Question
My friend’s father has been a diabetic for several years. His blood sugar levels are usually around 8-9. Three weeks ago (January 17, 2010), he was sent to the Rongdong County People’s Hospital in Nantong City, Jiangsu Province due to a left frontal sinus fracture from a brain trauma. After admission, no surgery was performed, and the doctor said conservative treatment. The family also informed the doctor about the patient’s diabetes, but they discovered that the doctor was administering 5% glucose infusion (ranging from 500 to 750 mL) every day. After one week of treatment (the 25th), the patient’s condition improved, he could talk, eat normally, and go to the bathroom with assistance from his family. The brain CT showed no major issues, and the doctor said he could be discharged in two days to go home for the New Year celebrations. However…
Answer
In stressful situations, diabetics may experience elevated blood sugar levels. There is a direct relationship between the elevated blood sugar and the trauma. When administering glucose injection to diabetics, insulin should be administered to counteract this effectively.