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Acute hypoglycaemia can provoke neurological deficit of varying severity and duration.Many patients who have had insulin dependent diabetes for a long time lose their perception of the autonomic warning symptoms of hypoglycaemia and become more vulnerable to severe neuroglycopenia.We report on a diabetic patient who could not detect the signs of hypoglycaemia,and had a stroke during a severe episode.He subsequently was able to recognise the onset of hypoglycaemia by the transient development of reproducible neurological signs. |
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