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Case Report

Reactive Hypoglycaemia of Pre-Diabetes: A Diagnostic Delima

Kishalay Datta , Tanushree Jain , Kishalay Datta

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Indian Journal of Emergency Medicine 5(2):p 130-132, Apr-June 2019. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.5219.10

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Abstract

Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is characterized by recurrent episodes of symptomatic hypoglycemia occurring within 4 hour after a high carbohydrate meal. The frequent sampling of postprandial blood glucose levels will frequently lead to the value below 50 mg/dl, with no hypothalamic-pituitary-adrenal (HPA) stress to the low blood sugar and do not manifest adrenergic symptoms. HbA1C levels between 5.7%-6.4% are suggestive of pre-diabetes. According to the Centers for Disease Control and Prevention (CDC), about 15-30% people with prediabetes symptoms progress to type 2 diabetes mellitus within 5 years if they fail to make appropriate lifestyle changes.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.5219.10

Keywords

Reactive Hypoglycaemia; Diabetes mellitus; hypothalamicpituitary-adrenal (HPA).

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