Hypoglycemia history and symptoms: Difference between revisions
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* Because of hypoglycemia unawareness, patients can't correct hypoglycemia themselves and need help from observer. | * 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> === | === 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><ref name="pmid82438253">{{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 | ||
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*[[Nausea]], [[vomit]]ing, [[abdominal pain|abdominal discomfort]] | *[[Nausea]], [[vomit]]ing, [[abdominal pain|abdominal discomfort]] | ||
=== 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> === | === 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><ref name="pmid82438254">{{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 |
Revision as of 17:08, 13 July 2017
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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][2]
- Shakiness, anxiety, nervousness, tremor
- Palpitations
- Sweating, feeling of warmth
- Coldness, clamminess
Glucagon Manifestations
Neuroglycopenic Manifestations [3][4]
- 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.
- ↑ 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.