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What can mimic diabetes?

There are several conditions that can mimic diabetes, which means they exhibit similar symptoms of high blood sugar levels and affect the body’s ability to regulate glucose. These conditions may also increase the risk of developing diabetes if left untreated or unmanaged.

One of the conditions that may mimic diabetes is called metabolic syndrome. This is a group of health conditions that includes high blood pressure, high blood sugar levels, high cholesterol and triglyceride levels, and excess abdominal fat. Metabolic syndrome can lead to insulin resistance, the main cause of type 2 diabetes, and increase the risk of heart disease.

Another condition that can mimic diabetes is called reactive hypoglycemia. This occurs when the body produces too much insulin after a meal, causing blood sugar levels to drop quickly. Symptoms may include sweating, dizziness, confusion, and blurred vision, which are similar to those experienced by people with diabetes.

Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects women and can also mimic diabetes. Women with PCOS may experience insulin resistance, which can lead to high blood sugar and an increased risk of type 2 diabetes. Other symptoms of PCOS include irregular periods, acne, and excessive facial and body hair growth.

In rare cases, pancreatic cancer can also mimic diabetes. This is because the pancreas produces insulin, and tumors in this organ can disrupt the body’s ability to regulate glucose. Symptoms may include weight loss, abdominal pain, and jaundice.

It is essential to see a healthcare provider if experiencing any symptoms of high blood sugar levels. A proper diagnosis is necessary to receive proper treatment and prevent complications associated with diabetes or other conditions that mimic it.

What disease has similar symptoms to diabetes?

There are various diseases that have similar symptoms to diabetes. One common disease that shares some similar symptoms with diabetes is hypoglycemia. Hypoglycemia is characterized by low blood sugar levels in the body. It typically occurs as a result of taking too much insulin or certain medications, not eating properly, or engaging in too much physical activity without adequate fueling.

Just like in diabetes, the symptoms of hypoglycemia include thirst, hunger, sweating, trembling, and dizziness.

Another disease that has similar symptoms to diabetes is hyperthyroidism. This is a condition where the thyroid gland produces too much hormone, leading to an increased metabolism. The symptoms of hyperthyroidism include weight loss, increased appetite, sweating, difficulty sleeping, and nervousness, which are also common in diabetes.

Furthermore, Cushing’s syndrome is another disease that can share similar symptoms with diabetes. It is a condition where the body produces too much cortisol hormone. The symptoms of Cushing’s syndrome include increased thirst and urination, weight gain especially around the abdomen, muscle weakness, and reduced fertility.

These symptoms can also be observed in diabetes.

Several diseases share similar symptoms with diabetes. Therefore, it is important to diagnose and treat them accurately to prevent any further damage to the body. Only a medical professional can determine the exact cause of any symptoms, so it is essential to see a doctor if you experience any signs of a medical condition.

Can you have diabetes symptoms without having diabetes?

Diabetes is a chronic medical condition that occurs when the body is unable to produce enough insulin or use it effectively to regulate blood sugar levels. It is typically characterized by high levels of blood sugar, also known as hyperglycemia. However, it’s possible to experience some diabetes symptoms without actually having diabetes.

One of the most common symptoms of diabetes is increased thirst or urination. However, these symptoms can also be caused by other factors, such as excessive caffeine intake, dehydration, or bladder infections. Similarly, feelings of hunger or fatigue, blurry visions, or slow-healing wounds, are often associated with diabetes but can also be caused by other health conditions or lifestyle factors.

It’s important to understand that experiencing these symptoms does not necessarily mean that you have diabetes. Other factors such as stress, anxiety, depression or hormonal changes can also contribute to these symptoms. To determine if you have diabetes, you need to undergo a blood test for glucose levels.

In addition, it’s worth noting that some people who have diabetes may not experience any symptoms at all, which is why regular blood tests are essential for managing the condition. Maintaining a healthy lifestyle through regular exercise, balanced diet, and lowering stress levels is also beneficial in preventing and managing diabetes.

It’S possible to experience some diabetes symptoms without having the condition. However, it’s important to seek medical advice and undergo the necessary tests to determine the cause of these symptoms and to rule out diabetes or any other underlying medical conditions.

What is often misdiagnosed as type 2 diabetes?

