Even if they are recognized, they may not be significant enough to be remembered by the patient and to be mentioned to the primary care physician and are therefore also significantly under-reported. 4 Recurrent episodes of untreated hypoglycemia can lead to hypoglycemia-associated autonomic failure 5 – 7 ( Figure 2 ), an impaired ability of the body to counter-regulate subsequent and more serious events, which leads to unawareness of hypoglycemia.
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