Hypoglycemic Episode Masquerading Like Stroke: A Case Report in a Clinical Setting

Abstract

Hypoglycemia is a major cause of neurological symptoms that can become frequent in diabetic patients. Hypoglycemia usually manifests with behavioral changes, confusion, and loss of consciousness. We report a case of a 75-year-old male who developed clinical features suggestive of stroke, which improved with dextrose infusion. The presentation overlaps with cerebrovascular accident and upon onset of symptoms, immediate treatment is deemed crucial. From a primary care provider standpoint, initial patient education on medication and consistent glucose monitoring is key to long-term management prevention of such hypoglycemic episodes. The presentations also highlight the importance of hypoglycemic awareness in diabetic patients.