Hypoglykemie bij patiënten zonder diabetes mellitus

Translated title of the contribution: Hypoglycaemia in patients without diabetes mellitus

Lisanne F. Spittuler, Nalini N. E. Radhakishun, Joella Hopman, Mariette T. Ackermans, Richard G. IJzerman, Sarah E. Siegelaar

Research output: Contribution to journalArticleProfessional

Abstract

A structured approach in the diagnostic process of hypoglycemia is important to find the right diagnosis. The first step is to recognize the symptoms of hypoglycemia, confirming the hypoglycemia during symptoms and dissolvement of complaints once the glucose level is restored to normal. This confirms the Whipple triad. The second step is to exclude common causes. The third, and most important, step is a diagnostic fasting test. Measurement of insulin and C-peptide during hypoglycemia will guide to exogenic or endogenic causes of hyperinsulinism. Targeted additional investigation is then required. Often the underlying cause is treatable. This justifies the need to measure a well-timed serum glucose when hypoglycemia is suspected to make a quick diagnosis.
Translated title of the contributionHypoglycaemia in patients without diabetes mellitus
Original languageDutch
Article numberD6590
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Volume166
Issue number39
Publication statusPublished - 21 Sept 2022

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