Certain conditions may make it difficult for a diabetic to recognize impending hypoglycemia.
Reasons for failing to recognize:
(1) different symptoms than expected
(2) symptoms less pronounced than usual
(3) incapable of recognizing (intoxication, disturbed consciousness)
Conditions associated with failure to recognize hypoglycemia in a diabetic:
(1) long duration of diabetes
(2) diabetic neuropathy with autonomic dysfunction
(3) beta-blockers or other medications masking hypoglycemic response
(4) change in insulin preparation, especially shift to human recombinant preparations
(5) intensified control (3 or more insulin injections per day)
To read more or access our algorithms and calculators, please log in or register.
Purpose: To identify situations in which a diabetic may fail to recognize or may underestimate impending hypoglycemia.
Specialty: Endocrinology, Clinical Laboratory
Objective: risk factors, laboratory tests, complication detection