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Case Studies of Hypoglycemia
76 years old male patient, Mr. N. G. P (Patient ref. no.: S5187) was brought to the clinic for complaints of decreased appetite since the last 2-3 months. This had got still worse in the last one month. He also complained of generalised weakness due to the same. He had suffered from a stroke (lacunar infarct) about 4 months back. He had started developing recurrent episodes of hypoglycaemia recently whereby his blood sugar level would go below 30mg/dl and he would develop unconsciousness due to the same. He had been hospitalised 6 times for such episodes and all investigations done were normal. There was no evidence of any pancreatic tumour or adrenal tumour on investigating. His diabetologist declared this as a case of Idiopathic Hypoglycaemia.
He also complained of bowel disorder since one month whereby he would alternately get diarrhoea or constipation. He would also have dull aching pain in the abdomen that would be more localised to the region of the epigastrium.
He was fond of sweets although he wouldn’t even take sweets since the onset of complaints. His thirst was normal and he no complaints in relation to urination. His sleep had decreased markedly and he was very anxious due to this.
He stayed with his son, daughter-in-law and grandchildren. He had some dispute with his daughter-in-law and they could never get along with each other. He constantly felt lonely and sad in general. He had loathing for life and he said he was not afraid of death. He also felt nervous due to these complaints that he was developing.
Based on the above history, he was prescribed Phosphorus 200 along with a single dose of Carcinosin 50. His family was advised to keep a daily check on his blood sugar levels. 2 weeks later, he reported to us with slight improvement in his appetite. His blood sugar levels remained on average between 40 to 80 whenever checked. During this span of 2 weeks he did not get any episode of hypoglycaemia at all. The medication was continued after adding Baryta Carbonicum 200 to his regular medicines. He maintained to have a poor appetite for some time and he did get hypoglycaemic episodes about twice in the next 2 weeks. The potency of the medicines was stepped up and there was further improvement in his health. He got just 1 hypoglycaemic attack in the next 2 weeks after which he did not have any further episodes. His blood sugar levels continued to improve and maintained on about 75mg/dl thereafter. Another few months of medication saw improvement in his appetite and his blood sugar levels had also stabilised by now. The generalised weakness that he would constantly feel was also much better than before. The treatment was concluded after some time.
Remark: The remedy prescribed in these cases is patient-specific i.e. it has been prescribed based on the symptoms specific to the patient at that point of time. It is advisable that the patient does not indulge in any self-medication.
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