insulin shock, a condition of severe hypoglycemia caused by an overdose of insulin, decreased intake of food, or excessive exercise. Compare diabetic coma, ketoacidosis. ▪ OBSERVATIONS: It is characterized by sweating, trembling, chilliness, nervousness, irritability, hunger, hallucination, numbness, and pallor. Uncorrected, it progresses to convulsions, coma, and death. ▪ INTERVENTIONS: Treatment requires an immediate dose of glucose orally or parenterally or glucagon IM or IV. ▪ PATIENT CARE CONSIDERATIONS: Individuals taking medications that lower their blood sugar, including insulin and oral hypoglycemic agents, should wear a device such as a medical ID bracelet or necklace stating that they have diabetes and are using these agents.
