Although the hottest of weather, heat warnings and advisories seems to have moved past the metro Detroit area, people with diabetes
and organ transplants should continue to exercise extreme caution.

The effect that the heat can have on diabetes is complex

  • Sweating, which burns calories and therefore lowers blood sugar, can lead to hypoglycemic  episodes (low blood sugar). Heat can also make hyperglycemic episodes more difficult to identify.

  • Dehydration due to excess heat can cause hyperglycemia (high blood sugar).  Since dehydration occurs when there is low fluid level in the blood stream, there is a high concentration of glucose, causing hyperglycemia.

  • Medication, such as insulin, and supplies can be damaged by excess heat and manufacturer’s recommendations regarding storing medication and supplies must be followed.

Recommendations for people with diabetes:

 

  • Drink plenty of fluids

  • Keep water convenient and close by to make hydration a thoughtless effort.

  • Test blood glucose more often than prescribed, particularly if you don’t feel normal. Since the heat’s impact on blood sugar

    control can be varied (heat can make it go both up or down) it is best to know exactly what the blood sugar level is, rather than guess.

  • Keep diabetes medication and supplies cool without subjecting them to freezing temperatures.

Kidney Transplant Patients must also exercise caution in the heat

 

  • Excessive sweating—not even dehydration–can cause creatinine levels (a measure of kidney function) to increase. High creatine levels can potentially lead to kidney transplant rejection, or worsening of chronic kidney disease.

 

Kidney Transplant Patients should:

 

  • Drink more than the 2 liters of doctor prescribed fluid each day.

  • Again, this should be done by always having water, decaffeinated and non alcoholic, beverages handy to sip on all day.

  • Remember, both caffeine and alcohol dehydrate.

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