Wednesday, April 2, 2008

REACTIVE HYPOGLYCEMIA


  • ALIMENTARY

    • IDIOPATHIC,FUNCTIONAL
    • EARLY DIABETES MELLITUS

  • REACTIVE HYPOGLYCEMIA- ALIMENTARY

    • Usually after gastrectomy, or gastrojejunostomy
    • Rarely even without gastric surgery
    • Hypo symptoms-occur 90-180 min. after food ingestion
    • Insulin levels usually normal
    • Intestinal factors; e.g. GIP, enteroglucagon & cholecystokinin
    • Treatment: Small frequent meals, dietary fibre

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HISTORY OF DIABETES

FIRST REPORT ON DIABETES IN 1552 BC ! 1552 BC Egyptian Papyrus Oldest preserved medical document 20.23 m length X 30 cm height 110...