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In both young and old individuals, the brain may habituate to low glucose levels with a reduction of noticeable symptoms, sometimes despite neuroglycopenic impairment. In insulin-dependent diabetic patients this phenomenon is termed hypoglycemia unawareness and is a significant clinical problem when improved glycemic control is attempted.
The symptoms may include flu-like symptoms, trouble sleeping, nausea, poor balance, sensory changes, akathisia, intrusive thoughts, depersonalization and derealization, mania, anxiety, and depression. [2] [3] [4] The problem usually begins within three days [2] and may last for several weeks or months. [4] Psychosis may rarely occur. [2]
Symptoms and effects can be mild, moderate or severe, depending on how low the glucose falls and a variety of other factors. It is rare but possible for diabetic hypoglycemia to result in brain damage or death. Indeed, an estimated 2–4% of deaths of people with type 1 diabetes mellitus have been attributed to hypoglycemia. [2] [3]
Improvement in blood sugar level and symptoms is expected to occur in 15–20 minutes, at which point blood sugar is measured again. [ 3 ] [ 2 ] If the repeat blood sugar level is not above 70 mg/dL (3.9 mmol/L), the hypoglycemic should consume another 10–20 grams of a carbohydrate and with remeasurement of blood sugar levels after 15–20 ...
Reduce Sugar in Moderation: “Rome wasn't built in a day, and neither is a sugar-free lifestyle,” Avena admits. “Instead of going cold turkey, focus on gradually reducing your sugar consumption.
Untreated or under-treated hormonal disorders such as adrenal insufficiency (see also Addison's disease [11]) or growth hormone deficiency [12] can therefore sometimes cause insulin hypersensitivity, and reactive hypoglycemia. Stomach bypass surgery or hereditary fructose intolerance are believed to be causes, albeit uncommon, of reactive ...
Diabetic encephalopathy, Diabetes causes brain functional and structural disturbances, known as diabetic encephalopathy. [30] Various mechanisms are proposed, like alterations to the vascular supply of the brain, or changes in cerebral function and structure, including cognitive impairment, cerebral signal conduction, neurotransmission, and ...
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