Complications

Your Organisational Guidance

ebpracticenet urges you to prioritise the following organisational guidance:

Beleid bij acute hypoglykemie met verminderd bewustzijnPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2022La prise en charge de l’hypoglycémie aiguë chez un patient présentant une diminution de la consciencePublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2022
Complication
Timeframe
Likelihood
short term
low

When acutely presenting with clinically significant hypoglycaemia, glucose levels may be low enough to cause central nervous system manifestations such as seizures. The seizures should resolve with correction of glucose levels and not recur so long as hypoglycaemia is avoided.

Overview of seizure disorder

short term
low

At the extreme spectrum of hypoglycaemic complications is coma due to lack of glucose availability to the brain. The coma should resolve with correction of glucose levels and not recur so long as extreme hypoglycaemia is avoided. Permanent neurological sequelae are possible: for example, focal neurological deficits, memory loss.

Assessment of coma

long term
low

There are limited follow-up data available regarding patients with true hypoglycaemic disorders. Diabetes mellitus has been reported after repeat surgery for insulinoma.[7]

Overview of diabetes

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