Causes and Management Strategies for Unusual Hypoglycemia: a Case Series.

IF 0.7 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY Clinical laboratory Pub Date : 2024-11-01 DOI:10.7754/Clin.Lab.2024.240533
Guoxiang Bao, Jialu Li, Yunan Mei, Cuiying Yang
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Abstract

Background: Glucose levels are vital for indicating the body's sugar content, with imbalances leading to diseases like diabetes or hypoglycemia-related symptoms such as palpitations and fatigue.

Methods: This case series describes three cases of hypoglycemia identified in recent years, utilizing multiple glucose measurement methods and exploring strategies to eliminate interferences.

Results: Two cases of pseudo-hypoglycemia induced by PEGylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) and Evolocumab injections, and one case of true reactive hypoglycemia following a glucose tolerance test in a patient post-gastric bypass surgery.

Conclusions: For unusual hypoglycemia, collaboration with clinicians and multiple methods is crucial for accurate analysis to differentiate true from pseudo-hypoglycemia, ensuring precise diagnosis and optimal clinical service.

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异常低血糖的原因和处理策略:病例系列。
背景:葡萄糖水平是人体糖分含量的重要指标,失衡会导致糖尿病等疾病或心悸、乏力等低血糖相关症状:本系列病例描述了近年来发现的三例低血糖症,采用了多种血糖测量方法,并探讨了消除干扰的策略:结果:两例由 PEG 重组人粒细胞集落刺激因子(PEG-rhG-CSF)和 Evolocumab 注射诱发的假性低血糖,一例是胃旁路手术后患者进行葡萄糖耐量试验后出现的真正反应性低血糖:结论:对于异常低血糖,与临床医生合作并采用多种方法进行准确分析是区分真性和假性低血糖的关键,可确保精确诊断和最佳临床服务。
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来源期刊
Clinical laboratory
Clinical laboratory 医学-医学实验技术
CiteScore
1.50
自引率
0.00%
发文量
494
审稿时长
3 months
期刊介绍: Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.
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