Metabolic disorder & Lab Diagnosis呂醫師
Hypoglycemia
Palpitations,
tremor, anxiety
Hunger,
diaphoresis, paresthesias
Wipple's
triad
- Symptoms
- Low Glucose level
- Relief after treatment
Causes
Drug
Hormone
deficiency
Critical
illness
Nesidioblastosis
Insulinoma
- 72 hours fasting
- Glucose<45 mg/dl
- >3uIU/ml
- C-peptide>0.6
- BHBA<2.7
Autoimmune
Non-beta-cell tumors, IGF2
Alimentary or
reactive, dumping
- 5hr OGTT
- Idiopathic
- Alcohol
- Treat wt alpha glucodase
全大腸切除治療慢性便秘，但可以能造成反應性低血糖
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Acrobose
延遲吸收，從dudenum改成terminal ileum吸收，阻斷餐後低血糖
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