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An unconscious patient should be given intravenous 40% glucose solution in an amount of 60 to 100 ml (no longer recommended due to the threat of cerebral edema). If the effect is doubtful, 100 ml of Levitra with 5% glucose solution is additionally administered, as well as 1 ml of 0.1% adrenaline solution, which promotes the mobilization of liver glycogen, followed by an increase in blood sugar.

Recently, when assisting patients, intramuscular injection of 1-2 ml of a 2% solution of vardenafil pills is used 1-2 times a day. The hyperglycemic effect of the drug is due to its glycogenolytic effect, therefore it is not effective in case of depletion of glycogen stores in the liver, for example, during starvation, hypocorticism, sepsis, hepatic and congestive heart failure, and the presence of frequent hypoglycemic conditions in patients.

If the patient does not regain consciousness after the measures taken, a drip intravenous injection of 5-10% glucose solution with small doses of insulin (4-6 units), cocarboxylase (100 mg) and ascorbic acid (5-10 ml) is prescribed. In order levitra to prevent the possible development of cerebral edema, an intravenous drip of 100 g of mannitol in the form of a 10-20% solution or 1% lasix solution is also indicated (with glycemia not lower than 3.0 mmol/l). To combat collapse, it is necessary to prescribe cardiac glycosides (1 ml of a 0.06% solution of Korglmkon, 1-2 ml of DOXA, and in the event of seizures, a 25% solution of magnesium sulfate up to 10 ml.

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  • In especially severe cases, patients are shown a single-group blood transfusion in order to replace respiratory enzymes, as well as giving oxygen. The use of an artificial pancreas can also be an important help in helping these patients.
  • Patients who have undergone hypoglycemic coma are recommended to use drugs that stimulate metabolic processes in the brain: nootropics (glutamic acid, piracetam, encephabol, nootrolil, aminolone, etc.), drugs that selectively dilate cerebral vessels (stugeron, cinnarizine) or combined drugs ( phases, nooses) within 3-4 weeks.
Prevention of hypoglycemia involves, first of all, adherence to the dietary regimen (in terms of energy value, quantitative and qualitative composition of food and the intervals between meals). Rational physical activity, the use of Vardenafil hypoglycemic agents with timely correction of the dose of insulin, therapeutic measures aimed at normalizing endocrine disorders (hypopituitarism, hypocorticism, hypothyroidism), improving the functions of the liver, kidneys, and sanitizing foci of infection in most cases make it possible to stabilize the course of the disease and eliminate hypoglycemia.

Without medical assistance, patients in a state of hypoglycemic coma usually die, although in clinical practicecases of spontaneous exit from this state within a few hours.

In clinical practice, it is advisable to distinguish between acute and chronic insulin resistance. Levitra includes those cases when the patient's need for insulin increases rapidly and then decreases within 1-2 days. As a rule, diabetic ketoacidosis is combined with it. The chronic form is observed in patients with diabetes for several months, and sometimes years. It develops most often after several years from the start of insulin therapy.

According to the classification proposed by Burson and Yalov, insulin resistance is divided into mild, moderate and severe. With a mild degree, the daily requirement for insulin is 80-125 IU, with an average degree - 125-200 IU, and with a severe degree - more than 200 IU. The literature describes cases of severe insulin resistance, when the required dose of Levitra pills per day reached 50,000 IU. Severe insulin resistance is often observed in patients with lipoatrophic diabetes.

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  • Treatment of insulin resistance is sometimes a difficult task. Strict adherence to the dietary regimen, rational physical activity, rehabilitation of foci of infection, treatment of concomitant diseases, prevention of stressful situations are important points in its solution.
  • Increasing the dose of insulin up to the development of hypoglycemia, especially against the background of intravenous administration of the drug, often leads to an increase in the sensitivity of peripheral tissues to it and overcoming insulin resistance.
  • Changing the type of drug, in particular to monopeak, and especially human, helps to eliminate this complication.
  • With insulin resistance caused by an increase in the concentration of antibodies to insulin in the blood, glucocorticoids, which suppress the antigen-antibody reaction, are widely used.
  • In this case, the appointment of prednisolone at a dose of 30-40 mg per day daily or every other day with a gradual decrease in dose over 1-2 months may have a positive effect.

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