Hypoglycemia Differential Diagnosis and Management Algorithm



Features of hypoglycemia:

 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger, Paresthesias

 • Neuroglycopenic: Dizziness, Weakness, Drowsiness, Confusion, Delirium, Seizure, Coma



Suspected Hypoglycemia Disorder - Obtain labs during a hypoglycemic episode:

 • Insulin

 • C-peptide

 • Proinsulin

 • Beta-hydroxybutyrate

 • Glucose

 • Insulin Antibodies

 • Sulfonylurea & meglitinide screen



Matthew Ho, MD PhD @MatthewHoMD



#Hypoglycemia #Differential #Diagnosis #Management #Algorithm #endocrinology