Silent Hypoglycemia Presenting As Dysesthesias
- Nolawit Tesfaye, BS and
- Elizabeth R. Seaquist, MD
- From the Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota
- Address correspondence to Elizabeth R. Seaquist, MD, MMC 101, 420 Delaware St. SE, University of Minnesota, Minneapolis, MN 55455. E-mail: seaqu001{at}umn.edu
Hypoglycemia is not often in the differential diagnosis for dysesthesias but should be considered when involved in the care of diabetic patients. Such symptoms may herald silent hypoglycemia and resultant nerve injury, as illustrated in the following case.
A 26-year-old female with type 1 diabetes presented with a 2-month history of numbness and tingling in her hands and feet upon waking in the morning. Symptoms began when her treatment was altered from NPH 50 units q …
