Around what levels do insulin levels begin to decline? 

~ 80  mg/dL

Around what glucose levels do counter-regulatory hormones released? 

~60/70 mg/dL 

At what glucose levels do signs and sx of hypoglycemia ensue? 

What are signs of hypoglycemia? 

and what are they do to? 

Sweating, palpitations, trembling, headache, dry mouth, nausea, wkness, hunger & anxiety. 

*primarily d/t Epinephrine release 

When does impaired cognitive fxn start happening? 

When plasma glucose levels fall below 50 mg/dL? 

manifests as inability to concentrate, odd behavior, difficulty speaking, lack of motor coordination, & blurred vision

During a hypoglycemia episode, reversibility of damage is proportional to _____

Time of exposure & not to degree of hypoglycemia 

Whipple's Triad

1. sx w/ simultaneous documentation
2. biochemical hypoglycemia: < 50mg/dL (fasting) and <40 mg/dL (anytime)
3. do sx persist  or improve w/ tx