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Can You Have Hypoglycemia With Type 2 Diabetes?

Low Blood Sugar

Low Blood Sugar

People with diabetes get hypoglycemia () when their bodies don't have enough sugar to use as fuel. It can happen for several reasons, including diet, some medications and conditions, and exercise. If you get hypoglycemia, write down the date and time when it happened and what you did. Share your record with your doctor, so she can look for a pattern and adjust your medications. Call your doctor if you have more than one unexplained low blood sugar reaction in a week. Most people feel symptoms of hypoglycemia when their blood sugar is 70 milligrams per deciliter (mg/dL) or lower. Each person with diabetes may have different symptoms of hypoglycemia. You'll learn to spot yours. Early symptoms include: Confusion Dizziness Feeling shaky Hunger Headaches Irritability Pounding heart; racing pulse Pale skin Sweating Trembling Weakness Anxiety Without treatment, you might get more severe symptoms, including: Poor coordination Poor concentration Numbness in mouth and tongue Passing out Ask your doctor if any of your medicines can cause low blood sugar. Insulin treatment can cause low blood sugar, and so can a type of diabetes medications called "sulfonylureas." Commonly used sulfonylureas include: Glibenclamide (Glyburide, Micronase) Gliclazide Older, less common sulfonlyureas tend to cause low blood sugar more often than some of the newer ones. Examples of older drugs include: You can also get low blood sugar if you drink alcohol or take allopurinol (Zyloprim), aspirin, Benemid, probenecid (Probalan), or warfarin (Coumadin) with diabetes medications. You shouldn't get hypoglycemia if you take alpha-glucosidase inhibitors, biguanides (such as metformin), and thiazolidinediones alone, but it can happen when you take them with sulfonylureas or insulin. You can get low blood sugar Continue reading >>

Can You Have Low Blood Sugar With Type 2 Diabetes?

Can You Have Low Blood Sugar With Type 2 Diabetes?

back to Overview Know-how Type 2 A tag-team approach on low blood sugar with type 2 diabetes. Markus recently wrote an article on our German language blog talking about low blood sugar with type 2 diabetes. The question (“can I have low blood sugar with type 2 diabetes?”) is very common, and it’s easy to see why it’s of concern. So I’ve helped Markus bring his German post to life here in English. I hope it helps! Here’s Markus: Low blood sugar In 2014, results from the DAWN2 study were announced. It was the largest study of its kind (15,000 participants) on the “fears & needs of people with diabetes and their families.” One result stood out: The gravest fears are related to low blood sugars, especially at night. Up to 69% of the participants share this fear! So! Can you have low blood sugar with type 2 diabetes? Yes! Of course! But let’s think about who exactly is at risk – and why. It’s common to think: Type 1 diabetes = at risk for lows Type 2 diabetes = not at risk for lows But that isn’t correct at all, so we should wipe it from our mind. So… what do I need to know? Maybe it’s more accurate to say that people with type 2 diabetes who take certain types of medication are more at risk for lows. We’re getting closer! But to get to the truth, we should take a look at someone without diabetes. Is it possible for them to have lows, too? Theoretically yes, especially if doing long-lasting physical activities without proper food intake. Additionally, extreme stress and binge drinking are also common causes of low blood sugar for people without diabetes. However, it’s pretty rare because as soon as BG’s drop below 80 mg/dl (4.4 mmol/L), the natural counterregulatory system kicks in, raising blood sugar back to normal levels. I’ve never exp Continue reading >>

