Although average fasting blood glucose levels are lower in victims of famine than in well-fed populations, overt hypoglycemia is rare. Even in patients suffering from kwashiorkor, hypoglycemia is uncommon and is usually associated with infection, hypothermia, and coma. Patients with anorexia nervosa develop hypoglycemia only as an agonal phenomenon and its appearance generally portends imminent death. The characteristic clinical biochemistry findings are of low or undetectably low plasma insulin, proinsulin, C-peptide, and IGF-1 levels, grossly depressed plasma nonesterified fatty acids (NEFA) and ^-hydroxybutyrate, and elevated growth hormone and cortisol levels. Relief of hypo-glycemia by re-feeding is the only measure carrying any chance of preventing death, but it is rarely successful.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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