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Condition Info
ConditionName
Hypoglycemia
ConditionDescription
Symptoms
Mild: Sweating; Tremor; Tachycardia; Hunger; Nausea; Severe: Faintness; Weakness; Diaphoresis; Palpitations; Headache; Mental status changes; Loss/decrease consciousness.
PhysicalFindings
ClinicalTests
High Insulin and low; Glucose; Insulin from pharmacy: only high insulin; Insulinoma: c-peptide and insulin are both high in patient with insulinoma -> CT or MRI -> surgery;
RiskFactors
After gastric bypass; Insulinoma; Fasting with underline malnutrition, LV disease, hormone def; Alcohol abuse; Pituitary insufficiency (los cortisol -> hypoglycemia).
IsRedFlag
IsNPLEX
Consequence
May cause migraine; Anxiety; Seizure; Coma;
ProgressionFromCondition
TreatmentOptions
Proper nutrition, enzyme replacement, eliminate excessive alcohol intake; Alcohol abuse: give thiamine before glucose!
PharmOptions
WebLink
https://www.merckmanuals.com/en-ca/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/hypoglycemia
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