Confusing diabetic emergency and drunkenness- It’s common for staff employed at licensed premises to mistake symptoms of a diabetic emergency, particularly hypoglycemia (low blood sugar), for drunkenness due to similarities in behaviour and physical signs. It is important for staff working at licensed premises to understand how to differentiate between the two is critical in providing the right assistance, and having the appropriate first aid training.
Similarities Between Hypoglycemia and Drunkenness
Slurred Speech: Both can cause difficulty speaking clearly.
Unsteady Movements: A diabetic experiencing hypoglycemia may appear to be stumbling or have poor coordination, similar to someone under the influence of alcohol.
Irritability or Aggression: Both conditions can result in mood changes or combative behavior.
Confusion or Disorientation: Difficulty concentrating, memory problems, or appearing "out of it" are common in both cases.
Key Signs That Indicate a Diabetic Emergency
Pale Skin and Sweating: Hypoglycemia often causes cold, clammy skin, while drunkenness usually doesn’t.
Rapid Heartbeat: This is more typical in a hypoglycemic episode.
Sweet or Fruity-Smelling Breath: Indicates hyperglycemia or diabetic ketoacidosis (DKA), not drunkenness.
Medical ID: Look for a medical alert bracelet, necklace, or card indicating diabetes.
No Alcohol Smell: In hypoglycemia, there won’t be a distinct smell of alcohol unless the person has been drinking as well.
How to Help
Ask Questions:
"Do you have diabetes?"
"Have you eaten or taken your medication today?"
"Do you have anything sugary to treat low blood sugar?"
Check for Medical ID: A diabetic might wear a bracelet or carry an insulin kit.
Treat Hypoglycemia if Suspected:
If the person is conscious and able to swallow, give a sugary drink or snack (e.g., fruit juice, glucose tablets, or sweets).
If they are unconscious or unresponsive, do not give anything by mouth. Place them in the recovery position and call 999 immediately.
Call Emergency Services if Uncertain:
It’s better to err on the side of caution. Inform the responders of your observations and suspicions.
Confusing diabetic emergency and drunkenness- Why It's Crucial to Get It Right
Treating a diabetic for drunkenness by ignoring their symptoms can lead to severe consequences, including unconsciousness, seizures, or even death.
On the other hand, providing sugary drinks to someone who is drunk will not cause harm but could save a life if they are diabetic.
Licensing Professionals deliver first aid training to licensed establishments, guaranteeing that these venues maintain the safety of their employees and patrons.
Contact Licensing Professionals today to arrange a FREE consultation.

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