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Hypoglycemia: more books (100)

The Hypoglycemia FAQ Book by Janet Helin, 2003-08

Hypoglycemia:The Disease Your Doctor Won't Treat by HarveyRoss, 1981-01-01

Hope for Hypoglycemia by Ph. D.; And Charlotte W. Barnes, A. M. Broda O. Barnes, 1978-01-01

A Natural Approach: Diabetes and Hypoglycemia Action Series (Macrobiotic health education series) by Michio Kushi, 1985-04

The Do's and Don't s of Low Blood Sugar: An Everyday Guide to Hypoglycemia by Roberta Ruggiero, 1993-04

Low Blood Sugar: The Hidden Menace of Hypoglycemia

Dr. Donsbach Tell You What You Need to Know About: Hypoglycemia and Diabetes by Dr. Kurt W. Donsbach, 1994

Gale Encyclopedia of Alternative Medicine: Hypoglycemia by Paula Ford-Martin, 2001-01-01

Promising new insulin-enhancing drugs don't cause hypoglycemia. (Glucagon-like Peptide-1 Receptor).: An article from: Family Practice News by Miriam E. Tucker, 2002-09-15

Hypoglycemia (low blood sugar) by William G Crook, 1984

Advisory issued on repaglinide + gemfibrozil use: increased hypoglycemia risk.(Rx): An article from: Family Practice News by Elizabeth Mechcatie, 2003-11-01

Physiological and behavioral aspects of glycemic control and hypoglycemia in diabetes.(Review Article): An article from: Southern Medical Journal by Patrick J. Boyle, John Zrebiec, 2007-02-01

HOW TO LIVE WITH HYPOGLYCEMIA by Charles and Boylan, Brian Richard Weller, 1968-01-01

Hypoglycemia: a Better Approach by Paavo Airola, 1979

lists with details

Hypoglycemia, Diabetes, Weight Loss And Life Extension
Nutritional Support for hypoglycemia, Diabetes, Weight Loss and PrematureAging. A blood sugar level below normal is called hypoglycemia.
http://www.advance-health.com/hypoglycemia.html

Extractions: Contact Glucose is the exclusive fuel of the human nervous system and the primary fuel of most of the rest of the systems in the body. Glucose is a type of sugar (a monosaccharide) that is derived from the breakdown of complex carbohydrates and proteins. A healthy level of glucose in the blood is therefore essential to life and health. If the glucose level is too low, the nervous system and muscular system is starved for fuel and begins to malfunction. The first symptoms include weakness, low energy, irritability, being excessively emotional, impaired ability to reason, etc. A blood sugar level below normal is called hypoglycemia. A blood sugar level above normal is called hyperglycemia. Hyperglycemia is harmful to all internal organs and tissues and accelerates the aging process by facilitating the formation of chemical bonds between glucose and the proteins found in the body. A clinical condition resulting in hyperglycemia is called diabetes. There are two major types of diabetes: type 1 diabetes or insulin-dependent diabetes mellitus and type 2 diabetes or non-insulin-dependent diabetes mellitus. The primary defect in type 1 diabetes resides in the pancreas, resulting in insulin deficiency and the resulting failure to metabolize glucose. In contrast, type 2 diabetes is predominantly attributable to the inability of the available insulin to work properly and this type of diabetes involves multiple organ systems, including abnormalities of insulin secretion, peripheral (muscle and adipose tissue) and hepatic insulin resistance. Most individuals with type 2 diabetes also suffer from excess body weight or obesity. Obesity often precedes type 2 diabetes and is now recognized as a major risk factor for the development of type 2 diabetes which constitutes more than 90% of all cases of diabetes mellitus. Some estimates suggest that there are about 16 million Americans suffering from diabetes, over 90% of them being type 2.
Low Grain Carbohydrate Diets Treat Hypoglycemia, Heart Disease, Diabetes Cancer
Low Grain and Carbohydrate Diets Treat hypoglycemia, Heart Disease, DiabetesCancer and Nearly ALL Chronic Illness. by Joseph Brasco, MD.
http://www.mercola.com/article/Diet/carbohydrates/scientific_evidence_low_grains

