Talk:Hypoglycemia: Difference between revisions
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{{dashboard.wikiedu.org assignment | course = Wikipedia:Wiki_Ed/University_of_Central_Florida_College_of_Medicine/WikiProject_Medicine_Winter_2022_UCF_COM_(Winter_2022) | assignments = [[User:NM UCFCOM|NM UCFCOM]] | start_date = 2022-01-10 | end_date = 2022-02-04 }} |
{{dashboard.wikiedu.org assignment | course = Wikipedia:Wiki_Ed/University_of_Central_Florida_College_of_Medicine/WikiProject_Medicine_Winter_2022_UCF_COM_(Winter_2022) | assignments = [[User:NM UCFCOM|NM UCFCOM]] | reviewers = [[User:Rnr11b|Rnr11b]] | start_date = 2022-01-10 | end_date = 2022-02-04 }} |
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==Wiki Education Foundation-supported course assignment== |
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[[File:Sciences humaines.svg|40px]] This article is currently the subject of a Wiki Education Foundation-supported course assignment, between <span class="mw-formatted-date" title="2022-01-10">10 January 2022</span> and <span class="mw-formatted-date" title="2022-02-04">4 February 2022</span>. Further details are available [[Wikipedia:Wiki_Ed/University_of_Central_Florida_College_of_Medicine/WikiProject_Medicine_Winter_2022_UCF_COM_(Winter_2022)|on the course page]]. Student editor(s): [[User:NM UCFCOM|NM UCFCOM]]. |
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{{small|Above undated message substituted from [[Template:Dashboard.wikiedu.org assignment]] by [[User:PrimeBOT|PrimeBOT]] ([[User talk:PrimeBOT|talk]]) 00:10, 17 January 2022 (UTC)}} |
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== Infobox == |
== Infobox == |
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The article has grown an infobox with a lot of ICD-9 codes. As hypoglycemia is not a disease but a symptom, is there any way to present this information? [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 6 July 2005 22:33 (UTC) |
The article has grown an infobox with a lot of ICD-9 codes. As hypoglycemia is not a disease but a symptom, is there any way to present this information? [[User:Jfdwolff|JFW]] | [[User_talk:Jfdwolff|<small>T@lk</small>]] 6 July 2005 22:33 (UTC) |
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:Except it is can be a chronic symptom, not just an acute symptom, I know personal history is not very useful, but if you had a patient like me with no detectable underlying issue but whose reading was always between 17 to 22 mg/dL when waking up in the morning and 55-60 mg/dL 2 hours after a full meal, how is that not a disorder? <!-- Template:Unsigned --><small class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Gloern|Gloern]] ([[User talk:Gloern#top|talk]] • [[Special:Contributions/Gloern|contribs]]) 01:03, 20 May 2023 (UTC)</small> <!--Autosigned by SineBot--> |
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[[user:arcadian]] put the info box there labeled leukemia. I changed it to hypoglycemia and added the icd9 codes covered by the article. I am not sure that it is a particularly informative box as it stands, but a long table of icd9 codes certainly doesn't belong at the top of the page either. Any suggestions? [[User:Alteripse|alteripse]] 6 July 2005 23:46 (UTC) |
[[user:arcadian]] put the info box there labeled leukemia. I changed it to hypoglycemia and added the icd9 codes covered by the article. I am not sure that it is a particularly informative box as it stands, but a long table of icd9 codes certainly doesn't belong at the top of the page either. Any suggestions? [[User:Alteripse|alteripse]] 6 July 2005 23:46 (UTC) |
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== Conflicting information re: whipple's triad == |
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Hello Wiki Community! My name is Nicole and I am a fourth year medical student currently enrolled in Project WikiMedicine at the University of Central Florida College of Medicine. Throughout the next 2-3 weeks I will be editing this article and receiving feedback in a peer review integrated into my course. Below you will find my work plan for this topic. A bulk of my focus will be streamlining/updating the information, removing jargon, and addressing/removing plagiarism. |
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* Article Organization: In accordance with the Manual of Style from Project WikiMedicine, a section for “Definition” will be added; a section for “Differential Diagnoses” will be added, thus shifting that topic from Section 4 Diagnosis into its own section; Section 4 Diagnosis will be renamed “Diagnostic Approach;” a section on “Epidemiology” will be added. |
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The article here on hypoglycemia says that whipple's triad is used to diagnose hypoglycemia. However, the article on whipple's triad states that it is used to diagnose the cause of hypoglycemia as an insulinoma (an insulin-secreting tumor). |
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* Introduction: This section has a great start with a lot of information - I plan to shorten this section to make it more succinct focusing on the definition, causes, prevention, and treatment, with language that is geared towards the general population. I will update citation #1 from the National Institute of Diabetes and Digestive and Kidney Diseases, as it leads to an archived version of the website as opposed to the most recent version. This is one of my main references found in my literature search as well, so I am glad resources align. |
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* Addition of Definition section: I see value in this being an individual section, as hypoglycemia can be a serious situation and so the easier it is to find relevant information quickly, the better for the individual seeking the information. |
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The triad as described in its article is fairly vague; symptoms of [[Hypoglycemia|hypoglycaemia]], low [[blood plasma]] [[glucose]] [[concentration]], relief of symptoms when plasma glucose concentration increased. |
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* Addition of Differential Diagnosis section: I would like to move the Differential Diagnosis subsection from the Diagnosis section into its own separate section in accordance with the Project WikiMedicine Manual of Style. I plan to add other relevant diagnoses, as this section only has the mention of alcohol intoxication. |
