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The distinguishing features: Hypoglycemia usually resolves within 15 to 30 minutes of eating something with carbohydrates Hypoglycemia is more common when meals are skipped or very low-carb Hypoglycemia is more common in the morning before eating, in the late afternoon, or after exercise Panic attacks typically resolve on their own within 20 to 30 minutes regardless of food Panic attacks have psychological triggers (specific situations, anticipatory anxiety) Panic attacks often produce derealization (feeling unreal) which is uncommon in hypoglycemia A patient who keeps a finger-stick glucose meter handy can check during episodes

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