Complications
When acutely presenting with clinically significant hypoglycaemia, glucose levels may be low enough to cause central nervous system manifestations such as seizures. The seizures should resolve with correction of glucose levels and not recur so long as hypoglycaemia is avoided.
At the extreme spectrum of hypoglycaemic complications is coma due to lack of glucose availability to the brain. The coma should resolve with correction of glucose levels and not recur so long as extreme hypoglycaemia is avoided. Permanent neurological sequelae are possible: for example, focal neurological deficits, memory loss.
There are limited follow-up data available regarding patients with true hypoglycaemic disorders. Diabetes mellitus has been reported after repeat surgery for insulinoma.[7]
Use of this content is subject to our disclaimer