Hypoglycemia

Question 1

Stress hormones such as ______ and ______ stimulate gluconeogenesis and inhibits glycogenesis

Answer 1

Glucagon and cortisol stimulate

Question 2

______ inhibits gluconeogenesis and stimulates glycogenesis

Answer 2

Insulin

Question 3

What are some signs of hypoglycemia?

Answer 3

Lethargy, weakness, ataxia, bizarre behavior, seizures, and coma

Question 4

Name some causes of hypoglycemia

Answer 4

Liver failure, sepsis, hypoadrenocorticism, juvenile, insulinoma, leiomyom, HCC, xylitol toxicity, insulin overdose

Question 5

How do you treat insulinomas medically?

Answer 5

Multiple small meals, prednisolone, diazoxide

Question 6

What diagnostics should you run for hypoglycemia?

Answer 6

AUS, bile acids, basal cortisol, insulin and glucose

Question 7

How do you treat hypoglycemia?

Answer 7

• Diet (neonatal, toy breeds, insulinoma)
• Glucocorticoids (insulinoma, hypoadrenocorticism)
• Diazoxide (insulinoma)
• Surgery (insulinoma)

Question 8

(T/F) Surgically removing insulinomas is a curative treatment

Answer 8

False, 45% of insulinomas have already metastasized

Question 9

How do you treat acute hypoglycemic crisis?

Answer 9

50% dextrose IV