1
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      [Non diabetic hypoglycemia: diagnosis and management].

      1 , ,
      Revue medicale suisse

      Read this article at

      ScienceOpenPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Organic or non diabetic hypoglycemia (NDH) is a rare disease when it is confirmed, but is often confounded with low blood glucose concentration (between 3 and 4 mmol/I), which is much more frequent. NDH's definition requires the Whipple triad (plasma glucose level <2.8 mmol/l, symptoms of neuroglycopenia and their relief with administration of sugar). The diagnostic approach needs to differentiate the healthy from the sick patient, who's hypoglycemia causes are multiple and frequent, such as: toxic (medicament, OH), organ deficiency, denutrition and sepsis. When hypoglycemia is suspected, without evident causes in healthy persons, it should be investigated by a 72 h fast test, in order to guide the diagnosis. After confirmation of an endogen hyperinsulinism only, sophisticated imaging should be done to localize the tumor and/or to exclude alternatives diagnosis.

          Related collections

          Author and article information

          Journal
          Rev Med Suisse
          Revue medicale suisse
          1660-9379
          1660-9379
          Jun 05 2013
          : 9
          : 389
          Affiliations
          [1 ] Service de médecine interne générale, Département de médecine interne générale, HUG, Genève. anne.dufey@hcuge.ch
          Article
          23798188
          e70228e6-ea63-44f8-869e-745ef98ccef0
          History

          Comments

          Comment on this article