The diagnosis of hypoglycaemia

A person on glucose-lowering treatment (whether insulin or tablets) who seems unusual or behaves oddly in any way is hypoglycaemic until proved otherwise. It is important for both patient and carers to have a high index of suspicion. This can lead to friction: one of my patients pointed out that he can no longer be angry or impatient. Any hint of this is regarded as hypoglycaemia and he is offered glucose. While he understands his family's concern he is fed up with not being allowed to express ordinary emotions.

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