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Clinical Approach to Hypoglycemia
Hypoglycemia is commonly defined as a plasma glucose concentration of less than 70 mg/dL; however, signs and symptoms may not appear until plasma glucose concentrations fall below 55 mg/dL. Since 1938, hypoglycemia has been described using the symptoms of Whipple's triad. To perform Whipple's triad, the practitioner must first diagnose hypoglycemic symptoms, then get low blood glucose, and then demonstrate instant symptom alleviation by treating the low blood glucose with glucose. Under normal circumstances, glucose serves as the brain's principal metabolic fuel source. Unlike other human tissues, the brain has a limited amount of glucose. As expected, the brain requires a continuous supply of blood glucose for proper metabolic activity. An interruption in glucose delivery has the potential to cause difficulties.
About the Speaker
Dr. Pratiksha Patil
Consultant Diabetologist, Pratham Specialty Clinic, Mumbai
Dr. Pratiksha Patil, Consultant Diabetologist, Pratham Specialty Clinic, Mumbai
Upcoming Case Discussions
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Congenital Uterine Anomalies
Congenital uterine anomalies are structural abnormalities of the uterus resulting from improper fusion, canalization, or resorption of the Müllerian ducts during fetal development. These anomalies include septate, bicornuate, unicornuate, and didelphys uterus, among others. They can be asymptomatic or associated with infertility, recurrent pregnancy loss, preterm birth, or abnormal menstruation. Diagnosis is typically made using imaging modalities like ultrasound, MRI, or hysterosalpingography. Treatment depends on the type and severity of the anomaly, with surgical correction such as hysteroscopic septum resection often indicated in symptomatic cases. Early detection is crucial for optimizing reproductive outcomes and guiding appropriate management strategies.
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Approach to Severe Hyperkalemia in the ICU focuses on rapid identification and targeted intervention to prevent life-threatening complications. The session outlines key steps including ECG monitoring, membrane stabilization with calcium gluconate, intracellular potassium shift using insulin-dextrose and beta-agonists, and potassium elimination via diuretics or dialysis. It emphasizes prioritizing reversible causes like renal failure or medication-induced hyperkalemia. Real-world ICU scenarios and evidence-based protocols will guide clinicians in managing this critical electrolyte emergency effectively.
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Sleep Disorder Breathing is a term for a group of conditions with abnormal breathing patterns during sleep. This affects everyday functioning and well being.There are few types of SDB which include upper airways resistance, hypopnea, apnea, catathrenia and heavy snoring. People suffering with SDB can have daytime symptoms that result in poor sleep also. There can also be sleepiness, depressed mood, irritability and cognitive dysfunction.
