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):
Discuss timing of episodes, awareness, frequency, and causes (1).
Symptoms vary considerably between individuals.
Hunger, trembling, pallor, sweating, shaking, poundi...
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 t...
Diabetes Mellitus, Type 1
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
Best treatment includes:
Address hypoglycemia in every visit with patients at risk.
Patient education and empowerment
Frequent SMBG or CGM
Flexible insulin (or other drug) regimens
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<bold><italic>Figure 14.60.</bold></bold> Pretibial diabetic skin changes: necrobiosis lipoidica diabeticorum.
<bold>Figure 11.93. Neuropathic (Charcot) joints in two diabetic patients. A.</bold> Radiographs of both feet show bilateral neuropathic joints at the first metatarsophalangeal joints (<italic>arrows</bold>). On the left there is periarticular osteopenia, indicating superimposed infection. Frontal <bold>(B)</bold> and lateral <bold>(C)</bold> knee radiographs of another patient show disintegration of the knee joint with considerable bony debris (" bag of bones") and a large joint effusion. In the past, involvement o...
<bold>Figure 11.93. Neuropathic (Charcot) joints in two diabetic patients. A.</bold> Radiographs of both feet show bilateral n...
FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-level spondylodiscitis, L3-5, with secondary communicating psoas abscess component.
FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-l...