The common type of hypoglycemia is the functional low blood sugar. Most cases of hypoglycemia occur in people with diabetes and are caused by insulin or other drugs (especially, sulfonylureas, see Drug Treatment of Diabetes Mellitus: Oral Antihyperglycemic Drugs ) that they take to lower the levels of glucose in their blood.
hypoglycemia definition also may result if, after taking your diabetes medication, you eat less than usual or exercise more than you normally do. Your doctor can work with you to prevent this imbalance by finding the dose that fits your regular eating and activity patterns.
The catecholamine response compensates for several years but declines with time ( 1 ). In type 2 diabetes, the glucagon response to hypoglycemia has been diversely reported as being either modestly diminished ( 16 , 30 , 50 ) or preserved ( 33 , 34 , 37 , 38 ). People with type 2 diabetes constitute a disparate group, within which the ability of an individual to secrete glucagon in response to hypoglycemia may be related to the degree of insulin deficiency.
In most cases of hypoglycemia, the patient is a known diabetic, and therefore appropriate work-up should include tests to confirm the blood glucose level and evaluate for any infection or changes in renal function that could affect clearance and metabolism of the medications used to control diabetes.
Frequency and severity of hypoglycemia negatively impact on quality of life (1) and promote fear of future hypoglycemia (2,3) This fear is associated with reduced self-care and poor glucose control (4-6) The negative social and emotional impact of hypoglycemia may make individuals reluctant to intensify therapy.
Click here to see the Library ,the most frequent are cibenzoline (24 %), dextroproxyphene and disopyramide (both 16 %),beta-blockers, pentamidine, antidepressant drugs (5 %), and angiotensin-converting enzymeinhibitors (3.7 %). In this series, hypoglycemia is observed mainly in polymedicamentedold patients (age ranging from 75 to 81 for the first 3 drugs).
If you've had surgery on your stomach to alleviate the symptoms of gastroesophageal reflux disease , you may be at risk for a condition known as dumping syndrome In late dumping syndrome, the body releases excess insulin in response to carbohydrate-rich meals.
Desensitisation to hypoglycemia by hypoglycemia itself is supported byrestoration of awareness after institution of screening and meticulous prevention ofsilent hypoglycemia 32 Lingenfelser T, Renn W, Sommerwerck U, Jung MF, Buettner UW, Zaiser-Kaschel H. Compromised hormonal counterregulation, symptom awareness, and neurophysiological function after recurrent short-term episodes for insulin-induced hypoglycemia in IDDM patients.
Flash monitoring, like real-time continuous glucose monitoring, also provides you with your glucose level and trending arrows so you can see if your glucose level is on the way up, is steady, or is on the way down, but the current product (the Libre) does not have alarms.
Click here to see the Library Hypoglycemic episodes inpatients treated with beta-blockers are due in part to autonomic symptom masking 35 Mitrakou A, Mokan M, Ryan C, Veneman T. Hierarchy of glycemic thresholds for counterregulatory hormone secretion, symptoms and cerebral dysfunction.