MENA 2024 Recordings-Non-Diabetic Hypoglycemia

Video Transcription

Video Summary

The presentation covers non-diabetes related hypoglycemia, focusing on its background, symptoms, and differential diagnoses in both outpatient and inpatient settings. The speaker emphasizes that glucose levels are typically well-regulated and highlights the importance of understanding symptoms of autonomic and neuroglycopenic responses. Identification of Whipple's triad (low plasma glucose, neuroglycopenia, and symptom relief upon glucose correction) is crucial for confirming hypoglycemia.<br /><br />Various causes of hypoglycemia are discussed, including insulinoma, factitious hypoglycemia, drug-induced hypoglycemia, and post-bariatric surgery complications. The presentation underscores the importance of a careful history and classification approach, noting that non-specific symptoms demand careful examination to avoid unnecessary workups.<br /><br />The presentation also details diagnostic protocols like the 72-hour fast to differentiate causes of hypoglycemia, highlighting the use of mixed meal studies and discrediting certain diagnostic tests like the oral glucose tolerance test in non-diabetic hypoglycemia contexts.<br /><br />Several cases are explored to illustrate diagnostic challenges, emphasizing the need for careful evaluation and consideration of biochemical markers. The session concludes by acknowledging the importance of correct diagnosis through Whipple’s triad to facilitate appropriate treatment.

Asset Subtitle

Dr. Aoife Egan

Keywords

hypoglycemia

Whipple's triad

insulinoma

diagnostic protocols

autonomic symptoms

neuroglycopenic responses

non-diabetic