hypoglycaemia Flashcards
1
Q
what is it
A
blood glucose < 4.0mmol/L
2
Q
presentation
A
shaking/trembling
sweating
palpitations
hunger
headache
double vision / difficulty concentrating
slurred speech
confusion
coma
3
Q
causes
A
drugs eg insulin, sulphonylureas, GLP-1 analogues, DPP-4 inhibitors, Bbs, alcohol
acute liver failure
sepsis
adrenal insufficiency
insulinoma
4
Q
ivx
A
check medication history
serum insulin, C-peptide and proinsulin > to distinguish endogenous and exogenous
72 hour fast test > episodic hypo
8am cortisol > adrenal insufficiency
abdominal CT/MRI/PET > insulinoma
5
Q
mx of mild hypo
A
ABCDE
eat / drink 15-20mg fast acting Carbohydrate ie fruit juice NOT chocolate
eat a slow acting carb after
