DIAGNOSTIC APPROACH TO ADULTS WITH HYPOGLYCEMIC DISORDERS
1999; Elsevier BV; Volume: 28; Issue: 3 Linguagem: Inglês
10.1016/s0889-8529(05)70086-4
ISSN1558-4410
Autores Tópico(s)Hyperglycemia and glycemic control in critically ill and hospitalized patients
ResumoOptimal conditions for confirming the presence and accurately diagnosing the type of hypoglycemic disorder occur at the time of a spontaneous spell. Otherwise, dynamic testing to generate conducive conditions should be conducted in any patient with a history of neuroglycopenic symptoms, regardless of relation to meal ingestion. Specific criteria regarding beta-cell polypeptide concentrations are required to establish hyperinsulinemia. Sulfonylureas in plasma should be measured with sensitive assays. In complex cases, the selective arterial calcium test may be a useful dynamic test.
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