I have been hypoglycaemic for a while... Why is this?

Authors

  • Laura Feltrer-Martínez Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

DOI:

https://doi.org/10.32818/reccmi.a3s1a2

Keywords:

hypoglycaemia, fasting test, insulinoma

Abstract

Hypoglycemia is defined by Whipple’s triad: symptoms of hypoglycemia, fasting hypoglycemia (blood glycaemia <50 mg/dL) and immediate relief of symptoms after the administration of glucose. Symptoms are divided into adrenergic symptoms (firstly) such as palpitations, sweating and tremor, and neuroglycopenic symp- toms (secondly) such as neurological focality, seizures and coma. The first individual cause of hypoglycemia in adults is iatrogenic hypoglycemia induced by insulin treatment or sulfonylureas. In this clinical case, a patient with repeated hypoglycaemias is presented, as well as the diagnostic process to follow in front of this kind of situation.

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References

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Braunwald E. Harrison’s Principles of Internal Medicine, 18.ª ed. McGraw Hill, 2011.

Rozman C, Cardellach F, Ribera JM, de la Sierra A, Serrano S. Farreras-Roz- man. Medicina Interna, 16.ª ed. Elsevier, 2009.

Ausiello DA, Goldman L. Cecil. Tratado de Medicina Interna, 23.ª ed. Elsevier, 2009.

https://spazioinwind.libero.it/gastroepato/insulinoma.htm (última visualización 13/11/2017).

Published

2018-01-31

How to Cite

1.
Feltrer-Martínez L. I have been hypoglycaemic for a while. Why is this?. Rev Esp Casos Clin Med Intern [Internet]. 2018 Jan. 31 [cited 2024 Jul. 22];3:3-4. Available from: https://www.reccmi.com/RECCMI/article/view/218