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Diabetic with classic symptoms of hypoglycemia, but with a normal serum glucose level
    Differential Diagnosis[Top] [Nav]
brain glucopenia
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • Refers to 12/96 Nature Medicine. [101]
  • No mention of brain glycopenia in this review. [102]
  • Advocates giving D50 even when normoglycemic by rapid reagant strip. [106]
  • Dr. Dan Foster (Parkland) would add pheochromocytoma. [6/90] [113]
  • Clinical vignette at 1993 ACP Annual Session: Anti-insulin receptor autoantibodies in a patient with SLE: a rare cause of neuroglycopenia. Colowick AB. St. Joseph Hospital, Denver. [114]
    Footnotes in Print Edition[Top] [Nav]
    (1) Blood-brain barrier: interface between internal medicine and the brain [clinical conference].
  Pardridge WM, Oldendorf WH, et al.   Ann Intern Med 1986 Jul;105(1):82-95.  Pubmed+Abstract  Similars
on file di-003
    New References[Top] [Nav]

    101.Stress may weaken the blood-brain barrier.
  Vergano D.   Science News. 1996;150:375.
    102.Hypoglycemic disorders [see comments].
  Service FJ.   N Engl J Med 1995 Apr 27;332(17):1144-52.  Pubmed  Similars
    103.Brain glucose uptake and unawareness of hypoglycemia in patients with insulin-dependent diabetes mellitus [see comments].
  Boyle PJ, Kempers SF, et al.   N Engl J Med 1995 Dec 28;333(26):1726-31.  Pubmed+Abstract  Similars
    104.Dead-in-bed syndrome in diabetes mellitus and hypoglycaemic unawareness [letter] [see comments].
  Hanas R.   Lancet 1997 Aug 16;350(9076):492-3.  Pubmed  Similars
    105.Experimentally induced hypoglycaemia [letter; comment].
  Hirst J, Hill J.   Lancet 1996 Aug 10;348(9024):406.  Pubmed  Similars
    106.The poisoned patient with altered consciousness. Controversies in the use of a 'coma cocktail'.
  Hoffman RS, Goldfrank LR.   JAMA 1995 Aug 16;274(7):562-9.  Pubmed+Abstract  Similars
    107.Reversibility of unawareness of hypoglycemia in patients with insulinomas [see comments].
  Mitrakou A, Fanelli C, et al.   N Engl J Med 1993 Sep 16;329(12):834-9.  Pubmed+Abstract  Similars
    108.The relationship between symptomatic and biochemical hypoglycaemia in insulin-dependent diabetic patients.
  Pramming S, Thorsteinsson B, et al.   J Intern Med 1990 Dec;228(6):641-6.  Pubmed+Abstract  Similars
    109.The glucose-transporter protein and glucopenic brain injury [editorial; comment].
  Fishman RA.   N Engl J Med 1991 Sep 5;325(10):731-2.  Pubmed  Similars
    110.Plasma glucose concentrations at the onset of hypoglycemic symptoms in patients with poorly controlled diabetes and in nondiabetics.
  Boyle PJ, Schwartz NS, et al.   N Engl J Med 1988 Jun 9;318(23):1487-92.  Pubmed+Abstract  Similars
    111.Is reactive hypoglycemia a clinical entity?.
  Gastineau CF.   Mayo Clin Proc 1983 Aug;58(8):545-9.  Pubmed  Similars
    112.Hypoglycemia: fact or fiction?.
  Nelson RL.   Mayo Clin Proc 1985 Dec;60(12):844-50.  Pubmed+Abstract  Similars
    113.Dr. Dan Foster (Parkland) would add pheochromocytoma. [6/90]
    114.Clinical vignette at 1993 ACP Annual Session: Anti-insulin receptor autoantibodies in a patient with SLE: a rare cause of neuroglycopenia. Colowick AB. St. Joseph Hospital, Denver.
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:35 PDT on July 4, 2000.[Top]

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