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Hypoglycemia
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Hypoglycemia

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Synopsis

Condition of low blood glucose concentration that may be caused by endocrine deficiencies, severe illness, glycogen storage disorders, reactive subtotal gastrectomy, or nonislet cell tumor. However, hypoglycemia is most commonly drug-induced (insulin therapy, angiotensin converting enzyme [ACE] inhibitors, alcohol, antidiabetic drugs, beta blockers, insulin-like growth factor-1, quinolones, certain antifungals, and certain anti-malarials). It may also be caused by hyperinsulinism (insulinoma), extended fasting, malnutrition, malabsorption, or autoimmune insulin syndrome.

In neonates, hypoglycemia may be related to endocrine deficiencies, low birth size, delayed first feeding, severe renal, liver, or heart disease, sepsis, or hereditary fructose intolerance.

Signs and symptoms depend on the causes but may be neurogenic (agitation, tremor, hunger, weakness, palpitation, nausea, irritability, sweating, or tachycardia) or neuroglycopenic (confusion, lethargy, paresthesia, blurred vision, headache, dizziness, behavioral change, seizure, loss of consciousness, or coma). An infant may present with irritability, poor feeding, tachypnea, cyanosis, hypothermia, or lethargy within a few hours after birth.

Codes

ICD10CM:
E16.2 – Hypoglycemia, unspecified

SNOMEDCT:
302866003 – Hypoglycemia

Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 10/04/2016
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Hypoglycemia
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Hypoglycemia (Adult Presentation) : Anxiety, Hypoglycemia, Heart palpitations, Diaphoresis, Lethargy, Confusion, Shakiness
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