Extractions: Read Past Issues Articles Aspartame Cancer ... Nutrition Help Low Grain and Carbohydrate Diets Treat Hypoglycemia, Heart Disease, Diabetes Cancer and Nearly ALL Chronic Illness. by Joseph Brasco, MD Page 2 References Unfortunately, the debate over the validity of this concept has primarily been waged in the media and lay publications and not in the scientific journals. Many of the popular books which support this position are gimmicky, and often, lack adequate scientific referencing. Yet, at their core is very important concept limiting the intake of carbohydrates, (especially as cereal grains and starches), will improve human health. Some critics claim that reduced carbohydrate diets are a fashion trend. Well, this so called trend actually dates back some time. Anthropological study of early hominids has concluded that they lived as hunters-gathers. While nuts, seeds, vegetation and fruit made up an important part of the hunter- gather's diet, his mainstay was hunted or scavenged animal prey. More recent evaluations of early man's nutritional patterns by Dr. Loren Cordain, estimate that as much as 65 percent of his calories were derived from animal products. Granted, early man was not eating corn fed Angus beef from Jewel, but he was eating the meat, the organs and the bones of his prey. Essentially, a high protein/fat diet. It was a mere 10,000 years ago (or less) that man began exploiting an agricultural niche.
LONI -- Neurological Diseases And Syndromes -- Hypoglycemia
Neurological Diseases and Syndromes. Home . hypoglycemia. Aaron Logue.hypoglycemia usually refers to low blood sugar, or glucose.
http://www.loni.com/dands/doc0002.htm

Extractions: Neurological Diseases and Syndromes Home Hypoglycemia Aaron Logue Hypoglycemia usually refers to low blood sugar, or glucose. Excess sugar in the bloodstream is taken into the liver (stored as glycogen), fat cells (converted to adipose), and the muscles where it is converted to muscle glycogen. The blood sugar level therefore falls severely because there are only small amount left over in the bloodstream which causes feedback to the hypothalamus and the pituitary and thyroid glands. The normal glucose levels in healthy individuals alternates greatly depending on the amount of time fasting done by each individual. The normal range for healthy individuals is between 70 and 120 mg/dl over a night of fasting. Symptoms of hypoglycemia usually occur when the blood glucose level drops below 55 mg/dl. Adrenaline is commonly released from the body during a hypoglycemic state. The release of adrenaline from the adrenal glands is caused by stimulation of the sympathetic and parasympathetic divisions of the autonomic nervous system. usually extract the glucose from the blood in the same manner as oxygen is extracted. In a hypoglycemic situation, there is a significantly small amount of glucose in the blood and therefore the brain cannot receive the proper amount needed. The result of this is that the brain will fall into a coma.4
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Nocturnal hypoglycemia in Children with Type 1 Diabetes. Tips from other journals - American Family Category Health Conditions and Diseases Pancreas hypoglycemia Nocturnal hypoglycemia in Children with Type 1 Diabetes. hypoglycemia is a commoncomplication in children with type 1 (insulindependent) diabetes mellitus.
http://www.aafp.org/afp/970915ap/tips5.html

Extractions: Advanced Search Articles Departments Patient Information Editorials ... Special Medical Reports The following is part of " Tips From Other Journals " from the September 15, 1997 edition of American Family Physician Nocturnal Hypoglycemia in Children with Type 1 Diabetes Hypoglycemia is a common complication in children with type 1 (insulin-dependent) diabetes mellitus. Younger children with type 1 diabetes have a higher incidence of hypoglycemia-induced nocturnal seizures than older children. With the emphasis on tight glycemic control, adverse effects of hypoglycemia (including neurodevelopmental difficulties) have become a growing concern. Porter and associates studied children with type 1 diabetes receiving twice-daily insulin injections to determine the frequency of nocturnal hypoglycemia and to assess any predictors of this complication. Nocturnal blood glucose levels were measured from samples obtained during the evening or the night immediately before a clinic visit. A questionnaire was administered to review any symptoms that may have occurred during the previous 48 hours and during the study period. Carbohydrate intake on the night of the study was determined. The authors conclude that episodes of nocturnal hypoglycemia may be related to possible neurocognitive sequelae. Care must be taken to avoid glycemic control tight enough to cause episodes of low serum glucose.
Hypoglycemia
Library G H. hypoglycemia. hypoglycemia Association, Inc (HAI) Box 165 Ashton,MD 20861-0165 (202) 544-4044 Website The hypoglycemia Association.
http://www.familyvillage.wisc.edu/lib_hypo.htm
Living With FMS (Fibromyalgia Syndrome)
Reactive hypoglycemia (RHG) FM/MPS Perpetuating Factor Devin Starlanyl, MD Thisinformation may be freely copied and distributed only if unaltered, with
http://www.tidalweb.com/fms/rhg.shtml

