Spontaneous hypoglycemia: A narrative review

Authors

  • Md Ashiqur Rahman Resident, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Hasanul Islam Resident, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Murshed Ahamed Khan Associate Professor, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Fariduddin Professor, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jacedb.v3i2.78644

Keywords:

Hypoglycemia, Spontaneous, Diagnostic challenge

Abstract

Hypoglycemia is a common medical problem and is mostly iatrogenic in patients with diabetes mellitus. In contrast, spontaneous hypoglycemia is relatively uncommon and poses a significant diagnostic challenge. A definitive diagnosis can be made for spontaneous hypoglycemia by using a systematic approach. After confirming the presence of a hypoglycemic disorder, a detailed history should be taken which often suggests a specific underlying cause and can guide further testing. A complete hypoglycemic blood panel must be analyzed (Plasma glucose, insulin, C-peptide, proinsulin, Beta-hydroxybutyrate, sulphonylurea screen, insulin autoantibody) during a spontaneous event or after provoked by a fasting test/mixed meal challenge test, and patients must be categorized based on their clinical status (seemingly well and unwell).

J Assoc Clin Endocrinol Diabetol Bangladesh, July 2024;3(2): 58-64

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Published

2024-12-30

How to Cite

Rahman, M. A., Islam, M. H., Khan, M. A., & Fariduddin, M. (2024). Spontaneous hypoglycemia: A narrative review. Journal of Association of Clinical Endocrinologist and Diabetologist of Bangladesh, 3(2), 58–64. https://doi.org/10.3329/jacedb.v3i2.78644

Issue

Section

Review Article