Hypoglycemia classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
Hypoglycemia can be classified by severity into severe hypoglycemia, symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia and pseudo hypoglycemia.
Classification
Classification of hypoglycemia in diabetes according to the ADA and the Endocrine Society Workgroup on Hypoglycemia is:[1]
Severe hypoglycemia
- Severe event in which patient lose consciousness or very dizzy and can't help himself. It is requiring the assistance of another person to actively administer carbohydrate and glucagon.
- Neurologic recovery after the restoration of plasma glucose to normal is considered sufficient to prove it was a hypoglycemic attack.
Symptomatic hypoglycemia
An event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration ≤70 mg/dL.
Asymptomatic hypoglycemia
Measured plasma glucose concentration of ≤70 mg/dl isn't accompanied by typical symptoms of hypoglycemia.
Probable symptomatic hypoglycemia
Typical symptoms of hypoglycemia are not accompanied by a plasma glucose determination but with the previous history of hypoglycemia attacks.
Pseudohypoglycemia
Patients with poor glycemic control can experience symptoms of hypoglycemia at plasma glucose levels >70 mg/dL.
References
- ↑ Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER; et al. (2009). "Evaluation and management of adult hypoglycemic disorders: an Endocrine Society Clinical Practice Guideline". J Clin Endocrinol Metab. 94 (3): 709–28. doi:10.1210/jc.2008-1410. PMID 19088155.