Anest. intenziv. Med. 2009;20(4):200-202
A patient with severe and protracted hypoglycaemiaIntesive Care Medicine - Case Report
- JIP, I. interní klinika, FN Plzeň, LF UK v Plzni
Severe hypoglycemia is a life-threatening condition requiring rapid diagnostics and adequate treatment. In this article we present a case-report of suicidal intoxication with long-acting insulin and a brief summary of suitable diagnostic approaches.
Keywords: hypoglycaemia; insulin; sulfonylurea; intentional intoxication; suicide
Received: February 23, 2009; Accepted: May 12, 2009; Published: August 1, 2009 Show citation
References
- Service, F. J. Hypoglycemias. West J. Med., 1991, 154, 4, p. 442-454.
- Service, F. J. Hypoglycemic disorders. N. Engl. J. Med., 1995, 332, 17, p. 1144-1152.
Go to original source...
Go to PubMed...
- Service, F. J. Classification of hypoglycemic disorders. Endocrinol. Metab. Clin. North Am., 1999, 28, 3, p. 501-517.
Go to original source...
Go to PubMed...
- Service, F. J. Diagnostic approach to adults with hypoglycemic disorders. Endocrinol. Metab. Clin. North Am., 1999, 28, 3, p. 519-532.
Go to original source...
Go to PubMed...
- Matsumura, M., Nakashima, A., Tofuku, Y. Electrolyte disorders following massive insulin overdose in a patient with type 2 diabetes. Intern. Med., 2000, 39, 1, p. 55-57.
Go to original source...
Go to PubMed...
- Fasching, P., Roden, M., Stuhlinger, H. G. et al. Estimated glucose requirement following massive insulin overdose in a patient with type 1 diabetes. Diabet. Med., 1994, 11, 3, p. 323-325.
Go to original source...
Go to PubMed...
- Bayly, G. R., Ferner, R.E. Persistent insulin secretion after insulin overdose in a non-diabetic patient. Lancet, 1993, 341, 8841, p. 370.
Go to original source...
Go to PubMed...
- Kaminer, Y., Robbins, D. R. Attempted suicide by insulin overdose in insulin-dependent diabetic adolescents. Pediatrics, 1988, 81, 4, p. 526-528.
Go to original source...
Go to PubMed...
- Shibutani, Y., Ogawa, C. Suicidal insulin overdose in a type 1 diabetic patient: relation of serum insulin concentrations to the duration of hypoglycemia. J. Diabetes Complications, 2000, 14, 1, p. 60-62.
Go to original source...
Go to PubMed...
- Hsi, E., Werner, P. L. An unusual case of insulin overdose. Diabetes Care, 1987, 10, 2, p. 255-256.
Go to original source...
Go to PubMed...
- Arem, R., Zoghbi, W. Insulin overdose in eight patients: insulin pharmacokinetics and review of the literature. Medicine (Baltimore), 1985, 64, 5, p. 323-332.
Go to original source...
Go to PubMed...
- Campbell, I. W., Ratcliffe, J. G. Suicidal insulin overdose managed by excision of insulin injection site. Br. Med. J. (Clin Res Ed), 1982, 285, 6339, p. 408-409.
Go to original source...
Go to PubMed...
- Martin, F. I., Hansen, N., Warne, G. L. Attempted suicide by insulin overdose in insulin-requiring diabetics. Med. J. Aust., 1977, 1, 3, p. 58-60.
Go to original source...
Go to PubMed...
- Kuhn, B., Cantrell L. Unintentional overdose of insulin glargine. Am. J. Health Syst. Pharm., 2008, 65, 6, p. 508.
Go to original source...
Go to PubMed...
- Rao, N. G., Menezes, R. G., Nagesh, K. R. et al. Suicide by combined insulin and glipizide overdose in a non-insulin dependent diabetes mellitus physician: a case report. Med. Sci. Law., 2006, 46, 3, p. 263-269.
Go to original source...
Go to PubMed...
- Brva, M., Mozina, M., Bunc, M. Prolonged hypoglycaemia after insulin lispro overdose. Eur. J. Emerg. Med., 2005, 12, 5, p. 234-235.
Go to original source...
Go to PubMed...
- Service, F. J., McMahon, M. M., O'Brien, P. C. et al. Functioning insulinoma-incidence, recurrence, and long-term survival of patients: a 60-year study. Mayo Clin. Proc., 1991, 66, 7, p. 711-719.
Go to original source...
Go to PubMed...
- Hirshberg, B., Cochran, C., Skarulis, M. C. et al. Malignant insulinoma: spectrum of unusual clinical features. Cancor, 2005, 104, 2, p. 264-272.
Go to original source...
Go to PubMed...
- Tucker, O. N., Rotty, P. L., Conlon, K. C. The management of insulinoma. Br. J. Surg., 2006, 93, 3, p. 264-275.
Go to original source...
Go to PubMed...
- Vezzosi, D., Bennet, A., Fauvel, J. et al. Insulin, C-peptide and proinsulin for the biochemical diagnosis of hypoglycaemia related to endogenous hyperinsulinism. Eur. J. Endocrinol., 2007, 157, 1, p. 75-83.
Go to original source...
Go to PubMed...
- Service, F. J., Natt, N. The prolonged fast. J. Clin. Endocrinol. