Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger, Paresthesias
 • Neuroglycopenic: Dizziness, Weakness, Drowsiness, Confusion, Delirium, Seizure, Coma

Suspected Hypoglycemia Disorder - Obtain labs during a hypoglycemic episode:
 • Insulin
 • C-peptide
 • Proinsulin
 • Beta-hydroxybutyrate
 • Glucose
 • Insulin Antibodies
 • Sulfonylurea & meglitinide screen

Matthew Ho, MD PhD @MatthewHoMD

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