Hyperglycemia And Hypoglycemia In Type 2 Diabetes

Hyperglycemia And Hypoglycemia In Type 2 Diabetes

Hyperglycemia can occur when blood sugar levels are too high. People develop hyperglycemia if their diabetes is not treated properly. Hypoglycemia sets in when blood sugar levels are too low. It is usually a side effect of treatment with blood-sugar-lowering medication. Diabetes is a metabolic disease with far-reaching health consequences. In type 2 diabetes, not enough insulin is released into the bloodstream, or the insulin cannot be used properly. In type 1 diabetes, the body only produces very little insulin, or none at all. We need insulin to live. Without it, sugar (glucose) builds up in the blood because it cannot be taken out and used by the body. Very high blood sugar, known as hyperglycemia, leads to a number of symptoms. If blood sugar levels are too low, it is called hypoglycemia. When is blood sugar considered to be too high or too low? Slight fluctuations in blood sugar levels are completely normal and also happen on a daily basis in people who do not have diabetes. Between around 60 and 140 milligrams of sugar per deciliter of blood (mg/dL) is considered to be healthy. This is equivalent to between 3.3 and 7.8 mmol/L. “Millimole per liter” (mmol/L) is the international unit for measuring blood sugar. It indicates the concentration of a certain substance per liter. If type 1 diabetes is left untreated, people’s blood sugar levels can get very high, even exceeding 27.8 mmol/L (500 mg/dL). Such high levels are rather uncommon for type 2 diabetes. Blood sugar concentrations below 3.3 mmol/L (60 mg/dL) are considered to be too low. As you can see in the illustration below, there are no clear-cut borders between the normal range of blood sugar and high and low blood sugar. Signs of hyperglycemia People with type 2 diabetes do not always realize that their Continue reading >>

Low Blood Glucose Affects Type 2, Too

Low Blood Glucose Affects Type 2, Too

The dangers of low blood glucose are familiar to most people who have Type 1 diabetes, but a new survey designed by the American College of Endocrinology shows that a majority of people with Type 2 diabetes have experienced low blood glucose as well. Roughly 24 million people in the United States have been diagnosed with Type 2 diabetes. Low blood glucose, also known as hypoglycemia, is generally considered to be a blood glucose level below 70 mg/dl. Symptoms can include weakness, drowsiness, confusion, hunger, dizziness, paleness, headache, irritability, trembling, sweating, rapid heartbeat, and a cold, clammy feeling; in severe cases, hypoglycemia can lead to a loss of consciousness or coma. Common causes of hypoglycemia include skipped meals, intense exercise, and certain diabetes medicines, such as insulin, meglitinides (brand names Starlix and Prandin), and sulfonylureas (Diabinese, Diabeta, Glynase, Micronase, Glucotrol, Glucotrol XL, and Amaryl). The online survey, which sought to determine people’s knowledge of and experiences with hypoglycemia, was conducted in November and December 2010 and looked at 2,530 adults who had been diagnosed with Type 2 diabetes. It found that 55% of those surveyed had experienced low blood glucose, with many of the episodes occurring during daily activities such as working, driving, and exercising. The survey also found that a portion of people with Type 2 diabetes was not familiar with the common causes of hypoglycemia. Etie Moghissi, MD, FACP, FACE, vice president of the American Association of Clinical Endocrinologists and associate clinical professor of medicine at the University of California, Los Angeles, notes that “The survey shows that it’s important to inform patients about the causes, symptoms, and how to address h Continue reading >>

Hypoglycemia In Type 2 Diabetes—consequences And Risk Assessment

Hypoglycemia In Type 2 Diabetes—consequences And Risk Assessment

Hypoglycemia in patients with type 2 diabetes is not often recognized as a risk with potential health consequences. Although the risk of hypoglycemia in patients with type 2 diabetes is not as great as that of patients with type 1 diabetes, the prevalence of type 2 diabetes is much greater, making it a clinically significant concern. As such, clinicians need to be aware of the hypoglycemic risk in patients with type 2 diabetes, as well as the immediate and long-term consequences of hypoglycemia. This article will review the prevalence of hypoglycemia in patients with type 2 diabetes, assess the consequences of hypoglycemia, discuss how to identify patients at risk of hypoglycemia, and provide an overview of diabetes management strategies aimed at lowering the risk of hypoglycemia. Definition of Hypoglycemia Hypoglycemia is a frequent complication of diabetes therapy, yet there is no consensus definition. The formal definition of hypoglycemia is a condition characterized by a reduction in either plasma glucose concentration or its tissue utilization to a level that may induce symptoms or signs such as altered mental status and/or sympathetic nervous system stimulation. Criteria known as Whipple’s triad are usually used to diagnose hypoglycemia. This triad consists of low plasma glucose, presence of symptoms, and reversal of these symptoms when the plasma glucose level is restored to normal.1 The level at which a patient becomes symptomatic differs between individuals, and thus there is great controversy when it comes to defining a clear threshold. In the last decade, the American Diabetes Association (ADA),2 Canadian Diabetes Association (CDA),3 and European Agency for the Evaluation of Medicinal Products (EMEA)4 have each set different thresholds for hypoglycemia, fro Continue reading >>

