peacehealth patient portal
The patient is a 73-year-old woman with a history of ventricular arrhythmias hypertension angina pectoris and cerebrovascular accident. The patient described the pain as severe burning in the left lower extremity in a stocking-like distribution below the knee.
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She was diagnosed with painful DN in the left lower extremity 3 years prior.

. Hypoglycemia is the result of a mismatch between insulin dose food consumed and recent exercise and is rarely if ever a spontaneous event Kovatchev BP Cox DJ Farhy LS Straume M Gonder-Frederick L Clarke. Most patient can be managed with oral hypoglycemic agents or diet but recovery of insulin may take time and insulin may be required for few weeksHypoglycemia.
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