Abstract

HYPOGLYCEMIA enjoys a popular position in the public's eye as a nonspecific medical condition that frequently provides an explanation for the varied symptoms that occur in daily life. Patients with reactive hypoglycemia tend to manifest variations of the neurotic triad with abnormally high Minnesota Multiphasic Personality Inventory scales of hysteria and hypersomatization as part of their personality profile. The magnitude of these complaints may lead a physician to be overzealous in searching for a cause to account for the patient's symptoms. Clinical studies of reactive hypoglycemia have been hampered by its vagueness in definition, and by the remarkably different criteria used in selection of patients. Some investigators use clinical symptoms alone in choosing patients for study, while others include patients who have had blood glucose values below a certain arbitrary limit, whether or not concomitant symptoms of hypoglycemia exist. Very few investigators use objective evidence to verify the pathophysiologic nature

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