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Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is a term describing recurrent episodes of symptomatic hypoglycemia occurring within four hours [1] after a high carbohydrate meal in people with and without diabetes. [2] The term is not necessarily a diagnosis since it requires an evaluation to determine the cause of the ...
Alcohol withdrawal syndrome (AWS) is a set of symptoms that can occur following a reduction in or cessation of alcohol use after a period of excessive use. [1] Symptoms typically include anxiety , shakiness , sweating, vomiting, fast heart rate , and a mild fever. [ 1 ]
Alcohol induced hypoglycemia often linked with ketoacidosis (depletion of NAD+ leads to a block of gluconeogenesis) Alimentary (rapid jejunal emptying with exaggerated insulin response) After gastrectomy dumping syndrome or bowel bypass surgery or resection; Reactive hypoglycemia and Idiopathic postprandial syndrome
Alcoholic ketoacidosis is caused by complex physiology that is the result of prolonged and heavy alcohol intake, usually in the setting of poor nutrition. Chronic alcohol use can cause depleted hepatic glycogen stores and ethanol metabolism further impairs gluconeogenesis.
The most common cause of hypoglycemia is medications used to treat diabetes such as insulin, sulfonylureas, and biguanides. [ 3 ] [ 2 ] [ 6 ] Risk is greater in diabetics who have eaten less than usual, recently exercised, or consumed alcohol .
Post-acute withdrawal syndrome (PAWS) is a hypothesized set of persistent impairments that occur after withdrawal from alcohol, [1] [2] opiates, benzodiazepines, antidepressants, and other substances. [3] [4] [5] Infants born to mothers who used substances of dependence during pregnancy may also experience a PAWS.
Octreotide can be used to reduce the secretion of insulin by the pancreas, thereby preventing severe hypoglycemia. [3] Inhibition of beta-oxidation of fatty acids, however, also depletes nicotinamide adenine dinucleotide and acetyl CoA—the latter an activator of pyruvate carboxylase—inhibiting gluconeogenesis. Once the liver glycogen stores ...
Alcohol use disorder Some types of medications [ 1 ] : 37–38 Refeeding syndrome ( RFS) is a metabolic disturbance which occurs as a result of reinstitution of nutrition in people who are starved , severely malnourished , or metabolically stressed because of severe illness.