Hypoglycemic posture hypotension

Hypoglycemic posture hypotension's disease overview

What is

What is blood pressure?

Vertical posture hypotension , also known as posture hypotension occurs when switching from a posture to a vertical position. Normally standing posture increases diastolic blood pressure and mitigating systolic blood pressure compared to the lying position. The posture hypotension is defined that when systolic blood pressure decreases above 20mmHg and diastolic blood pressure decreases above 10mmHg when changing from lying to standing within 3 minutes.

Causes of Hypoglycemic posture hypotension's disease

  • Due to dehydration: vomiting, diarrhea, not enough fluid can reduce the volume of circulatory causing blood pressure posture
  • Hypothyroidism, adrenal failure
  • Automatic neurological complications of diabetes

    • Nervous system disorders: Parkinson's disease, amyloidosis, lewy memory loss, multi -system atrophy ...

  • Due to some antihypertensive drugs: alpha blockers, sympathetic beta blockers, diuretics, calcium channel blockers
  • Due to tachycardia, slow rhythms

    • Symptoms of Hypoglycemic posture hypotension's disease

  • Dizziness, dizziness when standing up after lying, usually lasting a few minutes
  • Stunned when changing positions
  • Fuzzy look
  • can faint

    • People at risk for Hypoglycemic posture hypotension's disease

  • Advanced age: Hypotension posture is often more common in people over 65 years old, at this time receptors receive blood pressure adjustments that can be reflected slower than in combination with decline. chức năng tim
  • High temperature: Acting in hot environment, high temperatures causing a lot of dehydration, not enough water can lower blood pressure.
  • lying in bed for a long time

    • Pregnant women

  • drink a lot of alcohol

    • Use antihypertensive drugs

    Diabetes perennial

    Prevention of Hypoglycemic posture hypotension's disease

  • Compensate for enough water, enough fluid when there is dehydration such as vomiting, diarrhea

    • Ensuring appropriate working conditions when working in high temperature environments

  • Do not drink much alcohol
  • Change posture slowly, avoiding suddenly lying in bed, especially for the elderly
  • Control blood sugar

    • Diagnostic measures for Hypoglycemic posture hypotension's disease

    Diagnosis of hypotension is not too complicated. Mainly based on clinical signs and blood pressure measurement

  • Measuring blood pressure in a vertical posture: systolic blood pressure decreased over 20 mmHg or diastolic blood pressure decreased over 10 mmHg
  • Find the cause of posture hypotension:
  • Blood test: Blood sugar, HBA1C for diagnosis of diabetes, endocrine hormones such as cortisol, ft4, tsh, blood formula tests to findingness Blood concentration of circulatory volume loss
  • Exploitation of the use of hypotension drugs
  • Tilting method: Evaluating the function of the sympathetic system, deputy sympathy through reflexes when changing positions
  • Electrolyte: Detecting tachycardia, slow rhythms are causes of posture hypotension

    • Doppler ultrasound: Detect heart diseases such as aortic valve stenosis, spasmic pericarditis, heart failure, signs of myocardial infarction ...

    Hypoglycemic posture hypotension's disease treatments

    Treatment of posture hypotension depends on the cause. Can be treated by taking medication or not taking medicine

  • Measures without drugs:
  • Change posture slowly
  • Avoid lying for a long time
  • Reducing or stopping or converting hypotension drugs
  • Can increase the amount of salt in the diet
  • Wearing pressure socks if peripheral veins
  • Treatment drugs
  • Fludrocortison: is a corticoid that holds salt, holds water, increases the volume of circulating. It can cause hypertension but can also cause congestion or congestive heart failure
    • Midodrine: belongs to the sympathetic alpha receptor, which leads to hypertension. Do not use drugs in case of severe heart failure, acute renal failure, toxicity, adrenal marrow
  • dihydroxyphenylserine (DOPS): Noradrenalin's precursor, little side effect, is a promising drug in the treatment of posture blood pressure
  • ooctreotide: Somatostatin isomers, which inhibit some digestive peptides that have vasodilation effect. Can cause nausea, abdominal pain
  • Other drugs that need to be studied because there is not much evidence: Yohimbin, Indomethacin, Desmopressin, Erythropoietin, ...

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