- 60.4k views
Hypoglycemia in Adults
Hypoglycemia in adults refers to an abnormally low level of blood glucose, typically below 70 mg/dL, and can cause a range of symptoms from mild discomfort to severe medical emergencies. It often results from an imbalance between insulin or oral hypoglycemic agent administration and carbohydrate intake, commonly affecting individuals with diabetes. Symptoms of hypoglycemia can include shakiness, sweating, confusion, irritability, dizziness, and palpitations. If not promptly addressed, it can lead to severe neurological symptoms such as seizures, loss of consciousness, and even coma. Factors contributing to hypoglycemia include excessive doses of insulin or diabetes medications, skipping meals, intense physical activity, and alcohol consumption. Immediate treatment involves the consumption of fast-acting carbohydrates, such as glucose tablets, fruit juice, or regular soda. For recurrent episodes, it is crucial to identify and manage underlying causes, which may involve adjusting medication dosages, meal planning, and continuous glucose monitoring. In severe cases, where an individual is unable to self-treat, emergency glucagon administration and medical intervention may be necessary. Preventive strategies include regular monitoring of blood glucose levels, educating patients on recognizing early symptoms, and ensuring proper coordination between diet, medication, and physical activity.
About the Speaker

Dr. Adarsh K.S.
Consultant in Dept of Endocrinology, Manipal Hospitals,Bangalore
Dr. Adarsh K S is a distinguished Consultant in the Department of Endocrinology at Manipal Hospitals in Bangalore, with an extensive educational background comprising an MBBS, MD in Medicine, and a DM in Endocrinology from some of India's prestigious institutes. He brings a wealth of knowledge and experience to his role, particularly in the realm of endocrinological disorders. His academic journey has seen him contribute to notable projects and publications, including research on osteoporosis risk assessment tools and studies on caloric and macronutrient intake in women with polycystic ovarian syndrome. His work has been recognized in various professional forums, evidenced by his oral presentation at APICON 2014 and a poster presentation at ESICON 2018. Dr. Adarsh is committed to ongoing professional development, as shown by his participation in significant CMEs and workshops, including the Diabetes and Endocrinology Update and the Tumour Summit at SGPGIMS, Lucknow. Fluent in English, Hindi, and Kannada, he combines his clinical expertise with academic prowess to advance the field of endocrinology.
Upcoming Case Discussions
Impact of Endometriosis on Fertility
Endometriosis, a condition where endometrial-like tissue grows outside the uterus, can significantly impact fertility. It causes inflammation, scarring, and adhesions that may distort pelvic anatomy, block fallopian tubes, and impair ovarian function. Endometriosis is also linked to hormonal imbalances and poor egg quality, reducing the chances of conception. Symptoms like chronic pelvic pain and painful intercourse further complicate fertility. Diagnosis often requires laparoscopy, while management includes pain relief, hormonal therapy, and assisted reproductive techniques like IVF. Early intervention with medical or surgical treatment can improve reproductive outcomes, but severe cases may necessitate advanced fertility treatments for conception.
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Lung Ultrasound in Acute Respiratory Failure
Lung ultrasound has emerged as a vital, non-invasive tool in the rapid assessment of acute respiratory failure. It provides real-time imaging to differentiate conditions like pneumonia, pulmonary edema, pneumothorax, and pleural effusion with high accuracy. Compared to traditional chest X-rays, lung ultrasound offers superior sensitivity, especially in critically ill patients where bedside evaluation is crucial. Its ability to guide immediate clinical decisions improves patient outcomes and reduces unnecessary radiation exposure. With standardized protocols like the BLUE (Bedside Lung Ultrasound in Emergency) protocol, it enhances diagnostic efficiency in emergency and ICU settings.
Gallstone Disease & Cholecystitis: When to Operate?
iGallstone disease and cholecystitis are common conditions requiring careful evaluation to determine the need for surgery. Symptomatic gallstones causing recurrent pain, nausea, or complications like cholecystitis often necessitate cholecystectomy. Acute cholecystitis, characterized by inflammation, fever, and right upper quadrant pain, typically requires early surgical intervention to prevent complications like perforation or sepsis. In high-risk patients, conservative management with antibiotics and drainage may be considered. Elective surgery is recommended for asymptomatic patients with high-risk factors, such as large gallstones or gallbladder polyps, to prevent future complications.