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* Signs and symptoms: I plan to transform the lists of adrenergic and neuroglycopenic symptoms into a streamlined table, and will simplify or define some jargon. The bulk of this section is without citations, so information will be cross-checked and properly cited as well. Seemed to be very closely sourced from “Critical Issues and Diabetes” with concerns for plagiarism. I also plan to make a subsection for hypoglycemic unawareness. I plan to remove the paragraph beginning with “Recovery from severe hypoglycemia” and the subsection on Long-term effects, in order to declutter some of the irrelevant information included in this section. |
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The article on whipple's triad lists the differential diagnoses as hypoglycemia, which doesn't make sense. If hypoglycemia IS a symptom, how can it be a differential, too? It's also described as though it is a symptom, or group of related symptoms, not an actual condition with a diagnosis. So how can it have a differential in the first place? I could be wrong, but the article on whipple's triad seems like there might be some erroneous information. |
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* Causes: I like how this section begins with the most common cause of hypoglycemia – this will be further elaborated to include that people may take insulin in preparation of a meal then not consume that meal. I will separate the causes into subsections related to Diabetic Causes vs. Non-Diabetic causes. The current subsections on Serious Illness and Hormone Deficiency will be moved under Non-Diabetic Causes. I will also add surreptitious use of insulin and a brief overview of inborn errors of metabolism. |
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* Pathophysiology: This section will be updated with appropriate references as it is largely unreferenced and seems to be directly pasted from the following sources: http://keymedinfo.com/site/667KeyM/8.0_Hours_Diabetes_and_Hypoglycemia_Self_Study_2015_for_Posting.pdf and https://www.chemeurope.com/en/encyclopedia/Hypoglycemia.html. The focus is largely on how hypoglycemia affects the brain discussed at a very advanced level, as opposed to a focus on the pathophysiology of hypoglycemia. Due to copywrite and plagiarism concerns, this section will be revamped. Perhaps the author of that section would like to make the discussion on neural effects a separate section within the article, upon reworking the language and proper references? Thoughts? |
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I have yet to go through them extensively, but just at a glance it seems that the article on whipple's triad may be at fault here. But, I don't want to make any changes just based on a vague inference. If somebody more knowledgable in the topic could look into this more, it would be very much appreciated. [[User:VoidHalo|VoidHalo]] ([[User talk:VoidHalo|talk]]) 02:26, 22 August 2024 (UTC) |
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* Diagnostic Approach: Plagiarized sections will be removed (portions seem to be from: http://hackmydiabetes.com/2021/11/21/normal-values-of-blood-glucose-level-pdf/ ), however I will attempt to find the source of unreferenced information to maintain some of the content while cross-checking the content with current literature, adding appropriate phrasing, and adding citations. The Differential Diagnosis subsection will be removed and made its own section in accordance with the Project WikiMedicine Manual of Style. |
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* Prevention: Information will be cross-checked and properly cited; language will be updated in order to be geared towards a more general audience. |
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:@[[User:VoidHalo|VoidHalo]] Based off what research I've done it appears that Whipple’s triad was originally was meant to describe signs of hypoglycaemia due to insulinoma but has now kind of just turned into general criteria for hypoglycemia itself. I'm finding sources that use it as critria for hypoglycemia and for hypoglycaemia due to insulinoma but the original purpose of the criteria was specefic to identifying insulinomas. As for listing hypoglycemia as a differential diagnosis, I believe the purpose of that is to say that whipple's triad, while originally meant to identify insulinomas, also identifies hypoglycemia. Another bit that might be confusing is the usage of the terms "low blood sugar" vs "hypoglycemia". This is where it gets a bit messy but oftentimes people will have blood sugar levels that are below the normal range but not have any symptoms. Usually (but not always) the term hypoglycemia isn't used unless someone has both low blood sugar and is symptomatic. Also because the symptoms of hypoglycemia are nonspecefic (could be caused by other things) a persons symptoms improving with glucose further points to low blood sugar being the cause of their symptoms. |
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* Treatment: I will switch the order so that Treatment is placed above Prevention to improve the general flow of the article. This section has very helpful information in terms of treatment, so uncited information will be again cross-checked and updated based on current treatment guidelines. |
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:To sum things up Whipple’s triad was originally meant to identify hypoglycaemia due to insulinoma but is commonly used to identify symptomatic hypoglycemia meaning that both pages are correct in their own sense, just confusing. I hope that helps clarify things a bit. [[User:CursedWithTheAbilityToDoTheMath|CursedWithTheAbilityToDoTheMath]] ([[User talk:CursedWithTheAbilityToDoTheMath|talk]]) 04:11, 22 August 2024 (UTC) |
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* Addition of Epidemiology section: This will be added in accordance with the Project WikiMedicine Manual of Style. |
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Looking forward to this work and improving this important page! Open to any feedback and thoughts. [[User:NM UCFCOM|NM UCFCOM]] ([[User talk:NM UCFCOM|talk]]) 15:16, 12 January 2022 (UTC) |
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Latest revision as of 04:11, 22 August 2024
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This article was the subject of a Wiki Education Foundation-supported course assignment, between 10 January 2022 and 4 February 2022. Further details are available on the course page. Student editor(s): NM UCFCOM (article contribs). Peer reviewers: Rnr11b.
