The Clinical Problem Solvers Episode 266: Spaced Learning Series – Hypoglycemia
19 snips
Nov 24, 2022 AI Snips
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Transcript
Episode notes
Confirm and Treat Hypoglycemia Fast
- Always confirm hypoglycemia with repeat glucose testing before diagnosis.
- Assess patient's symptoms and promptly initiate glucose treatment in suspected hypoglycemia.
Distinguish Insulin-Mediated Hypoglycemia
- Insulin-mediated hypoglycemia causes more symptoms due to rapid glucose uptake by cells.
- Presence of serum or urine ketones helps distinguish insulin and non-insulin mediated causes.
Approach to Hypoglycemia Causes
- Use C-peptide alongside insulin to identify if hypoglycemia is endogenous or exogenous insulin mediated.
- Consider non-insulin mediated causes including decreased intake, liver/kidney dysfunction, increased metabolism, endocrine disorders, and medications.