Hypoglycemia

·    Spontaneous hypoglycemia:

Develops in non diabetics.

Causes and investigations

Hypoglycemia in diapetics:

·       Hypoglycemic: blood glucose less than 3.5 ml mole/liter(63mg/dl)

·       Hypoglycemic coma: blood glugose less than 2.5 ml mole/dl                                  (45mg/dl)                  

·       Occures in those on insulin therapy.

·       Rare in those on sulphonylurea.

·       Very rare in those on metformin.

Ø Common symptoms of hypoglycemia:

Ø Clinical features of hypoglycemia:

Ø Causes of hypoglycemia:

Ø Risk factors for severe hypoglycemia:

Ø

Marbidity of severe hypoglycemia in diabetic pationts:

Ø Prevention of hypoglycemia:

Ø Management of hypoglycemia:

Davdson page (823-826).

Davdson 20^th edition.

Defferential diagnosis:

·       Cardigenic shock       (1)

·       Hypoglycemia           (2)

·       Myxoeodema coma  (3)

Report on:                          

·       level of consciousness.

·       Skin temp .- Sweat.

·       Pulse rate and volume.

·       Blood pressure.