{"id":9912,"date":"2022-01-06T13:55:34","date_gmt":"2022-01-06T11:55:34","guid":{"rendered":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/metabolism\/symptoms-of-hypoglycemia-spontaneous-hypoglycemia\/"},"modified":"2022-01-21T18:57:30","modified_gmt":"2022-01-21T16:57:30","slug":"symptoms-of-hypoglycemia-spontaneous-hypoglycemia","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/metabolism\/symptoms-of-hypoglycemia-spontaneous-hypoglycemia\/","title":{"rendered":"Symptoms of hypoglycemia, spontaneous hypoglycemia"},"content":{"rendered":"<span class=\"block-heading\" id=\"header_1\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Introduction<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<p class=\"wp-block-paragraph\">Hypoglycemia is defined as blood sugar (&gt;2.8mmol\/L) appearing with specific symptoms, which reverse upon the administration of glucose (<strong>Whipple&#8217;s triad<\/strong>).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Most cases are seen in diabetic patients due to insulin excess and sulfonylureas usage.<\/li><li><strong>Spontaneous hypoglycemia <\/strong>is the term given to those cases not induced by glycemic lowering agents.<ul><li>Tumors (insulinomas and others)<\/li><\/ul><ul><li>Starvation<\/li><li>Sepsis<\/li><li>Severe burns<\/li><li>Renal failure<\/li><li>Liver failure<\/li><li>Heart failure<\/li><li>Adrenal insufficiency<\/li><\/ul><\/li><li><strong>Reactive hypoglycemia<\/strong> describes hypoglycemia occuring several hours after eating. It is associated with alcohol consumption, and gastric bypass surgery.<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Symptoms<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<ul class=\"wp-block-list\"><li>Sweating and warmth<\/li><li>Nausea<\/li><li>Anxiety and weakness<\/li><li>Palpitations and tachycardia<\/li><li>Neurological symptoms (severe hypoglycemia)<ul><li>Blurred vision<\/li><li>Confusion<\/li><li>Seizures<\/li><li>Loss of conciousness<\/li><li>Coma<\/li><\/ul><\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Diagnosis<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<ul class=\"wp-block-list\"><li>Blood glucose test<\/li><li>Response to dextrose<\/li><li>Fasting examination<ul><li>48-72 hours fast with blood glucose measured every several hours<\/li><li>For the diagnosis of an insulinoma<\/li><\/ul><\/li><li>C-peptide and proinsulin measurement<ul><li>Not present in exogenous insulin<\/li><\/ul><\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Treatment<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<ul class=\"wp-block-list\"><li>Oral sugar<\/li><li>IV dextrose<\/li><li>IV glucagon<\/li><\/ul>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Introduction<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Symptoms<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Diagnosis<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Treatment<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Introduction Hypoglycemia is defined as blood sugar (&gt;2.8mmol\/L) appearing with specific symptoms, which reverse upon the administration of glucose (Whipple&#8217;s triad). Most cases are seen in diabetic patients due to insulin excess and sulfonylureas usage. Spontaneous hypoglycemia is the term given to those cases not induced by glycemic lowering agents. Tumors (insulinomas and others) Starvation [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9852,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9912","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Symptoms of hypoglycemia, spontaneous hypoglycemia &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/metabolism\/symptoms-of-hypoglycemia-spontaneous-hypoglycemia\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/metabolism\\\/symptoms-of-hypoglycemia-spontaneous-hypoglycemia\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/metabolism\\\/symptoms-of-hypoglycemia-spontaneous-hypoglycemia\\\/\",\"name\":\"Symptoms of hypoglycemia, spontaneous hypoglycemia &#8211; 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