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.
Psychiatry Advisor Articles
- Illicit Cannabis Use Among Adults Up Due to Medical Marijuana Laws
- Transcranial Direct Current Stimulation Inferior to Escitalopram
- Memory Training Opportunities Exist for Patients With Schizophrenia
- APA: Medical Discrimination Based on Size Psychologically, Physically Harms Patients
- Early Detection Markers of Alzheimer's Disease Possibly Identified
- Criteria For Identification of Smartphone Addiction
- Bipolar Disorder: Childhood Trauma Modulates Impact on Amygdala, Hippocampus
- Psychiatric Evaluations: Questions on Suicide Need to Be Rephrased
- Subsequent Suicide Attempts May Be Reduced by Emergency Department Interventions
- Most Opioids Prescribed for Patients With Mental Health Disorders
- Prescription Opioid Misuse Remains a Persistent Problem
- Revised Treatment Guidelines for Pediatric Acute Onset Neuropsychiatric Syndrome
- Long-term Response to Prophylactic Mood Stabilizers in Bipolar Disorder
- Medically Supervised Withdrawal, an Option for Pregnant Women Addicted to Opioids
- Navigating the Thin Line Between Identification & Intimacy With Patients