Case history
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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: 2022Case history
A 45-year-old woman presents with sweating, nausea, and headache. She does not have any significant prior medical illnesses. The symptoms typically occur when she has skipped a meal or not had anything to eat for several hours, although they have rarely occurred within a couple hours of a meal as well. She does not snack between meals and reports that her weight has been stable. She has never lost consciousness, but has become very confused and distractible. If she does not eat soon after, she begins to feel nauseated and sweaty. She has found that the symptoms quickly resolve after eating.
Other presentations
Patients may also present with seizure or loss of consciousness without premonitory symptoms. Late reactive hypoglycemia can occur within 3-5 hours after a meal in some patients with prediabetes or impaired glucose tolerance, and during pregnancy.
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