Hypoglycemia despite hyperglycemia. Is a cerebral glucose deficiency possible even with raised blood sugar levels?

Erdös, Gabor; Lobmann, R; Wolcke, B; Werner, C (2005). Hypoglycemia despite hyperglycemia. Is a cerebral glucose deficiency possible even with raised blood sugar levels? Anaesthesist, 54(7), pp. 673-678. Springer-Medizin-Verlag 10.1007/s00101-005-0825-2

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Hypoglycemia represents the most frequent endocrinologic emergency situation in prehospital patient care. As the patients are usually unconscious on arrival of emergency medical personnel, often the only way to establish a diagnosis is by determination of the blood glucose concentration. However, even normoglycemic or hyperglycemic levels cannot definitively exclude the diagnosis of a previous hypoglycemia as the cause of the acute cerebral deficiency. Therefore, and especially in the case of insulin-dependent diabetes mellitus, a differential diagnosis should be considered. We report a case of emergency treatment of a hypoglycemic episode in a female patient with prolonged neuroglycopenia together with cerebrovascular dementia and Alzheimer's disease.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Erdös, Gabor

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0003-2417

Publisher:

Springer-Medizin-Verlag

Language:

German

Submitter:

Jeannie Wurz

Date Deposited:

23 Feb 2015 16:18

Last Modified:

23 Jan 2018 12:18

Publisher DOI:

10.1007/s00101-005-0825-2

PubMed ID:

15726239

BORIS DOI:

10.7892/boris.63837

URI:

https://boris.unibe.ch/id/eprint/63837

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