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The diabetes epidemic is taking a large and growing toll on New York City, a new Health Department report shows, as death rates, debilitating complications, and hospitalization…

One route to a long and healthy life may be establishing the right balance in insulin signaling between the brain and the rest of the body, according to…

An herb long-used in traditional Indian medicine may help people with type 2 diabetes control their blood sugar, a new study suggests.

Researchers found that the herb, called Salacia oblonga, reduced post-meal…

Patients with diabetes, especially women, who take thiazolidinediones, which include commonly prescribed drugs such as Avandia and Actos, may have an increased risk of developing cancer, according to a new…

The safety of the controversial diabetes drug Avandia (rosiglitazone) was attacked in a new analysis by German researchers, who found little evidence that the drug improved the quality or…

New research indicates that both insulin-dependent (type 1) diabetes and non-insulin-dependent (type 2) diabetes is associated with substantially increased risks of stroke overall, and most subtypes of stroke.

Strokes occur…

Hypoglycemia can occur any time your child has too much insulin or too little glucose in her blood. But there are certain times when hypoglycemia is more likely - and when watching…

The purpose of this study was to evaluate the relationship of severe hypoglycemia and smoking in a population-based cohort of individuals with long-term type 1 diabetes.

If mild or moderate hypoglycemia isn’t treated promptly, it can turn into severe hypoglycemia. People with severe hypoglycemia have so little sugar in their system that it affects their brain. When that happens,…

Concentration of glucose in the plasma is maintained in a relatively narrow range in most persons but requires a delicate balance between glucose production and use. Euglycemia is maintained if the rate of appearance…

Regulation of hepatic glucose production is basic to the maintenance of glucose homeostasis. Although the kidney is capable of glycogen synthesis, glycogenolysis, and gluconeogenesis, it does not contribute a great deal to net…

When any child is believed to have hypoglycemia, a low blood glucose value is quickly confirmed with a test strip. Sufficient blood always should be obtained before therapeutic intervention to confirm the…

Fasting Hypoglycemia

Management of fasting hypoglycemia requires urgent treatment, diagnosis, and long-term prevention. The short-term treatment of hypoglycemia is the oral or intravenous administration of glucose. If the patient is unable to take carbohydrate…

The diagnosis and treatment of hypoglycemia that is due to drugs, critical organ failure, or endocrine deficiency is usually straightforward. Referral of patients to an endocrinologist is warranted if they have documented…

Confirmation of Hypoglycemia

The presence of hypoglycemia is often suspected on the basis of a history compatible with neurogenic or neuroglycopenic symptoms. Although sometimes compelling, the history is more often only…

Hypoglycemia has conventionally been classified into two categories: fasting (or postabsorptive) hypoglycemia and reactive (or postprandial) hypoglycemia. However, with very rare exceptions, all patients with clinically important hypoglycemia have a disorder that causes fasting hypoglycemia.…

Pediatrics researchers at The Children’s Hospital of Philadelphia and McGill University in Montreal have identified a gene variant that raises a child’s risk for type 1 diabetes, formerly called…

Individuals with diabetes appear to spend more days in the intensive care unit, use more ventilator support and have more complications during hospitalization for trauma than non-diabetics, according to a report…

Pumpkin extract has insulin-like effects that could help people with diabetes keep their blood sugar under control, results of an animal study hint.

Chinese researchers found that animals with…

A review of previous studies indicates that use of a class of medications known as “incretin-based therapy”, which act via certain pathways that affect glucose…

Most Americans fail to get the calcium and vitamin D they need, but this shortfall could be affecting more than their bones. It may, at least…

In a very small number of patients with organic hyperinsulinism, islet hyperplasia rather than an adenoma is present. These patients typically have documented hyperinsulinemic hypoglycemia after meals but not with…

Factitious Hypoglycemia
Factitious hypoglycemia may be difficult to document. A suspicion of self-induced hypoglycemia is supported when the patient is associated with the health professions or has access to insulin or sulfonylurea drugs taken…