Since sweating during the activation of the sympathetic nervous system is mediated by the release of acetylcholine via activation of a nicotinic receptor and not by norepinephrine via an adrenergic receptor, diabetic patients taking beta blockers may only be able to recognize sweating as a sign of a hypoglycemic episode. Due to a number of variables, the exact percentage of diabetic patients experiencing this problem is not known, but should be considered since untreated hypoglycemia can be life-threatening.
About Us Disclaimer Contact Us. Toggle navigation. Please enter text to search. Search by Outlines. Set Search Limits. How Diabetics Taking Beta Blockers Still Sweat with Hypoglycemia Summary : Diabetic patients are known to have a 2 to 4 fold greater risk of cardiac heart disease and stroke where the use of beta blockers has been proven beneficial. Thus these drugs are likely to be used frequently in this population. Diabetics being treated with insulin or certain antihyperglycemic drugs are at potential risk for developing a hypoglycemic episode.
Some symptoms that are reflective of the release of norepinephrine and epinephrine as a result of the activation of the sympathetic nervous system are tachycardia, tremor, shakes, hunger are generally experienced during hypoglycemic episodes.
While most physiologic responses to sympathetic activation are mediated by the release of norepinephrine, sweating is mediated by the release of acetylcholine, which then activates nicotinic receptors on the sweat gland. As a result, beta blockers will not inhibit sweating during the "fight-or-flight" or acute stress response. This may allow diabetic patients the ability to recognize a hypoglycemic episode needing treatment by the presence of increased sweating alone.
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Advance article alerts. New issue alert. Receive exclusive offers and updates from Oxford Academic. Related articles in Google Scholar. Citing articles via Google Scholar. Sporotrichosis in a U. Your doctor will decide which medication is best for you. If you have side effects, report them to your doctor right away. Adjusting or changing your medication may improve or increase side effects. Just as you monitor your blood glucose levels, you should also keep track of your blood pressure.
Ask your doctor about using a home blood pressure monitor. If your blood pressure is elevated, catching it early may help you delay or avoid the need for medications to control it. Limit your alcohol consumption. If you smoke, consider quitting. Work with your doctor and dietitian to maintain a healthy diet and exercise program. Foods and drinks to avoid with diabetes can range from white rice to flavored coffee.
Learn about others, how they affect your health, and more. Since diabetes is characterized by high blood sugar levels, many people wonder if sugar can cause it. This is a detailed guide to healthy low carb eating for people with diabetes. Low carb diets are effective against both type 1 and type 2 diabetes. Choosing healthy snacks can be difficult when you have diabetes.
Here are the 21 best snack ideas for those with diabetes. The risk factors for type 2 diabetes are complex and range from genetic to environmental to lifestyle choices.
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