b'ChapterHow to RecogniseHypoglycaemiaRapid onset.rrational, aggressive, confused, fidgety and Isometimes violent behaviour.Pale, cold and sweaty skin. (Consider sugaras a fuel that produces heat, with low sugar levels the skin becomes pale and sweaty.)Complaining of hunger. Complaining of headache.Rapid and strong pulse.Patient may have a seizure.May be a rapid loss of consciousness. There may be glucose gel, tablets or aninsulin syringe amongst their belongings.Hyperglycaemia Gradual onset (may take hours or even days).Confusion, fatigue. Hot, dry skin and mouth. (Consider sugar asa fuel that produces heat, with high sugar levels the skinbecomes hot and dry.)Frequent need to urinate (leads todehydration).Abdominal pain, nausea and vomiting.Complaining of extreme thirst.Recent weight loss.Deep, rapid breathing (hungry for air). Fruity sweet smell of acetone on the breath due to build up of acid in the blood. (similar to paintthinner or nail polish remover) Loss of consciousness is gradual and canprogress to unconsciousness (Diabetic Coma). When in doubt if the patient has low or high blood sugar, treat as low blood sugar.200 Medical Emergencies'