Response to hypoglycemia--an enigmatic dilemma.I agree with Dr. Ranjodh Gill, author of the editorial published in the July 2005 issue of the Southern Medical Journal entitled "Hypoglycemia--An Enigmatic Dilemma," that "for best diagnostic yield, patients should undergo testing during an episode of spontaneous hypoglycemia." (1) In addition, I contend that this includes taking simultaneous blood samples not just for insulin levels, but also for cortisol cortisol (kôr`tĭsôl') or hydrocortisone, steroid hormone that in humans is the major circulating hormone of the cortex, or outer layer, of the adrenal gland. levels, in light of the fact that spontaneous hypoglycemia may be a presenting feature of secondary hypoadrenalism. (2) O. M. P. Jolobe, MRCP MRCP Member of Royal College of Physicians. MRCP abbr. Member of the Royal College of Physicians Manchester Medical Society Manchester, United Kingdom References 1. Gill R. Hypoglycemia-an enigmatic dilemma. South Med J 2005;98:679. 2. Jolobe OMP OMP orotidine 5' monophosphate. OMP decarboxylase enzyme catalyzing the synthesis of uridine monophosphate, the first pyrimidine nucleotide essential for RNA structure. , Htin TS. Hyponatraemia and spontaneous hypoglycemia. Postgraduate Medical Journal History The Postgraduate Medical Journal was established by the Fellowship of Postgraduate Medicine in 1925 [1]. The Postgraduate Medical Journal continues to be the official journal of the Fellowship of Postgraduate Medicine. 1997;73:675-677. |
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