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People with hypoglycemia unawareness don’t experience these symptoms. Instead, without warning, they lapse into severe hypoglycemia, becoming confused or disoriented or falling unconscious. These individuals have lost the epinephrine response to low blood sugar, along with the symptoms epinephrine normally brings on.
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www.diabetesselfmanagement.com/Articles/Diabetes-Defini...
www.diabetesselfmanagement.com/Articles/Diabetes-Definitions/hypoglycemia_unawareness/
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v09/14/08 Hypoglycemia Unawareness This term refers to the difficulty some people with diabetes have recognizing low blood sugar and it is probably the greatest barrier to keeping the blood sugar close to normal, at least in those patients who are affected.
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www.centremedsurg.com/Forms/Hypo%20unawareness.pdf
www.centremedsurg.com/Forms/Hypo%20unawareness.pdf
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Hypoglycemia unawareness is when you lose consciousness without ever knowing your blood glucose levels were dropping or that you were showing other symptoms of hypoglycemia. It tends to happen to people who have had diabetes for many years, but it doesn't happen to everyone.
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www.diabetes.org/living-with-diabetes/treatment-and-car...
www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html
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"Hypoglycemia unawareness" may be a very awkward phrase, but it describes a very serious situation. ... Hypoglycemia unawareness is a condition in which a person with diabetes is no longer experiencing the usual warning symptoms of hypoglycemia, and has brain malfunction, and can become unconscious without any previous...
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www.diabetesmonitor.com/b282.htm
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Diabetic hypoglycemia - Wikipedia, the free encyclopedia
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Diabetic hypoglycemia describes a low blood glucose level occurring in a person with diabetes mellitus. It is one of the most common types of hypoglycemia seen in emergency departments and hospitals....
en.wikipedia.org/wiki/Diabetic_hypoglycemia
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Hypoglycemia has been incriminated as a possible factor responsible for development of the hypoglycemia unawareness phenomenon in patients with type I diabetes. Many patients with this condition, however, do not have a history of recent hypoglycemia.
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diabetes.diabetesjournals.org/content/42/9/1233.abstrac...
diabetes.diabetesjournals.org/content/42/9/1233.abstract
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A longer duration of diabetes has been one factor associated with hypoglycemia unawareness, and this is counter-intuitive to the many patients who believe that their ability to sense hypoglycemia should improve with experience.
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www.medscape.com/viewarticle/412398
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I am under the distinct impression that they tend to reduce the patient's awareness of warning symptoms of hypoglycemia. Are the arguments in favor of their use justified on ... It makes sense to avoid these drugs in patients with established hypoglycemia unawareness, although there is little evidence for this approach.
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www.medscape.com/viewarticle/413358
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The purpose of this study was to assess the effect of strict avoidance of hypoglycemia on ß-adrenergic sensitivity in a type 1 diabetic patient with hypoglycemia unawareness and a diabetes duration of 55 yr.
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jcem.endojournals.org/cgi/content/abstract/85/2/523
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