Hypoglycemia
– H-U-N-G-E-R: B-E-S-T S-A-U-C-E I-S M-S-G
- H-Hepatic failure (advanced), Hypothermia
- U-Uremia/renal failure
- N-Nausea, vomiting
- G-Growth hormone deficiency
- E-Ethanol metabolism blunts gluconeogenesis
- R-Reye’s syndrome
- B-Beta blockers
- E-Enzyme defects (glycogen storage diseases)
- S-Sepsis
- T-Tumors: Islet beta cell tumors (pancreatic): Insulinomas
- Non-islet cell tumors: Large mesenchymal tumors
- S-Sulfonylureas
- A-Adrenal insufficiency
- U-Under 0.3 (insulin/glucose ratio) to make the diagnosis C-C-peptide measurement to rule out factitious hypoglycemia
- E-Endocrine: Epinephrine, glucagon deficiencies (counterregulatory hormone deficiencies)
- I-Immune disease with insulin or insulin receptor antibodies
- S-Sarcomas: large retroperitoneal sarcomas
- M-Maple syrup urine disease, severe Malaria
- S-Salicylates in children
- G-Galactosemia (with milk ingestion), disorders of Gluconeogenesis