Background: Hypoglycemia is common and potentially life-threatening for diabetic patients, often iatrogenic from diabetes treatments. It is important to be able to accurately study rates of hypoglycemia when evaluating the inpatient treatment of diabetes at a systems-level. Discharge diagnosis codes show promise as a tool in the surveillance of hypoglycemic events in large administrative databases [...]

Background: Recent work by the authors showed that over half of the incidences of hypoglycemia in hospitalized diabetics involved patients with CKD, and that 18% of patients with diabetes and end-stage renal disease (ESRD) had a hypoglycemic episode while hospitalized. The importance of reducing inpatient hypoglycemia is reflected in the Centers for Medicare and Medicaid [...]

Case Presentation: A 26-year-old female refugee from Afghanistan with a history of menorrhagia presented after a near syncopal episode and two days of fever, chills, and tooth pain. Per cultural preference, history was obtained from the patient’s husband using interpretive services. He reported that the patient developed cold extremities, fatigue, decreased appetite, weight loss, and [...]

Case Presentation: A 65 year old woman with hypertension, hyperlipidemia, and gastric bypass surgery in 2005 presented to the emergency department with episodes of confusion. Four years prior to her presentation she began to have episodes of confusion where she would stare off into space and it was noted that eating relieved these symptoms. She [...]

Case Presentation: A 40-year-old female with a history of morbid obesity status post Roux-en-Y gastric bypass in 2009 presented to hospital with blood glucose level of 33. She reported hypoglycemic episodes every day since 2007 with prior labs demonstrating elevated insulin and low c-peptide levels. The differential diagnoses included exogenous administration of insulin, given she [...]

Case Presentation: This is a case report of a patient with severe peripheral arterial disease (PAD) who had several finger-stick capillary blood glucose readings demonstrating hypoglycemia refractory to treatment. The patient’s lack of symptoms prompted an investigation for pseudohypoglycemia which was confirmed with simultaneous point of care (POC) and peripheral venous glucose draws which demonstrated [...]