Hypoglycemia history and symptoms: Difference between revisions
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==Symptoms== | ==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. | * 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 attacks may occur in the fasting or postprandial state. | |||
* Because of hypoglycemia unawareness, patients can't correct hypoglycemia themselves and need help from observer. | |||
=== Adrenergic Manifestations <ref name="pmid8243825">{{cite journal| author=Towler DA, Havlin CE, Craft S, Cryer P| title=Mechanism of awareness of hypoglycemia. Perception of neurogenic (predominantly cholinergic) rather than neuroglycopenic symptoms. | journal=Diabetes | year= 1993 | volume= 42 | issue= 12 | pages= 1791-8 | pmid=8243825 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8243825 }}</ref> === | |||
=== | |||
*Shakiness, [[anxiety]], [[nervousness]], [[tremor]] | *Shakiness, [[anxiety]], [[nervousness]], [[tremor]] | ||
*[[Palpitation]]s | *[[Palpitation]]s | ||
| Line 28: | Line 22: | ||
*[[Nausea]], [[vomit]]ing, [[abdominal pain|abdominal discomfort]] | *[[Nausea]], [[vomit]]ing, [[abdominal pain|abdominal discomfort]] | ||
=== Neuroglycopenic Manifestations | === Neuroglycopenic Manifestations <ref name="pmid82438252">{{cite journal| author=Towler DA, Havlin CE, Craft S, Cryer P| title=Mechanism of awareness of hypoglycemia. Perception of neurogenic (predominantly cholinergic) rather than neuroglycopenic symptoms. | journal=Diabetes | year= 1993 | volume= 42 | issue= 12 | pages= 1791-8 | pmid=8243825 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8243825 }}</ref> === | ||
*Nonspecific [[dysphoria]], [[anxiety]], moodiness, [[depression]], crying | *Nonspecific [[dysphoria]], [[anxiety]], moodiness, [[depression]], crying | ||
*Negativism, [[irritability]], belligerence, combativeness, rage | *Negativism, [[irritability]], belligerence, combativeness, rage | ||
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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 attacks may occur in the fasting or postprandial state.
- Because of hypoglycemia unawareness, patients can't correct hypoglycemia themselves and need help from observer.
Adrenergic Manifestations [1]
- Shakiness, anxiety, nervousness, tremor
- Palpitations
- Sweating, feeling of warmth
- Coldness, clamminess
Glucagon Manifestations
Neuroglycopenic Manifestations [2]
- 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
References
- ↑ Towler DA, Havlin CE, Craft S, Cryer P (1993). "Mechanism of awareness of hypoglycemia. Perception of neurogenic (predominantly cholinergic) rather than neuroglycopenic symptoms". Diabetes. 42 (12): 1791–8. PMID 8243825.
- ↑ Towler DA, Havlin CE, Craft S, Cryer P (1993). "Mechanism of awareness of hypoglycemia. Perception of neurogenic (predominantly cholinergic) rather than neuroglycopenic symptoms". Diabetes. 42 (12): 1791–8. PMID 8243825.