RT Book, Section A1 Kefer, Michael P. A2 Cline, David M. A2 Ma, O. John A2 Cydulka, Rita K. A2 Meckler, Garth D. A2 Handel, Daniel A. A2 Thomas, Stephen H. SR Print(0) ID 56277787 T1 Chapter 129. Diabetic Emergencies T2 Tintinalli's Emergency Medicine Manual, 7e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-178184-8 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=56277787 RD 2024/04/19 AB Hypoglycemia is usually a complication of treatment of diabetics with insulin or sulfonylureas (chlorpropamide, glyburide, glipizide). Hypoglycemia is an unusual reaction from treatment with the glitizones (rosiglitazone, pioglitazone), glinides (repaglinide, nateglinide), alpha-glucosidase inhibitors (acarbose, miglitol), or the biguanide metformin. Patients with diabetes, alcoholism, sepsis, adrenal insufficiency, hypothyroidism, or malnutrition are at risk for severe hypoglycemia.