Type 2 diabetes is a common condition that affects millions of people worldwide. However, there are other conditions that can be misdiagnosed as type 2 diabetes due to similar symptoms and risk factors. One such condition is called LADA or latent autoimmune diabetes in adults.

LADA is often misdiagnosed as type 2 diabetes because it typically occurs in adults over the age of 30 who are not insulin-dependent at the time of diagnosis. However, LADA is actually a form of type 1 diabetes that develops later in life. Unlike type 2 diabetes, LADA is an autoimmune condition in which the body’s immune system attacks and destroys the insulin-producing cells in the pancreas.

Another condition that can be misdiagnosed as type 2 diabetes is insulin resistance syndrome, also known as metabolic syndrome. This condition is characterized by a group of risk factors that increase the risk of developing type 2 diabetes, including obesity, high blood pressure, high cholesterol, and insulin resistance.

However, insulin resistance syndrome can also lead to other health problems such as heart disease, stroke, and fatty liver disease.

Other conditions that can be misdiagnosed as type 2 diabetes include pancreatic cancer, hormonal imbalances such as Cushing’s syndrome or acromegaly, and certain medications that can affect blood sugar levels.

It is important to note that a misdiagnosis of type 2 diabetes can have serious consequences for a person’s health. Without proper treatment, high blood sugar levels can lead to a range of complications such as nerve damage, kidney damage, and eye damage. Therefore, it is crucial for individuals who are experiencing symptoms of diabetes to seek medical attention and receive an accurate diagnosis in order to receive the appropriate treatment and prevent long-term health complications.

What is autoimmune diabetes?

Autoimmune diabetes is a type of diabetes that is caused when the immune system attacks and destroys the insulin-producing cells in the pancreas. This type of diabetes is also known as type 1 diabetes or juvenile-onset diabetes. It is a chronic disease that usually begins in childhood, but it can develop at any age.

In a healthy immune system, the body’s defense mechanisms protect the body from infections and diseases. However, in case of autoimmune diabetes, the immune system mistakes the insulin-producing beta cells in the pancreas as foreign invaders and attacks and destroys them. This leads to a significant reduction in the production of insulin, causing an imbalance in the body’s blood sugar levels.

Insulin is a hormone that is produced by the pancreas and is responsible for regulating the body’s blood sugar levels. When our body digests the food, the sugar from the food enters our bloodstream. Insulin helps the sugar to enter our cells, where it is used as a source of energy. In the absence of insulin, sugar builds up in the blood, leading to high blood sugar levels, which can cause severe complications such as kidney damage, nerve damage, and retinal damage.

The symptoms of autoimmune diabetes include increased thirst, frequent urination, fatigue, blurry vision, weight loss, and increased hunger. If left untreated, autoimmune diabetes can cause severe complications, such as diabetic ketoacidosis, where the body produces toxic substances called ketones, leading to a life-threatening condition.

Treatment for autoimmune diabetes involves regular monitoring of blood sugar levels and insulin therapy, which involves injecting insulin to regulate blood sugar levels. Nowadays, many patients with autoimmune diabetes use insulin pumps or continuous glucose monitoring devices to help them manage their blood sugar levels effectively.

Autoimmune diabetes is a serious medical condition that requires proper management and treatment. It is essential to maintain a healthy lifestyle, regularly monitor blood sugar levels, and follow the prescribed treatment to keep the blood sugar levels stable to prevent complications. Additionally, it is essential to maintain close communication with healthcare providers to understand the condition better and to ensure timely interventions in case of emergencies.

What are some differential diagnosis for diabetes type 2?

Diabetes type 2 is a chronic medical condition characterized by high blood glucose levels resulting from inadequate insulin production or insulin resistance in the body. The diagnosis of type 2 diabetes can be complicated by the fact that some of its symptoms like fatigue, frequent urination, and increased thirst can also present in other medical conditions.

Therefore, healthcare providers must be vigilant in making the right diagnosis by considering a variety of potential causes of these symptoms. To that end, there are several differential diagnoses that may be considered in the evaluation of a patient suspected of having diabetes type 2.

One of the most common differential diagnoses in the evaluation of type 2 diabetes is prediabetes. Prediabetes is a condition where blood glucose levels are higher than normal, but not as high as in diabetes. Individuals with prediabetes have a higher risk of developing type 2 diabetes in the future, hence the importance of early detection and intervention.