Extractions: What is Fibromyalgia? FM/MPS: The Big Picture Expanded List of FM Symptoms Medication for FM Fibromyalgia Diet Reactive Hypoglycemia (RHG) FM/MPS Pain Scale FM/MPS Perpetuating Factors Letter to Normals We are the courageous - poem FM awareness online petition Clouds Online Bookstore Weekly self-graphing pain chart Physical Proof of FM FM Awareness Series This information may be freely copied and distributed only if unaltered, with complete original content There are three basic types of nutrients. Beef, fish, poultry, cottage cheese and tofu are foods that are largely protein. Butter, cream, and vegetable oils are fats. Vegetables, fruits, grains, pastas, and cereals are carbohydrates (carbos), and so are many so-called "junk" foods, such as candy. These junk foods have little if any nutritional value, and may carry fat as well as carbo. People with reactive hypoglycemia(RHG) are often (but not always) overweight, and unable to lose the extra weight. A fat pad develops on the belly, and won't go away.
University Of Iowa: Student Health / Health Iowa: Nutrition
Student Health, You are here Home hypoglycemia, Health Questions -. hypoglycemia.Definition hypoglycemia is the medical
http://www.uiowa.edu/~shs/nutrition4.htm

Extractions: Student Health Information: Frequently Asked Questions Insurance Services Staff ... Exposure Reporting Definition: Hypoglycemia is the medical term for a level of blood glucose (blood sugar) that is too low to meet immediate energy needs of the body. Glucose is a sugar that our bodies use for energy. A normal level of glucose in the blood is between 60-110 mg/dl. Symptoms: Causes: It is important to remember that hypoglycemia is not a disease. It is a condition caused by an underlying problem or disease that prevents the body from maintaining normal levels of glucose in the blood. There are two types of hypoglycemia: fasting and reactive. Fasting hypoglycemia can occur when a person goes without food for eight or more hours. It can be caused by certain underlying diseases (tumors of the pancreas, severe liver disease, adrenal failure) that upsets the body's ability to balance glucose.
IFS: Hypoglycemia Unawareness
Case Histories Adverse Experiences with Human Insulin hypoglycemia Unawareness . hypoglycemiaUnawareness. hypoglycemia types, adrenal type, neuroglycopenic type.
http://www.diabetes-ernaehrung.ch/fis/hypoglycemia-e.shtml

Extractions: About the Forum Insulin News Preserving Natural Animal Insulin Economic Viewpoint ... Homepage Case Histories: Adverse Experiences with "Human Insulin Hypoglycemia Unawareness" Clinical Differences of Human and Animal Insulin The following cases are summaries of reports by diabetics or their families. U.R. (f), aged 34 years, 22 years diabetes experience: Some days later: At the hospital a blood glucose level of 1.7 mmol/l (= 30 mg/dl) was measured. When she eventually came round she had a sore tongue. She felt her body was exhausted as if she had had a severe bout of flu and her muscles were aching. U.R. is now 8 years again on animal insulin, as well with multiple injections and pen, achieves with a lower daily insulin dose a tight diabetes control, but never experienced again such threatening hypoglycaemia reactions. Case History R.A. (f)
Hypoglycemia: Symptoms & Strategies
hypoglycemia Symptoms Strategies What is hypoglycemia? (Low BloodSugar) hypoglycemia occurs when your blood glucose has dropped
http://www.nitebite.com/HGwhat.html

Extractions: Hypoglycemia NiteBite Product Info Snack Bar Comparison Rebate Offer Brochure Request FAQ Insta-Glucose Hypoglycemia What is Hypoglycemia ? How to be prepared ? What to do about it ? NiteBite Insta-Glucose Hypoglycemia NiteBite Insta-Glucose Product Info Rebate Offer Brochure Request FAQ Hypoglycemia NiteBite Insta-Glucose Hypoglycemia occurs when your blood glucose has dropped so low that your body and brain stop functioning correctly. Most individuals with diabetes know that keeping their blood sugar low enough is extremely important. Keeping your blood sugar from getting too low is equally important for your health. The Three Stages of Hypoglycemia
Diabetes, Hypoglycemia And Transplant Corner
To Diabetes, hypoglycemia Transplant Corner Support for all who are concernedwith and affected by the complications that arise from Diabetes.
http://groups.msn.com/DiabetesHypoglycemiaandTransplantCorner

