A young man presenting with persistent hypoglycaemia and reduced level of consciousness: case study with review of literature / 世界急诊医学杂志（英文）

ABSTRACT

@#Iatrogenic hypoglycaemia is a common acute presentation; either because of misuse, self-harm or criminal intent. The most common culprits are insulin and oral hypoglycaemics (sulfonylurea, biguanides) although aspirin, fluoroquinolone and beta blockers can be causative agents. Common symptoms include sweating, anxiety, tremors, and palpitations. Neuroglycopenic symptoms usually arise at serum glucose concentrations of <2.8 mmol/L and include dizziness, confusion, blurred vision, somnolence and more serious symptoms can be convulsions, coma and potentially death.