Other potential causes of high blood glucose levels include gestational diabetes, which affects pregnant women, and drug or medication-induced hyperglycemia.

Other differential diagnoses in the evaluation of type 2 diabetes include hypothyroidism, which is a condition where the thyroid gland produces inadequate quantities of hormones, leading to a decreased metabolism rate. This can cause weight gain, fatigue, and constipation, which may be indistinguishable from the symptoms of type 2 diabetes.

Cushing’s syndrome, which results from the overproduction of cortisol in the body, can also cause similar symptoms to type 2 diabetes, including weight gain and an increased risk of infections.

In some rare cases, type 2 diabetes may be misdiagnosed as type 1 diabetes, also known as insulin-dependent diabetes. Although both types of diabetes share similar symptoms, type 1 diabetes typically occurs in younger individuals (below 30 years old) who display rapid, severe symptoms and require insulin injections to manage blood glucose levels.

Type 2 diabetes, on the other hand, is generally diagnosed in later life, and individuals can manage their blood sugar levels with lifestyle changes, oral medications, or insulin therapy.

Other potential differential diagnoses of type 2 diabetes include pancreatitis, which can impair insulin production by damaging the pancreas, and pancreatic cancer. Finally, other metabolic disorders that can cause symptoms similar to type 2 diabetes include diseases like hemochromatosis, acromegaly, and pheochromocytoma.

The diagnosis of type 2 diabetes requires healthcare providers to carefully consider a range of differential diagnoses that mimic its symptoms. A comprehensive medical evaluation, coupled with laboratory tests, can help rule out any other medical conditions that cause high blood glucose levels and ensure an accurate diagnosis.

With appropriate medical management, people with type 2 diabetes can manage their blood glucose levels, maintain a healthy weight, and enjoy an overall better quality of life.

How often do doctors misdiagnose diabetes?

Diabetes is a chronic metabolic disease that affects millions of people worldwide. It occurs when the body is unable to produce or properly use insulin, which regulates blood sugar levels. It is a complex disease that can have many different causes and symptoms, which can make it difficult to diagnose.

According to some studies, doctors may misdiagnose diabetes in as many as 10-20% of cases. Factors that can contribute to misdiagnosis include problems with testing, a lack of knowledge about the different types of diabetes, and the fact that symptoms of diabetes can mimic other medical conditions.

One common problem with testing is that doctors may not order the right tests to diagnose diabetes. For example, they may only order a fasting blood glucose test, which can miss cases of diabetes that occur after meals. Or they may not order an A1C test, which can diagnose diabetes even in the absence of symptoms.

Another factor that can contribute to misdiagnosis is a lack of knowledge about the different types of diabetes. For example, doctors may not be aware of the differences between type 1 and type 2 diabetes, or they may not know how to diagnose other types of diabetes, such as gestational diabetes.

Finally, the symptoms of diabetes can be similar to those of other medical conditions, which can make it difficult to diagnose. For example, symptoms like fatigue, weight loss, and increased thirst can be caused by a variety of medical conditions, not just diabetes.

While doctors typically do their best to diagnose diabetes, misdiagnosis can occur in some cases. To reduce the risk of misdiagnosis, it’s important for doctors to stay up-to-date on the latest diagnostic tests and guidelines, as well as to consider different types of diabetes and other medical conditions that can mimic the symptoms of diabetes.

Additionally, patients should also be aware of the potential symptoms and risk factors for diabetes and advocate for themselves if they suspect that they may have the condition.

What can make A1c falsely high?

A1c test is a crucial diagnostic tool for measuring blood glucose levels over the past 2-3 months in people with diabetes. A high A1c level indicates poor blood glucose control over an extended period, which can increase the risk of diabetes-related complications. However, in some cases, A1c levels may be falsely high, which can lead to misdiagnosis or overtreatment of diabetes.

There are several factors that can make A1c falsely high. These factors can be broadly classified into two categories: clinical and non-clinical.

Clinical factors that can make A1c falsely high include the presence of hemoglobinopathies, anemia, chronic kidney disease, liver disease, and certain medications. Hemoglobinopathies are inherited blood disorders that affect the structure and function of hemoglobin, the protein responsible for transporting oxygen in red blood cells.

