Hypoglycemia classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Classification
Classification of hypoglycemia in diabetes according to the ADA and the Endocrine Society Workgroup on Hypoglycemia is: [3
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 restoration of plasma glucose to normal is considered sufficient to prove it was a hypoglycemia 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 previous history of hypoglycemia attacks.
Pseudohypoglycemia
Patients with poor glycemic control can experience symptoms of hypoglycemia at plasma glucose levels >70 mg/dL insulin-mediated or non-
Insulin-mediated
fasting or postprandial