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Hypoglycemia, Diabetic

Niyomi De Silva, MD and Afsha Rais, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Abnormally low concentration of glucose in circulating blood of a patient with diabetes mellitus (DM); often referred to as an insulin reaction

  • Classification of hypoglycemia (1):

    • Lev...

DIAGNOSIS

HISTORY

  • Discuss timing of episodes, awareness, frequency, and causes (1).

  • Symptoms vary considerably between individuals.

  • Adrenergic symptoms

    • Hunger, trembling, pallor, sweating, shaking, pound...

TREATMENT

GENERAL MEASURES

  • Glucose: pure glucose preferred; any form of CHO that contains glucose should be effective (see “Medication” section below) (1)[A].

  • Glucagon should be prescribed proactively ...

ONGOING CARE

DIET

  • Alcohol consumption may place patients with diabetes at increased risk for delayed hypoglycemia (1)[A].

  • CHO sources high in protein should not be used to treat or prevent hypoglycemia...

REFERENCES

1
American Diabetes Association. 6. Glycemic targets: standards of medical care in diabetes—2021. Diabetes Care. 2021;44(Suppl 1):S73-–S84.
2
Seaquist  ER, Anderson  J, ...

ADDITIONAL READING

Thompson  AE. JAMA patient page. Hypoglycemia. JAMA.  2015;313(12):1284. [View Abstract on OvidMedline]  

SEE ALSO

  • Diabetes Mellitus, Type 1

  • Algorithm: Hypoglycemia

CODES

ICD10

  • E11.649 Type 2 diabetes mellitus with hypoglycemia without coma

  • E10.649 Type 1 diabetes mellitus with hypoglycemia without coma

  • E13.649 Oth diabetes mellitus with hypoglycemia without coma

SNOMED

CLINICAL PEARLS

  • Abnormally low concentration of glucose in patients with diabetes mellitus (DM); often referred to as an insulin reaction

  • Best treatment includes:

    • Immediate administration of gluose—in f...

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