[Hypoglycaemia in patients without diabetes mellitus].

Autor:	Spittuler LF; Amphia ziekenhuis, afd. Interne Geneeskunde, Breda.; Contact: Lisanne F. Spittuler (n.radhakishun@diabeter.nl)., Radhakishun NNE; Diabeter, Rotterdam., Hopman J; Haaglanden Medisch Centrum, afd. Spoedeisende Geneeskunde, Den Haag., Ackermans MT; Amsterdam UMC, Amsterdam. Afd. Endocrinologisch Laboratorium., IJzerman RG; Amsterdam UMC, Amsterdam.Afd. Endocrinologie en Metabolisme., Siegelaar SE; Amsterdam UMC, Amsterdam.Afd. Endocrinologie en Metabolisme.
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2022 Sep 21; Vol. 166. Date of Electronic Publication: 2022 Sep 21.
Abstrakt:	A structured approach in the diagnostic process of hypoglycemia is important to find the right diagnosis. The first step is to recognize the symptoms of hypoglycemia, confirming the hypoglycemia during symptoms and dissolvement of complaints once the glucose level is restored to normal. This confirms the Whipple triad. The second step is to exclude common causes. The third, and most important, step is a diagnostic fasting test. Measurement of insulin and C-peptide during hypoglycemia will guide to exogenic or endogenic causes of hyperinsulinism. Targeted additional investigation is then required. Often the underlying cause is treatable. This justifies the need to measure a well-timed serum glucose when hypoglycemia is suspected to make a quick diagnosis.
Databáze:	MEDLINE
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