Low Serum or Plasma Glucose – Hypoglycemia
Reactive hypoglycemia is usually observed in diabetics but also is found in nondiabetics following ingestion of a high-carbohydrate meal.
Pts w/ hypoglycemia caused by an insulin-producing tumor may have signs & symptoms associated w/ malignancy.
For surreptitious insulin injection, seek a history of insulin use or access to insulin.
For excess administration of sulfonylurea drugs, seek a history of use of or access to these drugs.
For impaired liver function, seek clinical evidence of impaired liver function.
Suggested Additional Lab Testing
Blood glucose level <50 mg/dL, coincident w/ symptoms that are reversible within 15 to 45 min of the administration of glucose in the absence of cerebral edema
C-peptide level. Pts have high levels of insulin synthesis & secretion of this portion of the pro-insulin molecule should be detectable in the blood at high levels
Elevated blood insulin Surreptitious insulin administration: insulin is elevated but C-peptide level is not because the insulin in the blood was not synthesized from proinsulin in the pt's pancreas.
Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
Clinical Pain Advisor Articles
- History of Migraine May Be Associated With Higher Risk for Cochlear Disorders
- Radiofrequency Denervation Efficacious in Treating Thoracic Zygapophyseal Joint Pain
- Symptom Severity, Sensory Sensitivity May Indicate Pain Centralization in Chronic Overlapping Pain Conditions
- Stat Consult: Chronic Low Back Pain
- Opioid Misuse May Help Predict Alcohol Dependence Treatment Outcomes
- Consensus Guidelines for the Use of Intravenous Ketamine for Chronic Pain
- Pain Societies Issue Guidelines on Use of Ketamine for the Management of Acute Pain
- Labor Epidural Analgesia Linked to Reduced Likelihood of Successful Breastfeeding
- Novel Oral Treatment Safe, Effective for Migraine Headache Relief
- DFN-02 Nasal Spray Safe, Effective for Acute Treatment of Episodic Migraine
- Methadone Improves Short-Term Outcomes Better Than Morphine in Neonatal Abstinence Syndrome
- Addressing Rare Headache Disorders: Acute Confusional Migraine
- Hospital-Owned Practices Associated With Positive Workplace Perceptions Among Staff
- Optimal Strategies for Opioid Weaning After Ambulatory Surgery
- Chinese Traditional Medicine Showed Effectiveness on Pain, Quality of Life in Advanced Cancer