A 28-year-old black woman with no significant medical or surgical history presented to the emergency department with a chief complaint of left flank pain of several months duration. She also had a history of early satiety and postprandial epigastric pain that radiated to the back. The abdominal pain lasted for approximately 3 hours after eating, and there were no relieving factors. The patient had normal vital signs and was afebrile. Physical examination revealed tenderness at palpation over the epigastric region but was otherwise unremarkable. Her serum amylase level was normal.
This study provides evidence of increased CVD risk associated with hypoglycaemia, especially with serious hypoglycaemia events. While associations were attenuated with non-serious hypoglycaemia, the results were suggestive of a potential increased risk.
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