An Evaluation of doctor Precision of Measurement of Ryff’s Psychological Well Being Scales in a Population Sample. Social Indicators Research, 973, 357 373. Faten Fahad Al Mailam. 2004. Transactional vs. Transformational Style of Leadership Employee Perception of Leadership Efficacy in Public and Private Hospitals in Kuwait. Reactive hypoglycemia seldom causes glucose levels clinical drop low enough medical induce severe neuroglycopenic signs; therefore, a historical past of true lack of focus is highly suggestive of an etiology other than reactive hypoglycemia. Reactive hypoglycemia has been advised scientific be more common in overweight and obese those who are insulin resistant, and it can be a common precursor medical type 2 diabetes. Therefore, patients who have a family historical past of type 2 diabetes or insulin resistance syndrome ie, hypertension, hyperlipidemia, obesity may be at higher risk for arising hypoglycemia. In a study of maternal hypoglycemia, Pugh et al found that hypoglycemia occurred more frequently in women more youthful than 25 years and those who had a preexisting clinical situation. Hypoglycemia was less frequent in women whose prepregnancy body mass index BMI was 30 kg/m2. The investigators also found that sufferers with hypoglycemia were at bigger risk of preeclampsia/eclampsia.