Deficiency in counterregulatory hormones (glucagon, epinephrine, cortisol, growth hormone) or excessive insulin response
Serum glucose < 70 mg/dL
Strict glycemic control...
Adrenergic caused by excessive counter-regulatory hormones (i.e., epinephrine):
Ischemic ECG changes
Diagnosis with finger stick glucose
IV dextrose preferred
Oral glucose–containing fluids in awake patient if unable to obtain IV
Glucagon if unable to give IV glucose or oral glucos...
Overdose of long-acting oral hypoglycemic agent (e.g., sulfonylureas) or long-acting insulin mandate observation for at least 24 hr.
Failure of neuroglycopenic sy...
Administration of PO glucose or food may initially further decrease glucose level; therefore, IV dextrose always preferred if possible
Multiple amps of D50W commonly required
Do not ...
McCall AL. Insulin therapy and hypoglycemia. Endocniol Metab Clin North Am. 2012;41(1):57–87.
Service FJ. Hypoglycemia. Med Clin North Am. 1995;79(1):1–8.
Stanley CA, B...
251.1 Other specified hypoglycemia
251.2 Hypoglycemia, unspecified
775.1 Neonatal diabetes mellitus
E16.1 Other hypoglycemia
E16.2 Hypoglycemia, unspecified
P70.2 Neonatal diabetes mellitus
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