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1

Magnússon, Jónas. Secretion and hypoglycemic action of insulin after surgery: Effects of epidural anaesthesia, enteral nutrition and subtotal pancreatectomy. Dept. of Surgery, Lund University, 1989.

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2

D, Andreani, Marks Vincent, Lefèbvre P. J. 1934-, and International Symposium on Hypoglycemia (3rd : 1986 : Rome, Italy), eds. Hypoglycemia. Raven Press, 1987.

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3

Miles, Fisher B., and Frier Brian M, eds. Hypoglycaemia in clinical diabetes. John Wiley, 1999.

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4

J, Bailey C., ed. Metformin: The gold standard. John Wiley & Sons, 2007.

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5

Wellingham-Jones, Patricia. Effects of stress and hypoglycemia in the handwriting: Two papers. P. Wellingham-Jones, 1986.

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6

Shum, Kar Man Kathy. Effects of antecedent hypoglycemia, antecedent hyperinsulinemia, and antecedent corticosterone on subsequent counterregulation in normal rats. National Library of Canada, 2000.

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7

Yi, Sŏg-yong. Yangmul tongtʻae wa yujŏn chŏngbo sanggwansŏng yŏnʼgu: Yangmul taesa hyoso yujŏnhyŏng e ttarŭn kyŏngguyong hyŏltang kanghaje wa cilostazol ŭi yaktonghakchŏk tʻŭksŏng pyŏnhwa yŏnʼgu = Effects of genetic polymorphism of drug metabolizing enzymes on the pharmacokinetics of oral hypoglycemic agents and cilostazol. Sikpʻum Ŭiyakpʻum Anjŏnchʻŏng, 2007.

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8

Hans-Uwe, Janka, Mehnert H, Standl E, and International Workshop on Macrovascular Disease in Diabetes Mellitus : Pathogenesis and Prevention (1984 : Garmisch-Grainau, Germany), eds. Macrovascular disease in diabetes mellitus: Pathogenesis and prevention : international workshop, Garmisch-Grainau, October 1984. Georg Thieme, 1985.

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9

Frier, Brian M., Simon Heller, and Rory McCrimmon. Hypoglycaemia in Clinical Diabetes. Wiley & Sons, Incorporated, John, 2013.

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10

(Editor), Brian M. Frier, and Miles Fisher (Editor), eds. Hypoglycaemia in Clinical Diabetes (Practical Diabetes). 2nd ed. Wiley-Interscience, 2007.

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11

Fisher, Miles, and Brian M. Frier. Hypoglycaemia in Clinical Diabetes. Wiley & Sons, Incorporated, John, 2007.

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12

(Editor), Brian M. Frier, and B. Miles Fisher (Editor), eds. Hypoglycemia in Clinical Diabetes (Practical Diabetes). Wiley, 1999.

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13

Frier, Brian M., Simon Heller, and Rory McCrimmon. Hypoglycaemia in Clinical Diabetes. Wiley & Sons, Limited, John, 2013.

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14

Hardacker, Doris M. Hypoglycemia. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0032.

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The detrimental effects of hyperglycemia have been enumerated in critically ill patients, and more rigid control of glucose during the perioperative period has been advocated. The more liberal use of intraoperative continuous insulin infusions, however, has unfortunately led to an increased incidence of hypoglycemia. Anesthetized patients exhibit few, if any, signs of severe hypoglycemia. Because the brain is dependent on glucose as a primary energy source, the most devastating result of unrecognized hypoglycemia may be permanent neurologic injury or death. Therefore, it is imperative that the
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15

Hypoglycaemia in Clinical Diabetes. Wiley-Blackwell, 2014.

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16

Yue, Jessica Tin Yan. The effects of recurrent restraint stress on counterregulation to subsequent stressors of restraint and hypoglycemia in diabetes. 2006.

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17

Cassiman, David, Pascal Laforêt, and Fanny Mochel. Glycogen Storage Disorders. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199972135.003.0001.

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Glucose is the body’s major energy source, and carbohydrate serves as fuel—particularly during high-intensity exercise that requires rapid energy release. A deficiency of any of the enzymes involved in the catabolism of glycogen to glucose may cause symptoms, with hypoglycemia and exercise intolerance as the most common presentations. Glycogen storage disorders (GSD) affect muscle, liver, and brain. The most common GSDs affecting muscle are GSD II (Pompe disease) and GSD V (McArdle disease). GSDs affecting mainly the liver are GSD I, III, IV, VI, IX, XI. Most liver-GSDs present during infancy,
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18

Awan, Kanwal, and Martin Steinberg. Medical Conditions That May Cause Cognitive Impairment and Depression. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199959549.003.0005.

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Ruling out medical conditions that can cause depression or cognitive impairment is essential in effectively caring for elderly patients. Case examples illustrate how these may present. Diabetes can cause confusion due to either hyper- or hypoglycemia. Congestive heart failure and chronic obstructive lung disease can cause hypoxia and resulting confusion. Sleep apnea can present with amnesia, apathy, and depression. Physiological changes make elderly patients especially susceptible to adverse drug effects, including hyponatremia and anticholinergic symptoms. Depression and cognitive changes hav
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19

Hagerman, Nancy, and Eric Wittkugel. Preoperative Fasting in the Pediatric Patient. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0006.

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Preoperative fasting guidelines are designed to reduce the volume of gastric contents and to minimize the risk of pulmonary aspiration of gastric contents. Perioperative pulmonary aspiration in children is uncommon, with an incidence of between 1 and 10 per 10,000 anesthetics. It is associated with low morbidity and mortality. While fasting is important, it does not guarantee an empty stomach. Prolonged fasting in infants and children does not further reduce gastric volumes or increase safety but can be associated with unwanted effects such as irritability, parental dissatisfaction, hypoglycem
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20

Macrovascular Disease in Diabetes Mellitus: Pathogenesis and Prevention (Hormone and Metabolic Research. Supplement Series, Vol 15). Thieme Medical Pub, 1986.

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