Hypoglycaemia in the diabetic patient

Authors

  • João Barcelos Assistente Graduado de Medicina Interna, responsável pela Consulta de Diabetes do Hospital do Arcebispo João Crisóstomo, Cantanhede
  • Pedro Eurico Lisboa Médico-Chefe Responsável pela Clinica de Diabetes e Nutrição do Hospital de Santa Maria, Lisboa

Keywords:

hypoglyctemia, hypoglyctemia una­wareness

Abstract

Today, hypoglyctemia is an inevitable conse­quence of intensive treatment in diabetes, speci­ally with insulin therapy.

The authors review the clinical aspects of hypo­ glyctemia in diabetes. After a brief introduction about glucose metabolism, the glucoregulation and counterregulatory failure, they describe the symptoms, causes and consequences, the hypo­glycaemia anawareness, its prevention and tre­atment.

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References

Bolli G, De Feo P, Compagnucci P, Cartechini MG, Angeletti G, Santeusanio F, Brunetti P, Gerich JE. Abnormal glucose coun­terregulation in insulin-dependent diabetes mellitus. Interaction of anti-insulin antibodies and impaired glucagon and epinephrine secretion. Diabetes 1983, 32: 134-41.

Hirsch IB, Heller SR, Cryer PE. Increased symptoms of hypoglyce­mia in the standing position in insulin-dependent diabetes mellitus. Clinical Science 1991;80:583-586.

Kerr D, MacDonald IA, Heller SR, Tattersall RB. Alkohol causes hypoglycaemic unawareness in healthy volunteers and pa­tients with Type 1 insulin-dependent) diabetes. Diabetologia 1990;33:216-221.

Kemmer FW, Berger M. Exercise in diabetes: part of treatment, part of life. ln Recent Advances in Diabetes, pp. 137-143. Edited by Nattrass M, Santiago JV. Churchill Livingstone, Edin­burgh, 1984.

MacDonald MJ. Postexercise late-onset hypoglycemia in insulin­ dependent diabetic patients. Diabetes Care 1987; 10:584-588.

Joslin EP, Gray H, Root HF. Insulin in hospital and home. J Meta­bolic Research 1922; 2:651-699.

DCCT Research Group. Epidemiology of severe hypoglycemia in the Diabetes Control and Complications Trial. Am J Med 1991;90:450-459.

Clarke W, Gonder-Frederick LA, Richard FE, Cryer PE. Multifac­torial origin of hypoglycemic symptoms unawareness in IDDM. Association with defective glucose counter regulation and better glycemic control. Diabetes 1991;40:680-685.

Jorgensen LN, Dejgaard A, Pramming SK. Human insulin and hypoglycaemia: a literature survey. Diabetic Medicine 1994;11:925-934.

Harrison MG. Muscle wasting after prolonged hypoglycaemic coma: case report with electrophysiological data. Journal of Neurology, Neurosurgery and Psychiatry 1976;39:465-470.

Marker JC, Cryer PE, Clutter WE. Attenuated glucose recovery from hypoglycemia in the elderly. Diabetes 1992;41:671-678

Shah A, Stanhope R, Matthew D. Hazards of pharmacological test of growth hormone secretion in childhood. Br Med J 1992; 304:173-174

Additional Files

Published

1996-06-28

How to Cite

1.
Barcelos J, Lisboa PE. Hypoglycaemia in the diabetic patient. RPMI [Internet]. 1996 Jun. 28 [cited 2024 May 20];3(2):112-7. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2276

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Section

Review Articles

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