Extractions: Diabetes, Hypoglycemia and Transplant Corner DiabetesHypoglycemiaandTransplantCorner@groups.msn.com Groups Home My Groups Language Help ... Tools To: Diabetes, Hypoglycemia Transplant Corner Support for all who are concerned with and affected by the complications that arise from Diabetes. Community Founder and Faithful Diabetic Advocate Marie_M(aka)Ras Join us for chat in: The Diabetic Complications Forum AKA the Wolfer and Fenney Show!!! Also hosted by Starryeyes, WYfriend, and AZPhatz E very Wednesday night at 8:00 PM Eastern/5:00 PM Pacific Time This Community is a proud member of: The Diabetic Family Network(DFN) You can join us in our sister community chats also: Diabetes Type III every Monday night at 8:00 PM Eastern/5:00 PM Pacific Time Life After Diabetes every Tuesday night at 9:00 PM Eastern/6:00 Pacific Time every Tue. / Thur. night (in Community)at 8:00 PM Eastern/5:00PM Pacific Time Diabetic Gourmandise every Sunday night at 8:00 PM Eastern/5:00PM Pacific Time Notice: Microsoft has no responsibility for the content featured in this Group. Click here for more info.
Hypoglycemia
This page gives details of hypoglycemia in falciparum malaria, its differentialdiagnosis and management. hypoglycemia. Visit www.malariasite
http://www.geocities.com/HotSprings/Resort/5403/Complications7.htm

Extractions: Hypoglycemia Visit www.malariasite.com for updated version of this site Hypoglycemia is one of the tricky complications of falciparum malaria and may often go unnoticed, adding to the morbidity and mortality. Hypoglycemia in malaria may be asymptomatic. On the other, many of the clinical manifestations of hypoglycemia are caused by malaria itself or by some of its other complications. Therefore, hypoglycemia, which is easily treatable, may be missed. Added to this, hypoglycemia can occur repeatedly and hence continuous monitoring of blood glucose levels is needed. Causes: 1. Increased consumption of glucose by the host and the growing parasites. (2.) Failure of hepatic gluconeogenesis and glycogenolysis as a result of impaired liver function and acidemia and hyperinsulinemia (3.) Stimulation of pancreatic insulin secretion by drugs like quinine. More than one of these factors may be at play in a given patient. It occurs commonly in the following three situations: Severe falciparum infection, especially in young children. Pregnancy with falciparum malaria.
Hypoglycemia
EM guidemap hypoglycemia. Click serum insulin, serum C peptide, serumproinsulin). Treatment of hypoglycemia in an ED setting. Glucose
http://www.homestead.com/emguidemaps/files/hypoglycemia.html

Extractions: EM guidemap - Hypoglycemia Click on the heading or subheading to rapidly navigate to the relevant section of the guidemap Introduction Clinical presentation Medical decision-making Introduction - although the absolute figure used in the medical literature varies from 40 - 50mg/dl, the precise figure is not important from an emergency physician's perspective, because - the clinical definition of hypoglycemia also implies that the patient has symptoms consistent with hypoglycemia and that the symptoms resolve within minutes following the effective treatment of the hypoglycemia (Whipple's triad) - there are many classification systems of hypoglycemia (see appendix ) that are of little use to an emergency physician, who may find it more useful to divide hypoglycemic patients into 4 broad groups:- Hypoglycemia that develops in diabetic patients , who are taking insulin and/or oral hypoglycemic agents - this is the most common group of hypoglycemic patients seen in the ED common causes of hypoglycemia in IDDM include excessive diabetic medication (accidental or intentional) drug interactions increasing the active drug level of the prescribed diabetic medications added drugs increasing the end-organ sensitivity to insulin eg. biguanides (metformin)
Gale Encyclopedia Of Alternative Medicine: Hypoglycemia
hypoglycemia. Author/s Paula FordMartin. Definition. The condition hypoglycemiacan occur in several ways. Drug-induced hypoglycemia. Drug-induced
http://www.findarticles.com/g2603/0004/2603000444/p1/article.jhtml

