DISEASE OF THE ENDOCRINE GLANDS : HYPOGLYCEMIC DISEASE (НУPOGLYCAEMIА) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Increased production of insulin islet apparatus of the pancreas. Hyperinsulinism can occur when the depletion of liver glycogen, diseases of the anterior pituitary or the adrenal cortex glands (relative hyperinsulinism), and hyperplasia of islet apparatus of the pancreas and tumors (adenoma, carcinoma). The disease occurs most often in full subjects aged over 40 years.
Symptoms. Pronounced hunger, weakness, nervous irritability, and often the development of obesity (or pancreatic insular obesity). Patients are very resistant to carbohydrates. The study of blood sugar usually shows drastically reduced the content of it.
The recognition. It is typical hypoglycemic attack, often occur after heavy physical work and prolonged starvation. In mild cases it is characterized by the emergence of feelings of hunger, weakness, depression, drowsiness, accompanied by yawning, dizziness and sweating. In severe cases, there unconscious, disappear tendon reflexes appear paralysis and comes coma, which can be fatal. During the attack of the arterial blood pressure rises, the pulse quickens, the face reddens; there has been a sharp decrease in blood sugar.
Prediction in the sense of cure is often unfavorable.
Methods of sugar and intravenous infusion of 40 glucose solution quickly stop the attacks. When tumors islet apparatus of the pancreas - surgery.