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Department of Internal Medicine, Division of Cardiology, Division of Laboratory Medicine, First Clinic of Internal Medicine, University of Genoa School of Medicine, IRCCS Azienda Ospedaliera Universitaria San Martino – IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
Department of Internal Medicine, Division of Cardiology, Division of Laboratory Medicine, First Clinic of Internal Medicine, University of Genoa School of Medicine, IRCCS Azienda Ospedaliera Universitaria San Martino – IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
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Introduction In diabetes mellitus (DM), hypoglycemia is the most feared adverse effect of glucose-lowering drugs (GLDs) such as insulin and secretagogues (sulphonylureas (SUs) and glinides). Iatrogenic hypoglycemia (IH) involves reduced motivation
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Department of Cardiology, Department of Growth and Reproduction, Faculty of Health Sciences, Nephrology and Endocrinology H, Hillerød University Hospital, Dyrehavevej 29, DK-3400 Hillerød, Denmark
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Department of Cardiology, Department of Growth and Reproduction, Faculty of Health Sciences, Nephrology and Endocrinology H, Hillerød University Hospital, Dyrehavevej 29, DK-3400 Hillerød, Denmark
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Introduction GH is part of the second-line counter-regulatory response to hypoglycemia and acts by promoting gluconeogenesis. In long-standing type 1 diabetes with counter-regulatory failure in terms of diminished glucagon and adrenaline responses
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Raphael Recanati Genetic Institute, Rabin Medical Center – Beilinson Hospital, Petach Tikva, Israel
Felsenstein Medical Research Center, Petach Tikva, Israel
Pediatric Genetics, Schneider Children’s Medical Center of Israel, Petach Tikva, Israel
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Jesse Z. and Sara Lea Shafer Institute for Endocrinology and Diabetes, Schneider Children’s Medical Center of Israel, Petach Tikva, Israel
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Shalom and VardaYoran Institute for Human Genome Research, Tel Aviv University, Tel Aviv, Israel
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Jesse Z. and Sara Lea Shafer Institute for Endocrinology and Diabetes, Schneider Children’s Medical Center of Israel, Petach Tikva, Israel
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and methods Index case and family members The index case was referred for endocrine evaluation at the age of 7 months due to episodes of hypoglycemia. Blood samples were obtained from the patient’s father, mother, maternal aunt and maternal
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Department of Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA
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Department of Diabetes and Endocrinology, Royal Liverpool and Broadgreen University NHS Hospital Trust, Liverpool, UK
Division of Endocrinology, Diabetes and Gastroenterology, University of Manchester, Manchester, UK
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Institute of Cardiovascular Medicine, University of Manchester, Manchester, UK
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cardiac autonomic neuropathy (CAN) ( 9 ). Severe iatrogenic hypoglycemia can lead to neurological sequelae, including cerebral dysfunction, seizures and death, and recurrent hypoglycemia is associated with hypoglycemia-associated autonomic failure
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Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark
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Steno Diabetes Center Aarhus (SDCA), Aarhus University Hospital, Aarhus, Denmark
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release and thereby disinhibit GH release ( 11 ), but the mechanisms whereby arginine stimulates copeptin and AVP secretion remain unclear. Hypoglycemia also stimulates GH and copeptin secretion, and the insulin tolerance test (ITT) is used in the
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aggressive glycemic control may greatly increase the risk of hypoglycemia ( 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ). To date, seven previous meta-analyses have explored the associations between TGC/IIT and
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this topic. Numerous studies have reported that dysglycemia including hyperglycemia, hypoglycemia or serum blood fluctuation is an independent risk factor of mortality for critically ill patients, especially for those with diabetes mellitus ( 1 , 2
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of average glycemia over months and as such does not provide actionable information regarding glucose patterns over the day, glucose variability, or the amount of time spent in the hyperglycemia, hypoglycemia, and target ranges or hypoglycemia ( 6
Mary & Dick Allen Diabetes Center at Hoag Hospital, Newport Beach, California, USA
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hypoglycemia and hyperglycemia with alerts and alarms ( 3 , 4 ). Given the great advances in maternal care, most women can now expect to have a healthy and uncomplicated pregnancy, and deliver a healthy baby at the end of nine months ( 1 ). However, pregnancy
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Congenital hyperinsulinism (CHI) is a kind of genetically heterogeneous disease, in which intractable, persistent hypoglycemia is induced by excessive insulin secretion and increased serum insulin concentration ( 1 ). To date, 14 genes ( ABCC8