Sunday, October 20, 2013

hypoglycemia(低血糖)

症狀/併發症(symptom/complication)
@counter regulator hormone (cortisol, epinephrine)cause
@@shaking
@@sweating
@@anxious
@@dizziness
@@hunger
@@tachycardia
@@impaired vision
@@weakness fatigue
@@headache
@whipple's triad
@@blood glucose is low
@@symptom can be seen
@@give glucose can recover
complication
@neutrophil activation
@C reactive protein rise
@IL-6 rise
@platelet activation
@endothelial dysfunction

資料來源:healthproducts2
病因(etiology)
|hypoglycemic drug: oral hypoglycemic drug or insulin injection too much
|tumor: insulinoma
|insufficiency of hyperglycemia hormones
|hepatic problem
||depletion of the liver glycogen stores
||failure to release liver glycogen
type
|Severe hypoglycemia: need other assistance
|Documented symptomatic hypoglycemia: symptomatic with blood sugar <70 mg/dL
|Asymptomatic hypoglycemia:asymptomatic with blood sugar <70 mg/dL
|Probable symptomatic hypoglycemia: symptomatic with blood sugar >70 mg/dL(in fact do not value)
|Pseudo-hypoglycemia: symptomatic with blood sugar >70 mg/dL
檢查/準則(examination/criteria)
#history taking is important
#must find out etiology of hypoglycemia, prevent recurrent hypoglycemia next time
治療(treatment)
$give glucose intravenous
$Hospitalization for 24~48 hours
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)


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