This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

F. KLEIN, M.D.; J. A. LIGTERINK, M.D.

Arch Intern Med. 1940;65(6):1085-1096.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hypoglycemia manifests itself chiefly by symptoms due to disturbances of the autonomic and central nervous systems. In their monographs Sigwald¹ and Wilder² gave detailed descriptions of all neurologic and psychic symptoms to be noted during a hypoglycemic state, and it may be stated without hesitation that there is no neurologic or psychic abnormality which has not been observed either separately or in combination. Given susceptibility of the central nervous system to insulin, it is surprising that fatal damage of the central nervous system so seldom occurs in sufferers from diabetes treated with insulin. In 1932 Sigwald 1 gave short descriptions of 24 cases of fatal hypoglycemic coma known to him. In addition, Rathéry³ reported a very instructive fatal case in 1938.

Fortunately, however, the fatal cases are rare. The hypoglycemic symptoms as a rule disappear when the blood sugar has been raised to the normal level through . . . [Full Text PDF of this Article]

Author Affiliations
GRONINGEN, NETHERLANDS

From the Sanatorium "Rustoord," Apeldoorn, Netherlands.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?