Non-diabetic Hypoglycemia: Symptoms, Causes, Diagnosis, Treatment

Non-diabetic Hypoglycemia: Symptoms, Causes, Diagnosis, Treatment

Passing out, loss of consciousness, seizures To diagnose non-diabetic hypoglycemia, your doctor will do a physical exam and ask questions about any medicines you take. Hell want to know all about your health and any history of diseases or stomach surgery. Hell check your blood glucose level, especially when you are having symptoms. Hell also check to see if you feel better when your glucose goes back to a normal level. If your doctor suspects hypoglycemia, you may have to fast until you start to have symptoms. Hell test your blood glucose level at different times throughout the fast. To check for reactive hypoglycemia, you may have to take a test called a mixed-meal tolerance test (MMTT). For this, you take a special drink that raises your blood glucose. The doctor will check your blood glucose levels over the next few hours. Right away, you should reverse the low blood sugar by eating or drinking 15 to 20 grams of carbohydrates. You can take juice, hard candy, or glucose tablets. This will usually help your symptoms go away. Check your blood sugar again in 15 minutes and treat every 15 minutes if levels are still low. Call 911 if you dont feel well or if you cant get your blood sugar back up. For severe symptoms -- passing out, seizures , or confusion -- call 911 right away. If you have serious attacks, ask your doctor if you should keep a home glucagon kit. This hormone made in your pancreas causes your liver to release sugar. The kid contains a little bottle (the doctor will call it a vial) and a syringe to inject yourself with it. People youre with -- loved ones or caregivers -- should know how to give you the injection. For a long-term solution, how you treat hypoglycemia depends on what's causing it. If a medicine triggers your low blood sugar, you may need to ch Continue reading >>

Diabetes - Low Blood Sugar - Self-care

Diabetes - Low Blood Sugar - Self-care

Low blood sugar is called hypoglycemia. A blood sugar level below 70 mg/dL (3.9 mmol/L) is low and can harm you. A blood sugar level below 54 mg/dL (3.0 mmol/L) is cause for immediate action. You are at risk for low blood sugar if you have diabetes and are taking any of the following diabetes medicines: Insulin Glyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), or nateglinide (Starlix) Chlorpropamide (Diabinese), tolazamide (Tolinase), acetohexamide (Dymelor), or tolbutamide (Orinase) Know how to tell when your blood sugar is getting low. Symptoms include: Weakness or feeling tired Shaking Sweating Headache Hunger Feeling uneasy, nervous, or anxious Feeling cranky Trouble thinking clearly Double or blurry vision Fast or pounding heartbeat Sometimes your blood sugar may be too low even if you do not have symptoms. If it gets too low, you may: Faint Have a seizure Go into a coma Talk with your health care provider about when you should check your blood sugar every day. People who have low blood sugar need to check their blood sugar more often. The most common causes of low blood sugar are: Taking your insulin or diabetes medicine at the wrong time Taking too much insulin or diabetes medicine Not eating enough during meals or snacks after you have taken insulin or diabetes medicine Skipping meals Waiting too long after taking your medicine to eat your meals Exercising a lot or at a time that is unusual for you Not checking your blood sugar or not adjusting your insulin dose before exercising Drinking alcohol Preventing low blood sugar is better than having to treat it. Always have a source of fast-acting sugar with you. When you exercise, check your blood sugar levels. Make sure you have snacks with you. Talk to your provider about r Continue reading >>

