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Autonomic Neuropathy Hypoglycemia

Purpose:

To identify neuroglycopenic findings seen in a diabetic with hypoglycemia.

Specialty:

Endocrinology
Clinical Laboratory

Objective:

clinical diagnosis, including family history for genetics

ICD-10:

G90

Description:

Release of epinephrine is an early response to hypoglycemia in most patients, and this results in clinical findings commonly associated with hypoglycemia like sweating. An older adult or a patient with autonomic neuropathy may fail to show these findings. In these patients the neuroglycopenic findings may predominate and may be confused with other conditions, resulting in delayed diagnosis of hypoglycemia.

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