Hypoglycemia - Volleyball

HISTORY: 19 y/o collegiate volleyball player presents to training room stating, "I think I'm having a hypoglycemia attack." PHYSICAL EXAMINATION: On exam in the training room, athlete was noted to be diaphoretic, skin cool to the touch. She was seated and eating candy and drinking gat...

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Bibliographic Details
Published in:Medicine and science in sports and exercise 2012-05, Vol.44 (5S), p.121-122
Main Author: Fox, Katherine M
Format: Article
Language:English
Online Access:Get full text
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Summary:HISTORY: 19 y/o collegiate volleyball player presents to training room stating, "I think I'm having a hypoglycemia attack." PHYSICAL EXAMINATION: On exam in the training room, athlete was noted to be diaphoretic, skin cool to the touch. She was seated and eating candy and drinking gatorade. RN gave candy and did accucheck prior to evaluation by physician. DIFFERENTIAL DIAGNOSIS: 1. Hypoglycemia 2. Hyperglycemia 3. Hyperventilation TEST AND RESULTS: 1. Accuchecks: 80 (s/p candy), repeat in 15 minutes, 93. 2. Hemoglobin A1C: 8.5% TREATMENT AND OUTCOMES: 1. She was told she could not participate in volleyball until she had further education regarding management of diabetes in sport from a diabetes educator and followed up with a primary care physician. Adherence proved difficulty, partially because she did not have health insurance. 2. Her insulin regimen was adjusted to Lantus 12 units qhs and humalog 8 units TID with meals. She was instructed to check her blood sugar four times daily.
ISSN:0195-9131