Persistent hypoglycemia can result in permanent impairment that can be quantified using the AMA criteria.
Parameters:
(1) effectiveness of therapy (diet, medication, surgical resection of islet cell tumor)
(2) signs and symptoms
(3) ability to perform activities of daily living
Signs and symptoms of hypoglycemia:
(1) sweating, tremulousness, nervousness, faintness
(2) palpitations
(3) confusion or inappropriate behavior
(4) visual disturbances
(5) loss of consciousness
Effectiveness of Therapy |
Signs and Symptoms |
Activities of Daily Living |
Impairment of the Whole Person |
not required |
none |
normal |
0% |
islet cell tumor can be resected, or symptoms easily controlled |
none or minimal |
normal or near normal |
0 - 5% |
islet cell tumor cannot be resected, or symptoms not easily controlled |
mild to severe |
minimal to severe compromise |
6 – 50% |
where:
• Complications associated with surgery that lead to permanent impairment need to be combined with the hypoglycemia impairment for the whole person impairment.
Specialty: Sports Medicine & Rehabilitation, Endocrinology
ICD-10: ,