Diabetes: Dealing With Low Blood Sugar From Medicines

Diabetes: Dealing With Low Blood Sugar From Medicines

Low blood sugar (hypoglycemia) occurs when the sugar (glucose) level in the blood drops below what the body needs to function normally. Some medicines for diabetes can cause low blood sugar. Even mild low blood sugar can affect the way you think and respond to things around you. And mild low blood sugar can quickly drop to a more dangerous level. Low blood sugar as a side effect of oral diabetes medicines usually causes mild symptoms, such as sweating, shakiness, and hunger. Taking too much of your diabetes medicine in one day, not eating enough food, or doing strenuous physical activity can cause your blood sugar level to drop below your target range. If your blood sugar is low and you don't eat anything, it may drop to a very low level. Keep some hard candy, raisins, or other quick sugar foods with you at all times. Eat some at the first sign of low blood sugar. Test your blood sugar often so you do not have to guess when it is low. Teach your friends and coworkers what to do if your blood sugar is very low. Here are some ways you can manage low blood sugar. Be prepared Keep some quick-sugar foods with you at all times. If you are at home, you most likely will already have something close at hand that contains sugar, such as table sugar or fruit juice. Carry some hard candy or glucose tablets when you are away from home. Know the symptoms of low blood sugar, such as sweating, blurred vision, and confusion. Post them where you will see the list often. And carry a copy in your wallet or purse. Be sure that your partner and others concerned know your early symptoms, including the signs of low blood sugar at night. Wear medical identification, such as a medical alert bracelet , to let people know that you have diabetes. People will know that you have diabetes and will get Continue reading >>

Type 2 Diabetics Need To Be More Aware Of Hypoglycemia Signs And Risks, Doctors Urge | Everyday Health

Type 2 Diabetics Need To Be More Aware Of Hypoglycemia Signs And Risks, Doctors Urge | Everyday Health

Fatigue and shakiness are early warning signs of hypoglycemia. Although hypoglycemia, or low blood sugar, is usually associated with type 1 diabetes, the problem can also pose health harms to people with type 2 diabetes and doctors and patients need to be aware of these risks, the authors of a new article argue. In the article, which was published in the March 2018 edition of the Journal of Clinical Endocrinology & Metabolism , authors from the Endocrine Society and Avalere Health, a Washington, DCbased national healthcare advisory firm, analyzed various materials regarding hypoglycemia , including 31 articles, 20 clinical guidance documents, and more than 50 clinician and patient tools. Their aim: to understand the prevalence of hypoglycemic episodes among people with type 2 diabetes and the corresponding health consequences. They report that severe cases of hypoglycemia led to 30,000 emergency room visits among people with both type 1 and type 2 diabetes in 2009. They also reported that in 2010, about 18 percent of Medicare beneficiaries who were hospitalized due to hypoglycemia were readmitted within 30 days, and 5 percent died within that time period. Ive been a practicing endocrinologist for 25 years, and I was taken aback by how big a problem this really is, says Robert Lash, MD , of Washington, DC, the chief professional and clinical affairs officer of the Endocrine Society and the lead author of the paper. RELATED: Treating Type 2 Diabetes From the Inside Out: Tips for Self-Care, Medication, and Insulin In one meta-analysis the authors looked at, researchers observed that people with type 2 diabetes have an average of 23 mild or moderate episodes of hypoglycemia per year, suggesting that despite a lack of firm statistics on such episodes, people with type 2 are Continue reading >>

Hypoglycemia

Hypoglycemia

Hypoglycemia is a condition that occurs when your blood sugar -LRB- glucose -RRB- is too low . Hypoglycemia occurs when your blood sugar levels drop below a certain level that your own body is used to. Yes there were shown low, and I was also shown to have very low blood pressure and blood sugar levels (showing symptoms of hypoglycemia). I WAS having SEVERE low blood sugar episodes SEVERAL, SEVERAL times a day, and thought that I had reactive hypoglycemia and even saw an endocrinologist who was convinced otherwise. i've never been officially tested for hypoglycemia, but i'm pretty sure i have blood sugar issues Overview Cold sweatsConfusionConvulsionsComaDouble vision or blurry visionFatigueGeneral discomfort , uneasiness , or ill feeling -LRB- malaise -RRB- HeadacheHungerIrritability -LRB- possible aggression -RRB- NervousnessRapid heart rateTremblingOther symptoms that may be associated with this disease : Decreased alertnessDifferent size pupilsDizzinessExcessive sweatingFaintingHallucinationsMemory lossMuscle painPalenessPounding heartbeat -LRB- heartbeat sensations -RRB- Sleeping difficulty Symptoms A snack or drink containing sugar will raise the blood glucose level . You should see an immediate improvement in symptoms.Infants that are born with hypoglycemia are given glucose through a vein until the body begins to control its own blood sugar level.Persons with severe hypoglycemia are treated with glucose injections or the hormone glucagon . Immediate treatment is needed to prevent serious complications or death.Your doctor may tell you to change your diet so that you get more even amounts of glucose into your body throughout the day . For hypoglycemia, diet is usually all that's needed. This may prevent further episodes of low blood sugar . You may be told to eat Continue reading >>

