Hypoglycaemia

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Hypoglycaemia is defined by Whipple’s triad[1], as being when symptoms match that of hypoglycaemia, a low plasma glucose concentration, and cessation of symptoms upon the increase of plasma glucose concentration[2]. Clinically, hypoglycaemia is stated to be when the plasma glucose level is 2.8 mmol/l or less [3].

The symptoms of hypoglycaemia include but are not limited to, lethargy, anxiety, tremor, nausea and confusion[4]. Hypoglycaemia in adults without diabetes mellitus is rare, however, it can onset for a variety of reasons, these include adrenal insufficiency, nonislet cell tumour and hepatic failure[5].

References

  1. Hawthorne G.H, (2012), Diabetes Care for the Older Patient, Springer-Verlag London, [Online], available at http://link.springer.com.libproxy.ncl.ac.uk/book/10.1007%2F978-0-85729-461-6 (last accessed 23/10/2015)
  2. Defining and Reporting Hypoglycemia in Diabetes: A report from the American Diabetes Association Workgroup on Hypoglycemia, Diabetes Care, May 2005, 28:5, 1245-1249
  3. Hypoglycemia. [Updated 2015 Apr 12]. In: De Groot LJ, Beck-Peccoz P, Chrousos G, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-.Available from: http://www.ncbi.nlm.nih.gov/books/NBK279137/
  4. American Diabetes Association (2015) Hypoglycemia Low Blood Glucose, http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html?referrer=https://www.google.co.uk/ (23/10/2015)
  5. Hypoglycemia. [Updated 2015 Apr 12]. In: De Groot LJ, Beck-Peccoz P, Chrousos G, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-.Available from: http://www.ncbi.nlm.nih.gov/books/NBK279137/
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