Hypoglycemia associated autonomic failure

Authors

  • Solange Leda Houssay José María Ramos Mejía Hospital, Autonomous City of Buenos Aires, Argentina
  • Maricel Recalde British Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Marcela Giménez Rey Diabetic Neuropathy Committee of the Argentine Diabetes Society (SAD), Autonomous City of Buenos Aires, Argentina
  • Concepción García Hospital Carlos G. Durand, Autonomous City of Buenos Aires, Argentina
  • Raquel Urdaneta Hospital Carlos G. Durand, Autonomous City of Buenos Aires, Argentina
  • Fernanda Huber Argentine Diabetes Society (SAD), Autonomous City of Buenos Aires, Argentina
  • Claudia Flores Dr. José Penna Interzonal Hospital, Bahía Blanca, Province of Buenos Aires, Argentina
  • Carolina Domínguez Sanatorio Franchín, Autonomous City of Buenos Aires, Argentina
  • Emilio Nader "Zenón J Santillán" Hospital, San Miguel de Tucumán, Argentina

DOI:

https://doi.org/10.47196/diab.v55i2.473

Keywords:

hypoglycemia unawereness, hypoglycemia associated autonomic failure, severe hypoglycemia, diagnosis, treatment

Abstract

Hypoglycemia unawereness is a complication of type 1 diabetes treatment and of type 2 diabetes treatment treated with insulin or sulfonylureas, characterized by a reduced ability to perceive the onset of episodes of hypoglycemia. In general, it coexists with an insufficient counterregulatory hormonal response to hypoglycemia called: hypoglycemia associated autonomic failure (HAAF). The development of hypoglycemia unawereness and counterregulatory failure to hypoglycemia significantly increase the risk of severe hypoglycemia. Scoring scales have been developed to identify this group of people at high risk of severe hypoglycemia in the clinic. The cornerstone of treatment is to avoid hypoglycemia through a multifactorial intervention of clinical care and structured education.

Author Biographies

Solange Leda Houssay, José María Ramos Mejía Hospital, Autonomous City of Buenos Aires, Argentina

Staff Physician; Coordinator of the Diabetic Neuropathy Committee

Maricel Recalde, British Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Staff Physician; Secretary of the Diabetic Neuropathy Committee

Marcela Giménez Rey, Diabetic Neuropathy Committee of the Argentine Diabetes Society (SAD), Autonomous City of Buenos Aires, Argentina

Nutrition specialist; Member of the Diabetic Neuropathy Committee

Concepción García, Hospital Carlos G. Durand, Autonomous City of Buenos Aires, Argentina

Plant Doctor; Member of the Diabetic Neuropathy Committee

Raquel Urdaneta, Hospital Carlos G. Durand, Autonomous City of Buenos Aires, Argentina

Plant Doctor; Member of the Diabetic Neuropathy Committee

Fernanda Huber, Argentine Diabetes Society (SAD), Autonomous City of Buenos Aires, Argentina

Medical specialist in Internal Medicine; Member of the Diabetic Neuropathy Committe

Claudia Flores, Dr. José Penna Interzonal Hospital, Bahía Blanca, Province of Buenos Aires, Argentina

Staff Physician; Member of the Diabetic Neuropathy Committee

Carolina Domínguez, Sanatorio Franchín, Autonomous City of Buenos Aires, Argentina

Nutrition specialist; Member of the Diabetic Neuropathy Committee

Emilio Nader, "Zenón J Santillán" Hospital, San Miguel de Tucumán, Argentina

Endocrinologist; Staff Physician; Member of the Diabetic Neuropathy Committee

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Published

2021-08-02

How to Cite

Houssay, S. L., Recalde, M., Giménez Rey, M., García, C., Urdaneta, R., Huber, F., Flores, C., Domínguez, C., & Nader, E. (2021). Hypoglycemia associated autonomic failure. Journal of the Argentine Society of Diabetes, 55(2), 37–51. https://doi.org/10.47196/diab.v55i2.473

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Vol. 55 No. 2 (2021): May/Agost 2021

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Original article

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