Hypoglycemia classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Classification

Classification of hypoglycemia in diabetes according to the ADA and the Endocrine Society Workgroup on Hypoglycemia is: [3

Severe hypoglycemia

• Severe event in which patient lose consciousness or very dizzy and can't help himself. It is requiring the assistance of another person to actively administer carbohydrate and glucagon.
• Neurologic recovery after restoration of plasma glucose to normal is considered sufficient to prove it was a hypoglycemia attack.

Symptomatic hypoglycemia

An event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration ≤70 mg/dL.

Asymptomatic hypoglycemia

Measured plasma glucose concentration of ≤70 mg/dl isn't accompanied by typical symptoms of hypoglycemia.

Probable symptomatic hypoglycemia

Typical symptoms of hypoglycemia are not accompanied by a plasma glucose determination but with previous history of hypoglycemia attacks.

Pseudohypoglycemia

Patients with poor glycemic control can experience symptoms of hypoglycemia at plasma glucose levels >70 mg/dL insulin-mediated or non-

Insulin-mediated

fasting or postprandial

References

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