title: [Hypoglycemia despite hyperglycemia. Is a cerebral glucose deficiency possible even with raised blood sugar levels?].
abstract: Hypoglycemia represents the most frequent endocrinologic emergency situation in prehospital patient care. As the patients are usually unconscious on arrival of emergency medical personnel, often the only way to establish a diagnosis is by determination of the blood glucose concentration. However, even normoglycemic or hyperglycemic levels cannot definitively exclude the diagnosis of a previous hypoglycemia as the cause of the acute cerebral deficiency. Therefore, and especially in the case of insulin-dependent diabetes mellitus, a differential diagnosis should be considered. We report a case of emergency treatment of a hypoglycemic episode in a female patient with prolonged neuroglycopenia together with cerebrovascular dementia and Alzheimer's disease.
authors.affiliation: Klinik für Anästhesiologie, Johannes Gutenberg-Universität, Mainz. erdoes@uni-mainz.de
authors.forename: G
authors.initials: G
authors.lastname: Erdös
authors.forename: R
authors.initials: R
authors.lastname: Lobmann
authors.forename: B
authors.initials: B
authors.lastname: Wolcke
authors.forename: C
authors.initials: C
authors.lastname: Werner
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000097:blood / Q000150:complications; D001923:Brain Chemistry / Q000502:physiology*; D015140:Dementia, Vascular / Q000097:blood / Q000150:complications; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003926:Diabetic Coma / Q000097:blood / Q000628:therapy; D003937:Diagnosis, Differential; D004632:Emergency Medical Services; D005260:Female; D015600:Glasgow Coma Scale; D005947:Glucose / Q000172:deficiency*; D006801:Humans; D006943:Hyperglycemia / Q000097:blood* / Q000150:complications / Q000175:diagnosis; D007003:Hypoglycemia / Q000097:blood* / Q000150:complications / Q000175:diagnosis
chemical_list: D005947:Glucose
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