Extractions: Find Articles Home View By Subject View By Name Search Tips ... Help Search all magazines this magazine Arts/Entertain. Automotive Business/Fin. Comp./Tech. Health/Fitness Home/Family News/Society Reference/Ed. Sports for Search Tips : Use quotes to find a specific phrase, e.g. "Abe Lincoln" or "New York". Print this article Email this article Page: Next Author/s: Paula Ford-Martin The condition called hypoglycemia is literally translated as low blood sugar. Hypoglycemia occurs when blood sugar (or blood glucose) concentrations fall below a level necessary to properly support the body's need for energy and stability throughout its cells. Carbohydrates are the main dietary source of the glucose that is manufactured in the liver and absorbed into the bloodstream to fuel the body's cells and organs. Glucose concentration is controlled by hormones, primarily insulin and glucagon. Glucose concentration is also controlled by epinephrine (adrenalin) and norepinephrine, as well as growth hormone. If these regulators are not working properly, levels of blood sugar can become either excessive (as in hyperglycemia) or inadequate (as in hypoglycemia). If a person has a blood sugar level of 50 mg/dl or less, he or she is considered hypoglycemic, although glucose levels vary widely from one person to another.
Diabetes Monitor: Hypoglycemia
hypoglycemia is one of the major risks of tight control programs. Hereare some hints on dealing with it. Frequent blood sugar testing;
http://www.diabetesmonitor.com/hypoglyc.htm

Extractions: Advertisement E-mail This Article Printer Friendly Format Hypoglycemia Jump to a new section - Getting Around - Home Page Diabetes on the Web Diabetes Registry Index Search Site Map What's New - Diabetes Mentor - A1c Initiative Advice to new patients Autoimmune Failure College Diabetes Myths Exercise Family planning Finding a new doctor Finding a diabetes program Flu Shots Flying with diabetes Glycohemoglobin HbA1c - the 7% Solution How to Talk to Your Doctor Hypoglycemia: other causes Pancreas Transplantation Paying for expenses Planning a pregnancy Prediabetes Surgery Pre-Op Advice Symptoms of Diabetes Traveling Medical Record What to bring to the hospital When to refer? Your Diabetes Survival Kit - Complications - Eyes Foot Pain Hypoglycemia Kidneys Neuropathy Unexpected High Sugar - Medications - Alternate Insulin Therapy Aspirin Diabetes Medications Flexible Insulin Programs Insulin Multipharmacy of diabetes Pumping for you? Pumps, Using Steroids Sulfonylureas When to stop a diabetes pill - Meter advice - Blood Glucose Meters Continuous Monitoring Factors in Selecting a meter Is your meter okay?
Diabetes Monitor: Other Causes Of Hypoglycemia
There are many causes of hypoglycemia besides treatment of diabetes. Anotherhypoglycemic condition is called reactive hypoglycemia.
http://www.diabetesmonitor.com/hypoothr.htm

Extractions: Advertisement E-mail This Article Printer Friendly Format Other causes of hypoglycemia Jump to a new section - Getting Around - Home Page Diabetes on the Web Diabetes Registry Index Search Site Map What's New - Diabetes Mentor - A1c Initiative Advice to new patients Autoimmune Failure College Diabetes Myths Exercise Family planning Finding a new doctor Finding a diabetes program Flu Shots Flying with diabetes Glycohemoglobin HbA1c - the 7% Solution How to Talk to Your Doctor Hypoglycemia: other causes Pancreas Transplantation Paying for expenses Planning a pregnancy Prediabetes Surgery Pre-Op Advice Symptoms of Diabetes Traveling Medical Record What to bring to the hospital When to refer? Your Diabetes Survival Kit - Complications - Eyes Foot Pain Hypoglycemia Kidneys Neuropathy Unexpected High Sugar - Medications - Alternate Insulin Therapy Aspirin Diabetes Medications Flexible Insulin Programs Insulin Multipharmacy of diabetes Pumping for you? Pumps, Using Steroids Sulfonylureas When to stop a diabetes pill - Meter advice - Blood Glucose Meters Continuous Monitoring Factors in Selecting a meter Is your meter okay?
Hypoglycemia Natural Prevention And Low Blood Sugar Diet
Symptoms Of High Low Blood Sugar can be symptoms of diabetes, hypoglycemiaor even side effects of Weight Loss Programs. Easy low
http://www.healthy-sc.com/hypoglycemia.htm