In people with hemoglobinopathies such as sickle cell anemia and thalassemia, the A1c test may be unreliable due to abnormal hemoglobin molecules. Similarly, anemia, particularly iron-deficiency anemia, can lead to falsely high A1c levels, as red blood cells containing abnormal hemoglobin turnover more quickly than healthy ones.

Chronic kidney disease and liver disease can also affect A1c measurements by altering the lifespan of red blood cells or hemoglobin molecules. Certain medications, such as erythropoietin, can stimulate the production of red blood cells and increase hemoglobin turnover, leading to falsely high A1c levels.

Non-clinical factors that can make A1c falsely high include recent blood loss, dehydration, alcohol consumption, and high cholesterol levels. Blood loss, such as from surgery or injury, can lower the number of red blood cells and hemoglobin in the body, making A1c appear higher than it really is. Dehydration can also lead to falsely high A1c levels by increasing the concentration of hemoglobin in the blood.

Alcohol consumption can impair red blood cell turnover and lead to an overestimation of A1c levels. Lastly, high cholesterol levels can cause the buildup of lipids in red blood cells, which can shorten their lifespan and lead to falsely high A1c levels.

Various factors can make A1c falsely high, including clinical and non-clinical factors. It is essential for healthcare providers to consider these factors when interpreting A1c results to ensure accurate diagnosis and management of diabetes. Potentially interfering factors should be recognized, and baseline values should be created for people with hemoglobinopathies, kidney, and liver illness.

Additionally, clinicians should conduct a thorough evaluation of a patient’s medical history and overall health before considering A1c levels as the sole determinant of diabetes diagnosis or treatment.

Can you have high A1c and not be diabetic?

Yes, it is possible to have a high A1c and not be diabetic. A1c is a blood test that measures the average level of blood glucose over the past 2-3 months. It is used to diagnose diabetes, as well as to monitor blood glucose control in people who already have diabetes.

However, there are other factors that may contribute to a high A1c level. For example, conditions such as anemia and hemoglobinopathies can affect the accuracy of the A1c test. Additionally, certain medications, such as corticosteroids, can raise blood glucose levels and lead to a falsely elevated A1c result.

In some cases, individuals with a high A1c level may have impaired glucose tolerance, which means their body is not able to properly regulate blood glucose levels after consuming carbohydrates. This can be a precursor to diabetes, but it is not the same as having diabetes.

It is important to consult with a healthcare provider to determine the cause of a high A1c level and to develop an appropriate treatment plan. Lifestyle changes, such as eating a healthy diet and exercising regularly, can help to lower blood glucose levels and improve A1c levels in individuals with impaired glucose tolerance or other conditions that contribute to high A1c levels.

In cases where diabetes is diagnosed, medication and/or insulin therapy may be needed to manage blood glucose levels and prevent complications.

Can stress cause A1C to be high?

Yes, stress can cause A1C to be high. A1C is a blood test that measures the average blood sugar levels over the past two to three months. It is used to diagnose and monitor diabetes. High levels of stress can lead to various physiological responses in the body, including the release of stress hormones such as cortisol and adrenaline, which can cause an increase in blood sugar levels.

When the body senses stress, it prepares itself for the fight or flight response. This response involves the release of glucose from the liver to provide energy for the body to respond to the perceived threat. However, if the body is under chronic stress, such as in the case of work-related stress, financial stress, or family-related stress, the constant release of glucose can lead to high blood sugar levels.

Over time, this can increase the risk of developing diabetes or worsen the condition in those who already have diabetes.

Additionally, stress can also affect eating habits and physical activity levels. During periods of stress, people may turn to comfort foods, which are often high in sugar and carbohydrates. This can lead to an increase in blood sugar levels. At the same time, stress can also cause fatigue, anxiety, and a lack of motivation to exercise, leading to reduced physical activity levels and further exacerbating the issue.

Stress can be a significant contributor to high A1C levels. Therefore, it’s essential to find ways to manage stress, such as through exercise, meditation, deep breathing, and adequate sleep, to help control blood sugar levels and reduce the risk of developing diabetes. It’s also important for those with diabetes to monitor their blood sugar levels regularly and work with their healthcare provider to develop a comprehensive management plan that takes stress into consideration.

What interferes with A1C test?

The A1C test is a useful diagnostic tool that provides an indication of the average blood glucose levels of an individual over a period of 2-3 months. Also known as glycated hemoglobin, the test measures the percentage of hemoglobin in red blood cells that have been coated with sugar molecules, also called glycation.

