Hypoglycemia history and symptoms: Difference between revisions
No edit summary |
No edit summary |
||
Line 10: | Line 10: | ||
Hypoglycemic symptoms and manifestations can be divided into those produced by the counterregulatory hormones ([[adrenaline]] and [[glucagon]]) triggered by the falling glucose, and the neuroglycopenic effects produced by the reduced brain sugar. | Hypoglycemic symptoms and manifestations can be divided into those produced by the counterregulatory hormones ([[adrenaline]] and [[glucagon]]) triggered by the falling glucose, and the neuroglycopenic effects produced by the reduced brain sugar. | ||
=== Adrenergic Manifestations === | the vast majority of episodes are reversed after the glucose level is raised to normal and the rare fatal episodes are generally thought to be the result of ventricular arrhythmia [15]. | ||
they may occur in the fasting or postprandial state | |||
because of hypoglycemia unawareness | |||
Patients who have only sympathoadrenal symptoms (anxiety, weakness, tremor, perspiration, or palpitations), but normal concurrent plasma glucose concentrations, and resolution of symptoms after dietary modification have a low probability of having a hypoglycemic disorder. This combination is most common in patients with postprandial symptoms. | |||
=== Adrenergic Manifestations [3,12,13] 14]. === | |||
*Shakiness, [[anxiety]], [[nervousness]], [[tremor]] | *Shakiness, [[anxiety]], [[nervousness]], [[tremor]] | ||
*[[Palpitation]]s | *[[Palpitation]]s | ||
Line 20: | Line 28: | ||
*[[Nausea]], [[vomit]]ing, [[abdominal pain|abdominal discomfort]] | *[[Nausea]], [[vomit]]ing, [[abdominal pain|abdominal discomfort]] | ||
=== Neuroglycopenic Manifestations === | === Neuroglycopenic Manifestations 12,13,15] === | ||
*Nonspecific [[dysphoria]], [[anxiety]], moodiness, [[depression]], crying | *Nonspecific [[dysphoria]], [[anxiety]], moodiness, [[depression]], crying | ||
*Negativism, [[irritability]], belligerence, combativeness, rage | *Negativism, [[irritability]], belligerence, combativeness, rage |
Revision as of 16:48, 13 July 2017
Hypoglycemia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Hypoglycemia history and symptoms On the Web |
American Roentgen Ray Society Images of Hypoglycemia history and symptoms |
Risk calculators and risk factors for Hypoglycemia history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
Symptoms
Hypoglycemic symptoms and manifestations can be divided into those produced by the counterregulatory hormones (adrenaline and glucagon) triggered by the falling glucose, and the neuroglycopenic effects produced by the reduced brain sugar.
the vast majority of episodes are reversed after the glucose level is raised to normal and the rare fatal episodes are generally thought to be the result of ventricular arrhythmia [15].
they may occur in the fasting or postprandial state
because of hypoglycemia unawareness
Patients who have only sympathoadrenal symptoms (anxiety, weakness, tremor, perspiration, or palpitations), but normal concurrent plasma glucose concentrations, and resolution of symptoms after dietary modification have a low probability of having a hypoglycemic disorder. This combination is most common in patients with postprandial symptoms.
Adrenergic Manifestations [3,12,13] 14].
- Shakiness, anxiety, nervousness, tremor
- Palpitations
- Sweating, feeling of warmth
- Coldness, clamminess
Glucagon Manifestations
Neuroglycopenic Manifestations 12,13,15]
- Nonspecific dysphoria, anxiety, moodiness, depression, crying
- Negativism, irritability, belligerence, combativeness, rage
- Fatigue, weakness, apathy, lethargy, daydreaming, sleep
- Confusion, amnesia, dizziness, delirium
- Blurred vision, double vision
- Difficulty speaking, slurred speech
- Paresthesias, headache
- Stupor
- Generalized or focal seizures