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"