While the A1C test is crucial in assessing the effectiveness of ongoing diabetes management, there are some factors that can interfere with its accuracy.

One of the primary factors that can affect the reliability of the A1C test is the presence of pre-existing medical conditions that affect hemoglobin levels. Certain medical conditions, such as anemia, can alter the levels and composition of hemoglobin in the blood, leading to inaccurate results. Similarly, hemoglobinopathies such as sickle cell anemia and thalassemia can also interfere with the accuracy of the A1C test.

These conditions can cause hemoglobin to falsely reflect lower or higher blood glucose levels, skewing the A1C results.

Another major factor that can impact the A1C test results is changes in the lifespan of red blood cells due to conditions such as kidney disease or blood loss. The test depends on the fact that glycated hemoglobin remains in red blood cells for a period of around 3 months before being replaced by newly formed cells.

In conditions where the lifespan of red blood cells is shortened, such as in individuals with kidney dysfunction or after surgery, the A1C test result would represent only a portion of the expected 2-3 months, leading to an inaccurate diagnosis.

Several factors related to medication usage can also interfere with the A1C test results. Certain medications can alter the glycation process of hemoglobin, which can affect the accuracy of the A1C results. For example, medications like vitamin C and aspirin can interfere with the glycation process, while erythropoietin and iron supplements can also impact the lifespan of red blood cells, affecting the accuracy of the test.

Finally, lifestyle factors such as smoking and diet can also influence A1C test results. Nicotine in cigarettes can affect red blood cells’ lifespan, leading to artificial lowering of A1C levels. Similarly, high-fat diets can increase triglyceride levels in the blood, affecting the attachment of sugar molecules to hemoglobin and artificially raising A1C levels.

Several factors can interfere with the accuracy of A1C test results, including medical conditions affecting hemoglobin levels, changes in red blood cell lifespan, medication usage, and lifestyle factors such as smoking and diet. It is essential to consider these factors while interpreting A1C results to ensure accurate diagnosis and management of diabetes.

Consultation with your doctor can help determine if any of these factors may be impacting your A1C test results.

Can dehydration cause high A1C?

Dehydration refers to the condition where there is a deficit of water in the body. The human body is made up of 60% to 75% water, and the water balance in the body is critical to maintain the normal functioning of the organs and systems. When the body experiences dehydration, it can affect several physiological processes, including blood sugar regulation.

One of the tests used to diagnose diabetes is the A1C test, which is a blood test that measures the average blood sugar levels for the past two to three months. A1C is a reliable indicator of blood sugar control, and it is used to monitor the effectiveness of treatment in diabetic patients. The normal A1C range is less than 5.7%, while an A1C level above 6.5% is considered diagnostic for diabetes.

There is some evidence to suggest that dehydration can cause high A1C levels. When the body is dehydrated, it produces less urine, and the kidneys retain more water, which can lead to higher blood sugar levels. In response to this, the body may release more insulin to help the cells absorb the excess glucose.

However, if the dehydration is severe or prolonged, the body can become insulin resistant, which can lead to higher blood sugar levels.

Dehydration can also cause the blood to become thicker, which can slow down circulation and reduce the delivery of glucose to the cells. This can result in higher blood sugar levels and increase the risk of complications in diabetic patients.

Dehydration can cause high A1C levels, particularly in diabetic patients. It is important to stay well hydrated by drinking plenty of water throughout the day, especially during hot weather or during physical activity. It is also important to monitor blood sugar levels regularly and seek medical attention if high A1C levels persist.

What does it mean when A1C is high but glucose is normal?

When A1C is high but glucose levels are normal, it may be an indication that an individual is experiencing a pre-diabetic condition called “impaired glucose tolerance”. This occurs when the body struggles to metabolize glucose efficiently, causing blood sugar levels to remain higher than usual for extended periods despite having normal fasting or post-meal glucose levels.

A1C levels increase as a result of sustained high blood sugar levels, which indicates an increased risk of developing diabetes in the future.

When glucose levels are checked via fasting, they may appear to be within normal range. However, blood sugar levels can elevate to dangerous levels after meals. Elevated blood sugar levels can cause damage to organs and tissues, which is why A1C tests are used to look for early indications of high blood sugar levels over several months.

