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Hypoglycaemia in Diabetes

Iatrogenic hypoglycaemia is one of the main limiting factors in the glycaemic management of diabetes. It causes negative biological, psychological, and social consequences in most people with type 1 diabetes and in many with advanced type 2 diabetes. This chapter explores physiological homeostatic mechanisms that prevent hypoglycaemia through glucose counter-regulation, before discussing specific acquired defects of glucose counter-regulation in diabetes, which provides an insight into risk factors for hypoglycaemia.

Citation:
Iqbal A, Chow EYK, Jones TW, Heller SR. Hypoglycaemia in Diabetes. Textbook of Diabetes, Sixth Edition: wiley; 2024. p. 579-601.

Keywords:
adolescents; biological impact; cardiovascular consequences; glucose counter-regulation; iatrogenic hypoglycaemia; risk factors; type 1 diabetes; type 2 diabetes

Abstract:
Iatrogenic hypoglycaemia is one of the main limiting factors in the glycaemic management of diabetes. It causes negative biological, psychological, and social consequences in most people with type 1 diabetes and in many with advanced type 2 diabetes. This chapter explores physiological homeostatic mechanisms that prevent hypoglycaemia through glucose counter-regulation, before discussing specific acquired defects of glucose counter-regulation in diabetes, which provides an insight into risk factors for hypoglycaemia.