Endocrine Diabetic Emergencies

Fatigue

When cells are deprived of sugar, an individual may become tired and irritable.
[18] Patients presenting with increased fatigue may not necessarily have a high or low blood glucose level.  As a part of a thorough differential diagnosis EMS professionals must rule out all causes for altered mentation.  Remember the mnemonic AEIOU-TIPS
  • Alcohol (Science has proven this causes altered mentation...)
  • Epilepsy (Post-ictal state)
  • Insulin (Too High / Too low)
  • Overdose (Prescribed / Recreational drugs)
  • Underdose (Prescribed / Recreational  drugs)
  • Trauma / Toxins
  • Infection
  • Psychosis
  • Sepsis / Stroke / Shock