Hypoglycemia

Question 1

What is whipples triad?

Answer 1

Blood glucose < 70mg/dl
Clinical sx of hypoglycemia
sx resolved with glucose elevation

Question 2

at what range do you start to see sx of hypoglycemia?

Answer 2

60 mg/dl

Question 3

at what glucose level will you start to see brain function impairment?

Answer 3

50mg/dl

Question 4

what are the two different types of spontaneous hypoglycemia?

Answer 4

fasting and postprandial

Question 5

you may see postprandial hypoglycemia after which type of procedure?

Answer 5

GI surgery

Question 6

two broad categories of signs and symptoms of hypoglycemia?

Answer 6

Neuroglycopenic

Sympathomimetic

Question 7

Sx of neuroglycopenia hypoglycemia?

Answer 7

neurologic dysfunction:
LOC, lethargy, confusion, combativeness, agitation, and unresponsiveness. seizures

Question 8

what are the sympathomimetic sx of hypoglycemia?

Answer 8

anxiety, nervousness, irritability, nausea, vomiting, palpitations, and tremor.

Question 9

DDX of hypoglycemia

Answer 9

fasting hypoglycemia
hyperinsulinism
pancreatic tumor
postprandial hypoglycemia

Question 10

Tx of hypoglycemia

Answer 10

give glucose
(if unable to eat… give glucagon .5 or 1 mg SC/IM or 50% dextrose )

then consume a full meal.

Question 11

what are some factors that will influence the disposition of a hypoglycemic patient?

Answer 11

Serial determination of the glucose.
comorbidities
need for additional therapies
psychiatric issues