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.
Renal and Urology News Articles
- For Treating Uremic Pruritus, Evidence is Strongest for Gabapentin
- IgG-Degrading Enzyme Desensitizes, Permits HLA-Incompatible Transplant
- Evaluating Practice Options in the Shifting Health Care Landscape
- Not All High-Risk Prostate Cancers Are the Same
- Active Surveillance for Intermediate-Risk PCa May Be Unsafe
Sign Up for Free e-newsletters
NEPHROLOGY & UROLOGY NEWS
- Acute Kidney Injury (AKI)
- Chronic Kidney Disease (CKD)
- Contrast Nephropathy
- Cardiovascular Disease (CVD)
- Diabetic Nephropathy
- End-stage Renal Disease (ESRD)
- Lupus Nephritis
- Peritoneal Dialysis
- Secondary Hyperparathyroidism (SHPT)