UNIGE document Scientific Article - Review
previous document  unige:43673  next document
add to browser collection
Title

Hypoglycémie non diabétique : diagnostic et prise en charge

Authors
Köhler Ballan, B
Published in Revue médicale suisse. 2013, vol. 9, no. 389, p. 1186-8,1190-1
Abstract Organic or non diabetic hypoglycemia (NDH) is a rare disease when it is confirmed, but is often confounded with low blood glucose concentration (between 3 and 4 mmol/I), which is much more frequent. NDH's definition requires the Whipple triad (plasma glucose level <2.8 mmol/l, symptoms of neuroglycopenia and their relief with administration of sugar). The diagnostic approach needs to differentiate the healthy from the sick patient, who's hypoglycemia causes are multiple and frequent, such as: toxic (medicament, OH), organ deficiency, denutrition and sepsis. When hypoglycemia is suspected, without evident causes in healthy persons, it should be investigated by a 72 h fast test, in order to guide the diagnosis. After confirmation of an endogen hyperinsulinism only, sophisticated imaging should be done to localize the tumor and/or to exclude alternatives diagnosis.
Keywords Diagnosis, DifferentialDiagnostic Imaging/methodsDiagnostic Techniques, EndocrineFasting/blood/metabolismHumansHypoglycemia/diagnosis/drug therapy/etiologyInsulinoma/blood/complications/diagnosis/therapyModels, BiologicalPancreatic Neoplasms/blood/complications/diagnosis/therapyRare Diseases/diagnosis/drug therapy/etiology
Identifiers
PMID: 23798188
Full text
Article (Published version) (641 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Other version: http://rms.medhyg.ch/numero-389-page-1186.htm
Structures
Research group Diabète et régulation des gènes (36)
Citation
(ISO format)
DUFEY, Anne Béatrice, KÖHLER BALLAN, B, PHILIPPE, Jacques. Hypoglycémie non diabétique : diagnostic et prise en charge. In: Revue médicale suisse, 2013, vol. 9, n° 389, p. 1186-8,1190-1. https://archive-ouverte.unige.ch/unige:43673

208 hits

2 downloads

Update

Deposited on : 2014-12-17

Export document
Format :
Citation style :