Page 24 - Oundle Life March 2025

DIABETES
A paramedics perspective
As a paramedic working in England, I
witness first-hand the impact diabetes has on
individuals and the healthcare system. Diabetes
is a chronic condition that affects millions of
people in the UK and numbers of people being
diagnosed with the condition are rising.
Diabetes is a metabolic disorder
characterised by high blood glucose levels. Type
1 diabetes is an autoimmune condition where
the body attacks insulin-producing cells in the
pancreas, usually diagnosed in children and
young adults. Type 2 usually develops in adults
and is often associated with lifestyle factors. It
occurs when the body becomes insulin resistant,
or the pancreas fails to produce enough insulin.
Symptoms include increased thirst, frequent
urination, unexplained weight loss, extreme
fatigue, and blurred vision. Regular check-ups
and blood glucose testing should be sought for
those at higher risk like people with a family
history of diabetes, those who are overweight,
or those over the age of 40. Early detection is
vital to prevent complications.
How to help someone in a
diabetic emergency:
•
Hypoglycaemia (low blood
sugar) Symptoms include
shaking, sweating, dizziness,
hunger, irritability, confusion. If the person
is conscious, give them a fast-acting sugar
source, such as glucose tablets, fruit juice,
or sugary sweets. Follow up with a longer-
acting carbohydrate like a sandwich or a piece
of fruit once they feel better. If the person
is unresponsive, do not try to feed them.
Instead, place them in the recovery position
and call for 999/111 immediately.
•
Hyperglycaemia (high blood sugar) can
present with frequent urination, extreme
thirst, fatigue, nausea or blurred vision. If this
is the case, encourage the person to check
their blood sugar levels and follow their
healthcare provider’s advice. If they have
insulin, they may need to administer it. If
severe symptoms occur, such as confusion,
vomiting, or difficulty breathing, call 999/111
immediately. Keep the person hydrated with
water if they are responsive and able to drink.
Education is the most powerful tool we have in
combating diabetes and community outreach
programs in schools and workplaces can help
raise awareness about the condition, its risk
factors and the importance of a balanced diet
and regular exercise.
Public health campaigns
highlight the availability of
resources and support for
individuals with diabetes, but
many people are unaware of the local support
groups, educational workshops, and nutritional
counselling services also available.
Everyone should be vigilant about the
symptoms of diabetes and seek medical advice
if they experience any signs. Early detection and
proper management are crucial to preventing
complications and improving the quality of life
for those living with diabetes.
Martin Berry, Chief Paramedic at St John
Ambulance
For more information about St John
Ambulance please contact:
carol.coleman@sja.org.uk
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