Dear editor,Iatrogenic hypoglycaemia is a common acute presentation;either because of misuse,self-harm or criminal intent.The most common culprits are insulin and oral hypoglycaemics(sulfonylurea,biguanides)although a...Dear editor,Iatrogenic hypoglycaemia is a common acute presentation;either because of misuse,self-harm or criminal intent.The most common culprits are insulin and oral hypoglycaemics(sulfonylurea,biguanides)although aspirin,fluoroquinolone and beta blockers can be causative agents.Common symptoms include sweating,anxiety,tremors,and palpitations.Neuroglycopenic symptoms usually arise at serum glucose concentrations of<2.8 mmol/L and include dizziness,confusion,blurred vision,somnolence and more serious symptoms can be convulsions,coma and potentially death.展开更多
文摘Dear editor,Iatrogenic hypoglycaemia is a common acute presentation;either because of misuse,self-harm or criminal intent.The most common culprits are insulin and oral hypoglycaemics(sulfonylurea,biguanides)although aspirin,fluoroquinolone and beta blockers can be causative agents.Common symptoms include sweating,anxiety,tremors,and palpitations.Neuroglycopenic symptoms usually arise at serum glucose concentrations of<2.8 mmol/L and include dizziness,confusion,blurred vision,somnolence and more serious symptoms can be convulsions,coma and potentially death.
