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Pseudohypoglycemia

Overview

Pseudohypoglycemia is an event when a person experiences typical symptoms of hypoglycemia but with a measured plasma glucose concentration above 70 mg/dL (>3.9 mmol/L).
The term was used in the past to describe disparity in actual and measured plasma/ capillary glucose.

The term clinical pseudohypoglycemia is used when patients with personality and psychological disorders report relief of symptoms (eg, mental dullness, disorientation, confusion, palpitations) after eating. Plasma glucose levels are within reference ranges in all such patients while they are symptomatic.

It is important for clinicians to recognize the difference between true and pseudohypoglycemia to prevent unnecessary investigations or treatment for the same.

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