If left untreated, impaired glucose tolerance can develop into prediabetes, where blood sugars become consistently high, and an individual has a high risk of developing type 2 diabetes. This condition can increase health risks such as heart disease, kidney damage, stroke, and vision deterioration. Therefore, early detection of impaired glucose tolerance is essential to prevent future complications.

When A1C is high but glucose levels are normal, it could mean that an individual is experiencing impaired glucose tolerance. It is essential to consult a healthcare professional and make lifestyle changes, such as increasing physical activity, changing eating habits and managing stress, to prevent the development of type 2 diabetes and related complications.

What neurological conditions are likely to develop diabetes?

Diabetes is a metabolic disorder that occurs due to the inability of the body to properly use insulin or produce enough insulin. The condition is usually associated with problems in the pancreas, which is responsible for the production of insulin. However, recent studies have shown that some neurological conditions are also linked to the development of diabetes.

One neurological condition that has been shown to be associated with the development of diabetes is Alzheimer’s disease. A recent study found that patients who have Alzheimer’s disease are more likely to develop diabetes compared to those without the condition. It is thought that this link may be due to insulin resistance, which is a key feature of Alzheimer’s disease.

Insulin resistance impedes the body’s ability to use insulin properly, leading to high blood sugar levels and ultimately, diabetes.

Another neurological condition that has been linked to the development of diabetes is depression. Studies have shown that people who have depression are more likely to develop diabetes than those who do not have the condition. This link is thought to be due to inflammation, which is a common factor in both depression and diabetes.

Parkinson’s disease is another neurological condition that has been associated with the development of diabetes. A recent study found that patients with Parkinson’s disease are at an increased risk of developing diabetes compared to the general population. The link between Parkinson’s disease and diabetes is thought to be due to insulin resistance and inflammation, which are characteristics of Parkinson’s disease.

In addition to these neurological conditions, there are several others that may increase the risk of developing diabetes. These include traumatic brain injury, stroke, and epilepsy. While the exact mechanisms behind these links are not fully understood, it is thought that they may be due to changes in glucose metabolism or hormonal imbalances.

While diabetes is primarily associated with problems in the pancreas, several neurological conditions have also been linked to its development. These include Alzheimer’s disease, depression, Parkinson’s disease, traumatic brain injury, stroke, and epilepsy. While further research is needed to fully understand the mechanisms behind these links, identifying and managing these risk factors may help to prevent or manage diabetes in the affected population.

Can diabetes cause mental confusion?

Yes, diabetes can cause mental confusion. Diabetes is a chronic condition that affects the body’s ability to produce or use insulin, a hormone that helps regulate blood sugar levels. When blood sugar levels are too high or too low, it can lead to a variety of symptoms, including mental confusion.

High blood sugar levels can cause a condition called diabetic ketoacidosis (DKA), which occurs when the body doesn’t have enough insulin to convert glucose into energy. This causes the body to break down fat for energy instead, which leads to the buildup of ketones in the blood. Ketones are acidic molecules that can cause a range of symptoms, including confusion, nausea, vomiting, and even loss of consciousness.

Low blood sugar levels can also cause mental confusion. When blood sugar levels drop too low, it can lead to a condition called hypoglycemia. Hypoglycemia can cause a range of symptoms, including shakiness, sweating, weakness, confusion, and even seizures.

Mental confusion is not uncommon in people with diabetes. In fact, studies have shown that people with uncontrolled diabetes are more likely to develop cognitive impairment, including problems with memory, attention, and cognitive flexibility. This can make it difficult to perform everyday tasks and can even impact quality of life.

Therefore, it is important for people with diabetes to monitor their blood sugar levels closely and work with their healthcare provider to manage their condition effectively. This may involve making lifestyle changes, such as eating a healthy diet and exercising regularly, and taking medications as prescribed.

By doing so, people with diabetes can help minimize the risk of developing mental confusion and other complications associated with the condition.

Resources

  1. Conditions That Mimic Type 2 Diabetes – Verywell Health
  2. Diabetes related conditions | Basics of diabetes
  3. Conditions with Similar Symptoms as: Hypoglycemia
  4. How to Avoid a Diabetes Misdiagnosis … – Hampton & King
  5. Latent autoimmune diabetes in adults (LADA) – Mayo Clinic