available chairside for diabetic patients?
A glucose source
What is the MOST common medical emergency in the dental office involving diabetic patients?
Hypoglycemia
Signs/symptoms of hypoglycemia
Sweating, confusion, shakiness, dizziness, and tachycardia
A diabetic patient becomes shaky and confused during treatment. What should you suspect FIRST?
Hypoglycemia
FIRST treatment for a conscious hypoglycemic patient
Administer glucose/carbohydrates
Why is hypoglycemia considered dangerous?
It can rapidly lead to loss of consciousness.
How can hypoglycemia be prevented before dental treatment?
Ensure the patient has eaten and taken medications properly.
Boards commonly test what diabetic emergency?
Hypoglycemia
A diabetic patient skipped breakfast before a morning appointment. What concern should the hygienist have?
Risk of hypoglycemia