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Hypoglycemia (American English), also spelled hypoglycaemia or hypoglycæmia (British English), sometimes called low blood sugar, is a fall in blood sugar to levels below normal, typically below 70 mg/dL (3.9 mmol/L). [1][3] Whipple's triad is used to properly identify hypoglycemic episodes. [2]
According to the American Diabetes Association, the fasting blood glucose target range for diabetics, should be 3.9 - 7.2 mmol/L (70 - 130 mg/dL) and less than 10 mmol/L (180 mg/dL) two hours after meals (as measured by a blood glucose monitor). [6][7][9] Normal value ranges may vary slightly between laboratories.
As of 2015 the guidelines called for an HbA 1c of around 7% or a fasting glucose of less than 7.2 mmol/L (130 mg/dL); however these goals may be changed after professional clinical consultation, taking into account particular risks of hypoglycemia and life expectancy.
The glucose tolerance test was first described in 1923 by Jerome W. Conn. [4]The test was based on the previous work in 1913 by A. T. B. Jacobson in determining that carbohydrate ingestion results in blood glucose fluctuations, [5] and the premise (named the Staub-Traugott Phenomenon after its first observers H. Staub in 1921 and K. Traugott in 1922) that a normal patient fed glucose will ...
Diabetic hypoglycemia is a low blood glucose level occurring in a person with diabetes mellitus. It is one of the most common types of hypoglycemia seen in emergency departments and hospitals. According to the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP), and based on a sample examined between 2004 and 2005, an ...
A list of common causes: Prolonged fasting. Diarrheal illness in young children, especially rotavirus gastroenteritis. Idiopathic ketotic hypoglycemia. Isolated growth hormone deficiency, hypopituitarism. Insulin excess. Hyperinsulinism due to several congenital disorders of insulin secretion. Insulin injected for type 1 diabetes.
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