Hypoglycemia classification: Difference between revisions
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==Overview== | ==Overview== | ||
Hypoglycemia can be classified by severity into severe hypoglycemia, symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia and pseudo hypoglycemia. It is also can be classified by severity into mild, moderate and severe. | Hypoglycemia can be classified by severity into severe hypoglycemia, symptomatic hypoglycemia, [[asymptomatic]] hypoglycemia, probable symptomatic hypoglycemia and pseudo hypoglycemia. It is also can be classified by severity into mild, moderate and severe. | ||
==Classification== | ==Classification== | ||
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==== [[Severe hypoglycemia]] ==== | ==== [[Severe hypoglycemia]] ==== | ||
* Severe event in which patient lose consciousness or very dizzy | * Severe event in which patient lose [[consciousness]] or become very dizzy. Patients usually require 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 ==== | ||
* It is an event during which symptoms typical of hypoglycemia are not accompanied by a plasma glucose determination (but that was presumably caused by a plasma glucose concentration (70 mg/dl-3.9 mmol/liter) | |||
==== 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: === | === 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. | * 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. | * 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 | * Severe: it is characterized by the presence of severe [[neurological]] symptoms and most of the patients need [[glucagon]] and intravenous [[dextrose]]. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 13:00, 25 August 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. It is also can be classified by severity into mild, moderate and severe.
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 become very dizzy. Patients usually require 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
- It is an event during which symptoms typical of hypoglycemia are not accompanied by a plasma glucose determination (but that was presumably caused by a plasma glucose concentration (70 mg/dl-3.9 mmol/liter)
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 neurological 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.