The Risk Of Hypoglycemia In Type 2 Diabetes

The Risk Of Hypoglycemia In Type 2 Diabetes

The Risk of Hypoglycemia in Type 2 Diabetes Hypoglycemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually less than 70 mg/dL. This condition is recognized to be one of the main restrictions in achieving normal control in type 1 diabetes. Historically, the risk of hypoglycemia has been considered lower in type 2 diabetes, however, with the increasing use of insulin to treat type 2 diabetes, the occurrence of hypoglycemia has the potential to intensify. The focus on the relationship between hypoglycemia and type 1 diabetes is due to the frequency of hypoglycemia in these patients. Per the American Diabetes Association , on average, people with type 1 diabetes experience hypoglycemia around twice a week. This number equates to a prevalence of 30% 40% a year. It is more difficult to originate equivalent figures for patients with type 2 diabetes because of the diversity. Statistically, the majority of people with type 2 diabetes are middle aged or elderly, and accurate measures of the frequency of hypoglycemia in elderly people are most likely underestimated. In addition to this, when people with type 2 diabetes become insulin deficient, they experience hypoglycemia as frequently as people with type 1 diabetes, and it may go unreported. Studies behind hypoglycemia and type 1 diabetes show that severe hypoglycemia is reported robustly over a period of one year, and mild hypoglycemia is unreliable after only one week., Likewise, studies supporting insulin-treated type 2 diabetes report severe hypoglycemia over a period of one year, but the difference is in the results of mild hypoglycemia. Some studies focused on hypoglycemia in type 2 diabetes have overlooked the effects of ageing by selecting middle-aged subjects. The scarcity of el Continue reading >>

All About Hypoglycemia (low Blood Sugar)

All About Hypoglycemia (low Blood Sugar)

Hypoglycemia refers to an abnormally low level of sugar, or glucose, in the blood. Hypoglycemia is not a disease in itself, it is a sign of a health problem. The brain uses a lot of energy and needs glucose to function. Because the brain cannot store or manufacture glucose, it needs a continuous supply. Signs of low blood sugar include hunger, trembling, heart racing, nausea, and sweating. Hypoglycemia is commonly linked with diabetes, but many other conditions can also cause low blood sugar. This article will discuss the causes, diagnosis, and treatment of hypoglycemia, and the difference between hypoglycemia and hyperglycemia. We will also look at how to prevent it. Here are some key points about hypoglycemia. More detail is in the main article. Hypoglycemia is not a disease but a symptom of another condition. Early symptoms include hunger, sweating, and trembling. A common cause is diabetes. Alcohol abuse and kidney disorders can also lower blood sugar levels. What is hypoglycemia? Hypoglycemia is a condition where there is not enough glucose, or sugar, in the blood. Levels of blood sugar are below 4 mmol/L (72mg/dL). Adults and children with mild hypoglycemia may experience the following early symptoms: hunger tremor or trembling sweating irritability a pale face heart palpitations accelerated heart rate tingling lips dizziness weakness Severe hypoglycemia is sometimes called diabetic shock. It may involve: concentration problems confusion irrational and disorderly behavior, similar to intoxication inability to eat or drink Complications If a person does not take action when symptoms of hypoclycemia appear, it can lead to: A person who regularly experiences hypoglycemia may become unaware that it is happening. They will not notice the warning signs, and this can lea Continue reading >>

