Hypoglycemia classification: Difference between revisions
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==Classification== | ==Classification== | ||
=== [[Severe hypoglycemia]] === | === Classification of hypoglycemia in diabetics according to the ADA and the Endocrine Society Workgroup on Hypoglycemia is:<ref name="pmid19088155">{{cite journal| author=Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER et al.| title=Evaluation and management of adult hypoglycemic disorders: an Endocrine Society Clinical Practice Guideline. | journal=J Clin Endocrinol Metab | year= 2009 | volume= 94 | issue= 3 | pages= 709-28 | pmid=19088155 | doi=10.1210/jc.2008-1410 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19088155 }}</ref> === | ||
==== [[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. | * 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 the restoration of plasma glucose to normal is considered sufficient to prove it was a hypoglycemic attack. | * Neurologic recovery after the restoration of plasma glucose to normal is considered sufficient to prove it was a hypoglycemic attack. | ||
=== [[Symptomatic hypoglycemia]] === | ==== [[Symptomatic hypoglycemia]] ==== | ||
An event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration ≤70 mg/dL. | An event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration ≤70 mg/dL. | ||
=== [[Asymptomatic hypoglycemia]] === | ==== [[Asymptomatic hypoglycemia]] ==== | ||
Measured plasma glucose concentration of ≤70 mg/dl isn't accompanied by typical symptoms of hypoglycemia. | Measured plasma glucose concentration of ≤70 mg/dl isn't accompanied by typical symptoms of hypoglycemia. | ||
=== Probable symptomatic hypoglycemia === | ==== Probable symptomatic hypoglycemia ==== | ||
Typical symptoms of hypoglycemia are not accompanied by a plasma glucose determination. | Typical symptoms of hypoglycemia are not accompanied by a plasma glucose determination. | ||
=== Pseudohypoglycemia === | ==== Pseudohypoglycemia ==== | ||
Patients with poor glycemic control can experience symptoms of hypoglycemia at plasma glucose levels >70 mg/dL. | Patients with poor glycemic control can experience symptoms of hypoglycemia at plasma glucose levels >70 mg/dL. | ||
=== Other classification of hypoglycemia according to severity includes: === | |||
* Mild: it is characterized by adrenergic and mild neurological symptoms that can be prevented by oral glucose intake. | |||
* Moderate: it is characterized by the presence of neurological symptoms that can prevent the patient from taking oral glucose and most of the patients need help from an observer. | |||
* Severe: it is characterized by the presence of severe neurologic symptoms and most of the patients need glucagon and intravenous dextrose. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 14:49, 31 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
Hypoglycemia can be classified by severity into severe hypoglycemia, symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia and pseudo hypoglycemia.
Classification
Classification of hypoglycemia in diabetics according to the ADA and the Endocrine Society Workgroup on Hypoglycemia is:[1]
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 the restoration of plasma glucose to normal is considered sufficient to prove it was a hypoglycemic 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.
Pseudohypoglycemia
Patients with poor glycemic control can experience symptoms of hypoglycemia at plasma glucose levels >70 mg/dL.
Other classification of hypoglycemia according to severity includes:
- Mild: it is characterized by adrenergic and mild neurological symptoms that can be prevented by oral glucose intake.
- Moderate: it is characterized by the presence of neurological symptoms that can prevent the patient from taking oral glucose and most of the patients need help from an observer.
- Severe: it is characterized by the presence of severe neurologic symptoms and most of the patients need glucagon and intravenous dextrose.
References
- ↑ Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER; et al. (2009). "Evaluation and management of adult hypoglycemic disorders: an Endocrine Society Clinical Practice Guideline". J Clin Endocrinol Metab. 94 (3): 709–28. doi:10.1210/jc.2008-1410. PMID 19088155.