Hypoglycemia in the elderly.

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Abstract
Fifty three elderly hypoglycemia patients seen at Tokyo Metropolitan Geriatric Hospital during last 4 years were reviewed, these data suggest that clinical characteristics of hypoglycemia patients in the elderly are as follows: 1) Non-diabetics without any hypoglycemic drugs were seem to take relatively large part a hypoglycemic patients; 2) malnutrition due to chronic disese, and liver dysfunction may be important predisposing factors in development of hypoglycemia; they are often lacking in adrenergic symptoms and do not tend to present symptoms until their plasma glucose levels decrease in extremely low levels, moreover in such cases they tend to manifest neuroglycopenia in the beginnig of their hypoglycemic attacks. Therefore, it is noteworthy that impaired selective recognition many increase the risk of hypoglycemia and hypoglycemia should be one of the important consideration in differential diagnosis of stupor and coma in the elderly patients, even though they have not been administered by hypoglycemia agents.

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