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Indian Journal of Emergency Medicine

Volume  5, Issue 2, Apr-June 2019, Pages 130-132
 

Case Report

Reactive Hypoglycaemia of Pre-Diabetes: A Diagnostic Delima

Tanushree Jain, Kishalay Datta

1MEM Resident, 2Associate Director & HOD, Deptt of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi 110088, India.

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

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.


Keywords : Reactive Hypoglycaemia; Diabetes mellitus; hypothalamicpituitary-adrenal (HPA).
Corresponding Author : Kishalay Datta