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Hypoglycemia Symptoms

1) excited about the performance of the sympathetic nervous system: after the occurrence of low blood sugar stimulate increased secretion of adrenaline may be hypoglycemia syndrome, lower blood sugar in this compensatory response, the patient has pale, heart palpitations, cold sweat, tremor, leg soft, deep fatigue, dizziness, vertigo, hunger, fear and anxiety and so on, after eating ease.

2) disturbance of consciousness: cerebral cortex was inhibited, dim consciousness, orientation, and discriminating receded, drowsiness, sweating, tremors, memory impairment, headache, apathy, depression, dream-like state, severe dementia, some people may be there is singular behavior of these neuropsychiatric symptoms are often mistaken for insanity disease.

3) symptoms of epilepsy. The development of low blood sugar to brain involvement, the muscle tension increased, and paroxysmal convulsions, the occurrence of epilepsy or epileptic seizures, as many of its grand mal seizures, or status epilepticus. When the extension of the brain affected, patients may enter a coma to brain stiffness status, bradycardia, temperature does not rise, the disappearance of a variety of reflection.

4) involvement of pyramidal tract and extrapyramidal symptoms: central subcortical inhibition, the unconscious, irritability, hyperalgesia, dance clonic motion, mydriasis, and even tonic convulsion, extrapyramidal and cone body-beam positive sign, there is an indication of paralysis, paresis, aphasia and paralysis, such as a single. These performance for temporary damage to the glucose can be rapidly improved. Extrapyramidal damage involving the globus pallidus, caudate nucleus, putamen and cerebellar dentate nucleus, such as the health of brain tissue structure search, the performance of many for the tremors, euphoria and excessive exercise, such as reverse the spasm.

5) the performance of cerebellar involvement: Low blood sugar can damage the cerebellum, showing there is ataxia, uncoordinated movements, identified from the inaccurate low muscle tone and gait abnormalities, especially low blood sugar are often late manifestations ataxia and dementia.

6) the performance of brain damage: Low blood sugar may have brain damage, manifested as abnormal eye and vision, diplopia, vertigo, facial paralysis, dysphagia and hoarseness, etc..

7) the performance of peripheral nerve damage: Low blood sugar often advanced peripheral neuropathy due to muscular atrophy and sensory abnormalities, such as limb numbness, muscle weakness or flutter, such as clinical patients had hypoglycemia showed distal limb-type gloves, socks feel abnormal. May also have burning sensation around the sexual stimulation and changes, which with its spinal cord anterior horn cell degeneration, but also consider someone with a healthy english Insulinoma induced hypoglycemia caused by muscular atrophy and related myositis. Low blood sugar can also be peripheral neuropathy caused by foot drop, hand, foot and fine motor failure, such as Can not write, can not eat, can not walk, or even bedridden.

8) lesions caused by organic performance of low blood sugar: The most common tumor in the insulin hypoglycemia, about 70% for benign adenomas, diameter 0.5 ~ 3.0cm, many located in the tail of pancreas, pancreas body and the incidence of pancreatic head similar to the health of many for a single search, followed by hyperplasia, cancer is less common, such as liver cancer and adjacent many organizations have shifted. Insulinoma severe low blood sugar episodes and long-lasting, and often the following characteristics:

  • many hours in the fasting hypoglycemia, such as before breakfast;
  • attack symptoms by light weight, and many from small, frequent gradually;
  • symptoms of paroxysmal attacks, attacks on the circumstances, patients themselves often do not come out memory;
  • hypoglycemia symptoms are not different in patients with identical symptoms of the same patients for each attack and sometimes not the same;
  • often in patients with hypoglycemia should not tolerate hunger often an increase in the consumption of attack to prevent attacks, they are often sick in general to increase body weight;
  • in patients with fasting blood glucose can be very low, sometimes only 0.56 ~ 1.68mmol / L (10 ~ 30mg/dl).

    9) reaction of the functional performance of hypoglycemia: reactive hypoglycemia features mainly:

  • mostly female, less attack, a history of long, many have emotional and mental trauma of the history of nervous;
  • many episodes of low blood sugar after a meal at 2 ~ 3h, normal or slightly lower fasting blood glucose;
  • low blood sugar attack symptoms mainly to an increase in epinephrine, which lasted 20 ~ 30min, often without a coma, many self-mitigation;
  • often neurotic patients, fat, negative signs, although the recurrent disease has not deteriorated;
  • low blood glucose levels significantly better than insulinoma, fasting blood glucose at many 2.24 ~ 3.36mmol / L (40 ~ 60mg/dl);
  • hunger tolerance of patients can be as long as 72h happen without coma.
    • Submitted by Health Studies on Sat, 03/28/2009 - 22:43
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