Diabetes & Endocrinology Express CME: Hypoglycemia – from Presentation to Management

Introduction

Diabetic hypoglycemia is a low blood glucose level occurring in a person with diabetes mellitus
The commonly used value to define the lower limit of normal glucose is 70 mg/dl though in someone with diabetes, hypoglycemic symptoms can sometimes occur at higher glucose levels, or may fail to occur at lower levels. Diabetic hypoglycemia can be mild, recognized easily by the patient, and reversed with a small amount of carbohydrates eaten or drunk, or it may be severe enough to cause unconsciousness requiring intravenous dextrose or an injection of glucagon. Severe hypoglycemic unconsciousness is one form of diabetic coma. A common medical definition of severe hypoglycemia is “hypoglycemia severe enough that the person needs assistance in dealing with it.”

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