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Saturday, October 20, 2018

Hypoglycemia

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EM@3AM - October 20, 2018 - Author: Thrasher S, Sulava E
Edited by: Long B and Koyfman A
"Pearls
  • Occurs in insulin-dependent diabetes > non-insulin-dependent diabetes late > non-insulin-dependent diabetes early > Non Diabetic
  • POC Glucose should be part of initial altered mental status work-up
  • Causes: Lifestyle, drugs, alcohol, infection, autoimmune/neoplasm
  • D10 vs D50 for severely hypoglycemic patient? Remember D50 can cause rebound hypoglycemia
  • Glucagon can be used as a temporizing measure if no IV access
  • Sulfonylurea has specific treatment (+/- activated charcoal and octreotide)
  • Involve the specialists for further diagnostics and assistance"