10 Warning Signs Of Low Blood Sugar

10 Warning Signs Of Low Blood Sugar

Hypoglycemia, or low blood sugar, is common among people with diabetes and can occur even when you're carefully managing the condition. "Hypoglycemia happens when the amount of blood glucose (sugar in the blood) drops to a level that's too low to sustain normal functioning," says Erin Palinski-Wade, RD, CDE, author of 2 Day Diabetes Diet. "In most people, this is defined as a blood-sugar level below 70 milligrams per deciliter." A review published in June 2015 in the journal PLoS One found that among people with type 2 diabetes, this is a far too common occurrence. Individuals with the condition had an average of 19 mild episodes of hypoglycemia per year, and nearly one severe episode per year on average. Low blood sugar was particularly common among those taking insulin. This decrease in blood sugar levels can cause both short-term complications, like confusion and dizziness, as well as more serious, long-term complications. Left untreated, it can lead to a coma and even death. To prevent hypoglycemia and its dangerous side effects, it's crucial to monitor your glucose levels and treat low blood sugar as soon as you become aware of it. Pay attention to these telltale signs of dipping blood sugar levels to make sure yours stays under control: 1. Ravenous Hunger If you've already eaten but still aren't satisfied, or if you suddenly, inexplicably feel as if you're starving, your body is signaling that it needs more glucose. Work with your healthcare team to determine the exact amount of sugar your body needs. A good starting point is the American Diabetes Association's recommendation to eat between 15 and 20 grams (g) of sugar or carbohydrates with each snack, and between 40 and 65 g at each meal. Some good options include 2 tablespoons of raisins, 4 ounces of fruit juice Continue reading >>

Low Blood Sugar Symptoms And Ranges

Low Blood Sugar Symptoms And Ranges

Low blood sugar (hypoglycemia) definition and facts Hypoglycemia is the medical term for low blood sugar. It typically occurs as a side effect of medications for diabetes. The normal range of blood glucose is from 70 to 100 mg/dL in an individual without diabetes, Most people will feel the effects and symptoms of low blood sugar when blood glucose levels are lower than 50 mg/dL. Low blood sugar is treated by giving a readily absorbed source of sugar, including soft drinks, juice, or foods containing sugar. If the hypoglycemia has progressed to the point at which the patient cannot take anything by mouth, an injection of glucagon may be given. Glucagon is a hormone that causes a fast release of glucose from the liver. Hypoglycemia or low blood sugar is syndrome that results from low blood sugar. The severity and symptoms of hypoglycemia can vary from person to person. Blood tests can diagnose low blood sugar, and symptoms resolve when the levels of sugar in the blood return to the normal range. The medical term for blood sugar is blood glucose. What can cause low blood sugar? Despite advances in the treatment of diabetes, low blood sugar episodes occur as a side effect of many treatments for diabetes. In fact, these episodes are often the limiting factor in achieving optimal blood sugar control, because many medications that are effective in treating diabetes carry the risk of lowering the blood sugar level too much, causing symptoms. In large scale studies looking at tight control in both type 1 and type 2 diabetes, low blood sugars occurred more often in the patients who were managed most intensively. This is important for patients and physicians to recognize, especially as the goal for treating patients with diabetes becomes tighter control of blood sugar. While peopl Continue reading >>

Nocturnal Hypoglycemia

Nocturnal Hypoglycemia

Thanks to the Diabetes Control and Complications Trial (DCCT), it is now well recognized that intensive glycemic control can reduce the risk of diabetes complications. Despite this knowledge, one of the biggest barriers in reaching glycemic targets is the increased risk of hypoglycemia that comes with tighter blood glucose control. Hypoglycemia is often reported to be one of the most feared complications of diabetes. With nocturnal hypoglycemia being especially worrisome for those who live alone or travel alone. It can also be concerning (not to mention disruptive) for a significant other that you share a bed with. What is nocturnal hypoglycemia? Nocturnal hypoglycemia is a low blood sugar that occurs overnight while you are asleep. It is common to sleep through a low blood sugar when it occurs during sleep. How common is nocturnal hypoglycemia? According to a journal article from Medscape General Medicine: During the DCCT 43 percent of all hypoglycemia episodes and 55 percent of severe [hypoglycemic] episodes reported occurred during sleep. Incidence rates vary from 12 to 56 percent, however because 49 to 100 percent of episodes occur without symptoms the actual incidence may be much higher.1 Why is nocturnal hypoglycemia concerning? Nocturnal hypoglycemia can be especially dangerous because an individual is unlikely to recognize symptoms or wake up during an episode. Undetected nocturnal hypoglycemia is a risk factor for hypoglycemia unawareness: Hypoglycemia unawareness is a low blood glucose that occurs without symptoms therefore the person is unaware of the drop in their blood glucose, ultimately delaying treatment. Nocturnal hypoglycemia may also result in physical injury, poor quality of life and possibly impairment in cognitive function. Severe hypoglycemia can Continue reading >>

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