Hypoglycemia classification: Difference between revisions
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==== [[Severe hypoglycemia]] ==== | ==== [[Severe hypoglycemia]] ==== | ||
* Severe event in which patient loses [[consciousness]] or becomes very dizzy. Patients usually require the assistance of another person to actively administer [[carbohydrate]] and [[glucagon]]. | * Severe event in which patient loses [[consciousness]] or becomes very dizzy. Patients usually require the assistance of another person to actively administer [[carbohydrate]] and [[glucagon]]. | ||
* | * Resolution of neuroglycopenic symptoms after administration of [[plasma glucose]] prove, it was a hypoglycemic attack. | ||
==== [[Symptomatic hypoglycemia]] ==== | ==== [[Symptomatic hypoglycemia]] ==== | ||
Revision as of 18:36, 18 October 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 based on severity into 5 categories, include severe hypoglycemia, symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia, and pseudo hypoglycemia. It is also can be classified based on severity into mild, moderate and severe forms.
Classification
Classification of hypoglycemia in diabetics according to the American Diabetes Association's (ADA) and the Endocrine Society Workgroup on Hypoglycemia is:[1][2]
Severe hypoglycemia
- Severe event in which patient loses consciousness or becomes very dizzy. Patients usually require the assistance of another person to actively administer carbohydrate and glucagon.
- Resolution of neuroglycopenic symptoms after administration of plasma glucose 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 without typical symptoms of hypoglycemia.
Probable symptomatic hypoglycemia
- The condition when symptoms of hypoglycemia don't correlate to a plasma glucose determination (but likely due to 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 include:
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.
- ↑ Service FJ (1999). "Classification of hypoglycemic disorders". Endocrinol Metab Clin North Am. 28 (3): 501–17, vi. PMID 10500928.