الثلاثاء، 31 يوليو 2012

Hypoglycaemia

Hypoglycaemia is a syndrome characterized by low concentration of glucose blood level causes the symptoms of low blood sugar, and a lack of blood sugar, arising from abnormalities in the mechanisms of balance of glucose in blood, and the diagnosis of hypoglycaemia must make sure that the presence of low blood sugar, and the presence of symptoms of low sugar blood, and also fell upon the return of these symptoms of blood sugar to normal level.


Hypoglycaemia is a syndrome characterized by low concentration of glucose blood level causes the symptoms of low blood sugar, and a lack of blood sugar, arising from abnormalities in the mechanisms of balance of glucose in blood, and the diagnosis of hypoglycaemia must make sure that the presence of low blood sugar, and the presence of symptoms of low sugar blood, and also fell upon the return of these symptoms of blood sugar to normal level.

Pathophysiology


    
Related to symptoms of low blood sugar the brain and the sympathetic nervous system sympathetic nervous system.

    
Low levels of glucose leads to lack of availability of the brain need glucose.

    
Neuropathy occurs due to lack of sugar neuroglycopenia, and show that mixing in the form of mental confusion, difficulty concentrating, and irritability, and hallucinations, and focal defect (such as paraplegia hemiplegia) and eventually coma, coma and death.

    
Alert the sympathetic nervous system resulting in a sweat, palpitations, and trembling, and anxiety, and hunger.

    
In most cases the symptoms of pre-alert the sympathetic nervous system symptoms of neuropathy due to lack of sugar, and serve as a kind of early warning to the patient.
Spread of the disease

    
Difficult to estimate the prevalence of the disease.

    
Because doctors and patients - in most cases - symptoms such as anxiety, irritability, hunger, a lack of blood sugar without making sure there is a lack of blood sugar.

    
Patients who have reached the level of blood sugar to less than 50 mg / 100 ml blood, representing approximately 5-10% of people who show symptoms of hypoglycemia with blood.

    
Happens hypoglycaemia when patients sugar overdose of treatment.

    
Insulin-producing tumors are rare, but a reason for hypoglycemia can be treated, which occurs on average 1-2 cases / million people per year.

    
Reactive hypoglycemia reactive hypoglycemia occurs in women more than men when it occurs.

    
Reactive hypoglycemia is noted to occur in women aged 25-35 years.

    
The majority of cases the tumor Jaziri insulinoma occur in the early forties, however, reports indicated the possibility of occurrence from birth to age 80 years.
Morbidity and mortality

    
Reactive hypoglycaemia (which is related to food can occur 1-3 hours after a meal rich in carbohydrates and sugars) when the majority of cases treated successfully by changing the food and be accompanied by a slight impairment in the absence of mortality.

    
Common occurrence of mild cases of hypoglycaemia in patients with diabetes as a complication of treatment, the percentage of these cases to more than 50% of diabetic patients who take treatment because of overdoses.
Pathophysiology

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