Infobox
[edit]The article has grown an infobox with a lot of ICD-9 codes. As hypoglycemia is not a disease but a symptom, is there any way to present this information? JFW | T@lk 6 July 2005 22:33 (UTC)
- Except it is can be a chronic symptom, not just an acute symptom, I know personal history is not very useful, but if you had a patient like me with no detectable underlying issue but whose reading was always between 17 to 22 mg/dL when waking up in the morning and 55-60 mg/dL 2 hours after a full meal, how is that not a disorder? — Preceding unsigned comment added by Gloern (talk • contribs) 01:03, 20 May 2023 (UTC)
user:arcadian put the info box there labeled leukemia. I changed it to hypoglycemia and added the icd9 codes covered by the article. I am not sure that it is a particularly informative box as it stands, but a long table of icd9 codes certainly doesn't belong at the top of the page either. Any suggestions? alteripse 6 July 2005 23:46 (UTC)
Conflicting information re: whipple's triad
[edit]The article here on hypoglycemia says that whipple's triad is used to diagnose hypoglycemia. However, the article on whipple's triad states that it is used to diagnose the cause of hypoglycemia as an insulinoma (an insulin-secreting tumor).
The triad as described in its article is fairly vague; symptoms of hypoglycaemia, low blood plasma glucose concentration, relief of symptoms when plasma glucose concentration increased.
The article on whipple's triad lists the differential diagnoses as hypoglycemia, which doesn't make sense. If hypoglycemia IS a symptom, how can it be a differential, too? It's also described as though it is a symptom, or group of related symptoms, not an actual condition with a diagnosis. So how can it have a differential in the first place? I could be wrong, but the article on whipple's triad seems like there might be some erroneous information.
I have yet to go through them extensively, but just at a glance it seems that the article on whipple's triad may be at fault here. But, I don't want to make any changes just based on a vague inference. If somebody more knowledgable in the topic could look into this more, it would be very much appreciated. VoidHalo (talk) 02:26, 22 August 2024 (UTC)
- @VoidHalo Based off what research I've done it appears that Whipple’s triad was originally was meant to describe signs of hypoglycaemia due to insulinoma but has now kind of just turned into general criteria for hypoglycemia itself. I'm finding sources that use it as critria for hypoglycemia and for hypoglycaemia due to insulinoma but the original purpose of the criteria was specefic to identifying insulinomas. As for listing hypoglycemia as a differential diagnosis, I believe the purpose of that is to say that whipple's triad, while originally meant to identify insulinomas, also identifies hypoglycemia. Another bit that might be confusing is the usage of the terms "low blood sugar" vs "hypoglycemia". This is where it gets a bit messy but oftentimes people will have blood sugar levels that are below the normal range but not have any symptoms. Usually (but not always) the term hypoglycemia isn't used unless someone has both low blood sugar and is symptomatic. Also because the symptoms of hypoglycemia are nonspecefic (could be caused by other things) a persons symptoms improving with glucose further points to low blood sugar being the cause of their symptoms.
- To sum things up Whipple’s triad was originally meant to identify hypoglycaemia due to insulinoma but is commonly used to identify symptomatic hypoglycemia meaning that both pages are correct in their own sense, just confusing. I hope that helps clarify things a bit. CursedWithTheAbilityToDoTheMath (talk) 04:11, 22 August 2024 (UTC)