Long acting insulin injections (particular P.Z.I.), can cause headache, fatigue, vomiting etc. Such a situation develops when blood sugar level falls below 70mg/100ml. and if this level touches down to 59mg or still lower, the patient is in for dire consequences, as he may slip into coma. Before such an alarming situation develops, try to pre-empt the exigency by going sugar-mixed liquid, fruit juice, pure sugar, without delay. If done so, it will spare the patient himself, family members and his physician from serious anxiety.

Above symptoms generally develop if insulin dose is exceeded or meals are not taken after insulin injections. If hypoglycaemia occurs almost at the same time daily, then such a situation can be averted by taking carbohydrates, prior to anticipated onset of low sugar in blood. IDDM patients must carry sugar-cubes, sugar-candy, or toffees or sweets (or sugar in any form) so that they can make use of the same, as soon as initial symptoms appear. But, the doctor must be consulted immediately or at the largest after such hypoglycemic states. Any delay in resorting to corrective methods can prove fatal or leave back serious complications.

Patients should always immediately heed to ‘early warning signals’ of hypoglycaemia and take corrective measures, and nip the problem in the bud. If the early warning signals (which is nature’s own unique way to caution a human being) are ignored, then the patient may have drowsiness, confusion, inappropriate and unusual behaviour, hype-excitability, lack of nerve power etc.