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141 Possible Causes for Glucose Increased, Hypotension, Variable Hypoglycemia

  • Septicemia

    This conclusion is supported by the wide variability in hypoglycemia rates reported with protocols [ 205, 206, 207, 212, 213 ].[doi.org] Septic shock• Sepsis with– Hypotension, for at least 1 h, despite adequate fluidresuscitation– Need for vesopressor9 10.[slideshare.net] This concluded that intensive glucose control increased mortality among adults in the ICU and that a blood glucose target of 180 mg/dL or less resulted in lower mortality[doi.org]

  • Hypoglycemia

    Glycemic variability portends increased risk for hypoglycemia and should be a focus of further research.[ncbi.nlm.nih.gov] In AN various cardiac complications may occur: hypotension, bradycardia, life-threatening ventricular arrhythmias, pericardial effusion, reduction of left ventricular mass[ncbi.nlm.nih.gov] increase with glucose tablets ( P 0.001).[ncbi.nlm.nih.gov]

  • Diabetic Ketotic Coma

    Glycemic variability: A strong independent predictor of mortality in critically ill patients. Crit Care Med 2008;36:3008-3013. Moore C, Woollard M.[ahcmedia.com] As the blood glucose levels increase in HHS, the body tries to get rid of the excess glucose by increased urinary volume.[star2.com] , hypokalemia anorexia causes hypotension, dehydration, and mild ketosis neurologic signs – coma (occurs in 20% of patients) or focal symptoms (stroke-like but resolve with[d3jonline.tripod.com]

  • Diabetes Mellitus

    Associated Complications: CNS : retinopathy, peripheral neuropathies, and autonomic neuropathy (decreased heart rate variability, orthostatic hypotension, gastroparesis,[openanesthesia.org] This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.[ncbi.nlm.nih.gov] As the blood glucose level increases, so also does the glucose content in the aqueous humor.[aao.org]

  • Autonomic Neuropathy

    […] an algorithm for prediction of hypoglycemia in both bedbound and active patients with type 1 diabetes (T1D).[ncbi.nlm.nih.gov] There was a tendency toward increased glucose profile risk score with increasing prevalence of DCAN. 2016 The Authors.[ncbi.nlm.nih.gov] We present a unique case of orthostatic hypotension as the sole feature of a CRMP-5 paraneoplastic autonomic neuropathy in a patient with small cell lung cancer.[ncbi.nlm.nih.gov]

  • Diabetic Autonomic Neuropathy

    Subclinical neuropathy, however, as diagnosed from measurement of heart rate variability, may diminish the awareness of hypoglycemia but does not affect counterregulatory[ncbi.nlm.nih.gov] Abstract Postural hypotension is uncommon in diabetes but can occur secondary to autonomic neuropathy.[ncbi.nlm.nih.gov] After the oral glucose load, GIP levels presented a significant increase in normal subjects and patients without AN, whereas GLP-1 levels increased only in normal subjects[ncbi.nlm.nih.gov]

  • Diabetes Mellitus Type 2

    The choice of glycemic target also depends on consideration of other variables, such as risk for hypoglycemia, weight gain, and other drug-related adverse effects, as well[doi.org] 40 One large trial found that nateglinide was associated with increased risk for hypoglycemia compared with placebo (RR, 1.73 [95% CI, 1.57 to 1.92]) and valsartan with hypotension-related[web.archive.org] glucose concentration and associated glycemia/HbA1c values, with the strength of the correlation increasing for higher glycemia/HbA1c values.[ncbi.nlm.nih.gov]

  • Sepsis

    This conclusion is supported by the wide variability in hypoglycemia rates reported with protocols [ 205, 206, 207, 212, 213 ].[dx.doi.org] Septic shock is defined as hypotension with a mean arterial pressure less than 65 mm Hg, requiring vasopressors despite adequate fluid resuscitation and/or lactic acid levels[ncbi.nlm.nih.gov] This concluded that intensive glucose control increased mortality among adults in the ICU and that a blood glucose target of 180 mg/dL or less resulted in lower mortality[doi.org]

  • Alcoholic Ketoacidosis

    The pivotal variable appears to be a relative deficiency of insulin.[emedicine.com] He had no evidence of hypoxemia, hypotension, or other features of sepsis. Alcoholic ketoacidosis in the setting of hypoglycemia is discussed.[ncbi.nlm.nih.gov] Although blood transfusion was sometimes necessary to combat hypotension, patients usually improved when given only glucose and saline solution without insulin.[doi.org]

  • Diabetes Mellitus Type 1

    There was no significant between-group difference in the number of severe hypoglycemia events. (p 0.1276).[ncbi.nlm.nih.gov] […] progressive rise in glucose from bed to morning Treat with change of insulin dose to bedtime Diabetic ketoacidosis (DKA) : Fruity breath, weight loss, rapid respirations, hypotension[smartypance.com] Postprandial glucose levels increased more markedly in T1DM (to 22.1 1.4 vs. 11.2 0.6mmol/L) while insulin levels increased only in T2DM (from 24.4 4.4 to 68.8 12.3μU/mL).[ncbi.nlm.nih.gov]

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