Extractions: Low Blood Sugar Diet Hypogycemia is often thought of as the opposite of diabetes, but is actually related to and rather common in diabetics. It even shares some of the symptoms of diabetes. Also, because low blood sugar can be the result of an imbalanced endocrine system, it.can actually lead to Type II diabetes if left uncontrolled. Also, certain Weight Loss Programs may be at odds with your new low blood sugar. If you are on one of these Weight Loss Programs, you should be able to overcome this problem with the use of some of the products suggested below. Symptoms of hypoglycemia are many, and can include fatigue; general discomfort, uneasiness, or ill feeling (malaise); nervousness, irritability, or even aggression; trembling; headache; unusual hunger; cold sweats; rapid heart beat; blurry or double vision; confusion; convulsions; coma. Other symptoms that may occur are excessive sweating; sleeping difficulty; paleness; muscle pain; memory loss; heart palpitations, or feeling your heartbeat (heartbeat sensations); anxiety and excessive fears; emotional depression; hallucinations; fainting; different size pupils; dizziness.
Treating Hypoglycemia By Melissa And Popcorn (GA)
GENERAL RULES OF THUMB FOR TREATING hypoglycemia. For more indepthinformation, go to http//www.petdiabetes.org/hypoglycemia.htm.
http://www.gorbzilla.com/treating_hypoglycemia_by_melissa.htm

Extractions: Prepared for you by Melissa and Popcorn GENERAL RULES OF THUMB FOR TREATING HYPOGLYCEMIA For more in-depth information, go t o: http://www.petdiabetes.org/hypoglycemia.htm Hypoglycemia or low blood sugar is a dangerous condition that must be treated immediately. Also known as insulin shock or insulin reaction, hypoglycemia occurs when there is too much insulin in the body potentially leading to neurological damage and/or death. Knowing how to respond to a hypoglycemic event whether or not symptoms are present can save the life of your diabetic cat. The following general guidelines are intended for those who home test the blood glucose levels in their cats. These guidelines are not intended to replace the advice given by your Veterinarian. It is very important that you discuss any and all treatment options with your cats physician BEFORE an event has occurred. SYMPTOMS Cat may meow very loudly, stagger (drunkenness), be glassy eyed, hide in unusual places, be unusually hungry (or in Popcorns case, have total disinterest in even favorite foods), be disoriented, show muscle weakness, etc. VERY LOW NUMBERS WITHOUT SYMPTOMS Retest glucose using a large blood sample to make certain you have enough blood, and if you still get a very low number (under 40-60 mg/dL or 1.9 2.2 mmol/L) administer a tablespoon of Karo Syrup or- one teaspoon liquid glucose or- one tablespoon honey or- one tablespoon of sugar syrup and follow with food until the blood glucose numbers rise to an acceptable levels. The syrup can be mixed with wet food or poured over dry if the cat will eat the mixture. If using liquid glucose, dilute with water to a pourable consistency.
Hypoglycemia Homepage Holland - The Unabridged Collection
http://hypoglykemie.nl/
Vitacost.com - Science & Research - Hypoglycemia
Low concentration of blood sugar. Further informationhypoglycemia is a condition caused by extremely low blood sugar.hypoglycemia.
http://www.vitacost.com/science/concerns/hypoglycemia.html

Extractions: Hypoglycemia Description: Low concentration of blood sugar. Cause: May be caused by chemical imbalance, or by liver disease or pancreatic tumors. Useful Supplements: Chromium Copper Magnesium Vitamin B3 ... Zinc Further information: Hypoglycemia is a condition caused by extremely low blood sugar. It occurs when glucose is used too rapidly or not released into the blood quickly enough, or when excessive insulin is released (causing sugars to process too quickly).
Diabetic Complications: Hypoglycemia And Ketoacidosis
Too Much Blood Sugar Slows Brain Function Source PRNewswire Detection of hypoglycemiawith the GlucoWatch Biographer Source Diabetes Care 24881885, 2001
http://www.diabetesliving.com/comps/cmps_hypes.htm

Extractions: "Thank you for the opportunity to speak here today," I began. "Today, trading books that originate in Tokyo may be traded in London or New York. By reflecting this profile with a seamless global service, we will be in a position to compete. Currently..." A cold drop of sweat tracked slowly down my neck. The people in the room looked like they were sitting a mile away. "Ah, currently we are made up of a group of domestic companies...." I kept speaking but my mind was racing. I've got to get some sugar now. No. Keep going. You can't stop. Concentrate. '...each with an independent customer base." Had I said that already? I couldn't remember. My hair was wet. My shirt was wet. My legs felt rubbery. "If an investment house is transacting business with us in Hong Kong, then it should use our ..." Our what? I struggled to hang on to my main points by referring to my notes. My sugar is too low for me to think creatively, to think at all. After some time, perhaps twenty minutes, I heard myself summarizing and then-nothing."

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