Hypoglycaemia

Hypoglycemia (Low Blood Sugar): Medical History

Medical history (history of illness) represents an important component in the diagnosis of hypoglycemia (hypoglycemia). Family history Social history What is your occupation? Do you work hard physically? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? Paleness Ravenous hunger Palpitations Sweating Palpitations Tremor How long have these symptoms been present? … Hypoglycemia (Low Blood Sugar): Medical History

Hypoglycemia (Low Blood Sugar): Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Adrenocortical insufficiency (NNR insufficiency). Pseudohypoglycemia – occurrence of symptoms of hypoglycemia without the blood glucose level being decreased; this phenomenon not infrequently occurs after glycemic control of a type 2 diabetic, the more pronounced the higher the baseline HbA 1c was Cardiovascular system (I00-I99). Apoplexy (stroke) Psyche – nervous … Hypoglycemia (Low Blood Sugar): Or something else? Differential Diagnosis

Hypoglycemia (Low Blood Sugar): Complications

The following are the most important diseases or complications that may be contributed to by hypoglycemia (low blood sugar): Cardiovascular system (I00-I99) Cardiac arrhythmias (due to hypoglycemia and diabetes mellitus type 2) – esp. atrial fibrillation (AF). Persons using health care for other reasons (Z70-Z76). Stress Psyche – nervous system (F00-F99; G00-G99) Neurological disorders due … Hypoglycemia (Low Blood Sugar): Complications

Hypoglycemia (Low Blood Sugar): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: Assessment of consciousness using the Glasgow Coma Scale (GCS). General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [Autonomic signs (synonym: adrenergic signs) – these result from reactive … Hypoglycemia (Low Blood Sugar): Examination

Hypoglycemia (Low Blood Sugar): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hypoglycemia (low blood sugar): The signs of hypoglycemia depend on the degree of hypoglycemia. According to the severity of hypoglycemia, three groups are distinguished: Autonomic signs (synonym: adrenergic signs). These result from a reactive release of adrenaline. These signs include: Paleness Ravenous hunger Palpitations (heart palpitations) Sweating Tachycardia … Hypoglycemia (Low Blood Sugar): Symptoms, Complaints, Signs

Hypoglycemia (Low Blood Sugar): Causes

Pathogenesis (development of disease) Hypoglycemia is the result of a disturbance in the coordination or regulation between glucose delivery by the liver, ie, from the glycogen reservoir or by gluconeogenesis, and glucose uptake by the consuming organs. Regulation is by insulin and glucagon: insulin is responsible for promoting the uptake of glucose from the blood. … Hypoglycemia (Low Blood Sugar): Causes

Hypoglycemia (Low Blood Sugar): Therapy

Hypoglycemia (low blood sugar) usually occurs in the diabetic – person suffering from diabetes. Hypoglycemia in the nondiabetic patient is rare. Therefore, the following recommendations take into account the presence of diabetes mellitus disease. General measures Aim for normal weight!Determine BMI (body mass index, body mass index) or body composition using electrical impedance analysis and … Hypoglycemia (Low Blood Sugar): Therapy

Hypoglycemia (Low Blood Sugar): Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. Blood glucose measurement (glucose during the complaint attack; glucose daily profile). Fasting test (72 hours) with measurement of glucose and insulin: Inpatient admission and placement of stable venous access. Food abstinence for 72 hours, drinking water is allowed; on the day of the fasting test, the patient must also be … Hypoglycemia (Low Blood Sugar): Test and Diagnosis

Hypoglycemia (Low Blood Sugar): Drug Therapy

Therapeutic target Normalization of blood glucose Therapy recommendations Administration of glucose or a glucose infusion in a conscious patient. Alternatively, administration of glucagon (i.m.; peptide hormone, whose main task is to increase blood glucose levels), if initially a glucose administration is not possible; subsequently necessarily make up for glucose administration. In unconscious children and adolescents … Hypoglycemia (Low Blood Sugar): Drug Therapy

Hypoglycemia (Low Blood Sugar): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Magnetic resonance imaging (abdominal MRI) – if insulinoma is suspected. Computed tomography of the skull (cranial CT, cranial CT or cCT) – in the case of unclear disturbance of consciousness.

Hypoglycemia (Low Blood Sugar): Prevention

To prevent hypoglycemia, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition (malnutrition) – results in a decreased supply of glucose (carbohydrate: monosaccharide; simple sugar). Pleasure food consumption Alcohol – hypoglycemia triggered by alcohol during food fasting (abstaining from food intake) is due to depletion of glycogen stores (carbohydrate stores) … Hypoglycemia (Low Blood Sugar): Prevention