Hypoglycemia in the emergency department Acil serviste hipoglisemi
SENDROM, cilt.15, sa.5, ss.121-125, 2003 (Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 15 Sayı: 5
- Basım Tarihi: 2003
- Dergi Adı: SENDROM
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.121-125
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Although there is no universally accepted definition of hypoglycemia, it is generrally defined as a serum glucose level below 50 mg/dL, symptoms consistent with hypoglicemic episodes; and resolition of symptoms following glucose administration. If one considers all patients with mental disorders referring to the Emergency Department (ED), hypoglycemia is the underlying process in approximately 7 percent of cases. The most frequently encountered cause of hypoglycemia is diabetes mellitus. Up to 20 percent of patient with diabetes mellitus using insulin or oral hypoglycemic agents will experience symptoms of hypoglycemia in their life time, requiring emergency department (ED) evaluation. In addition to diabetes, other clinical settings associated with hypoglycemia include sepsis, liver disease, alcohol intoxication, starvation, and ingestion of toxic substances. Hypoglycemia should be considered in the differential diagnosis of any patient with altered mental status or focal neurologic signs in the ED settings.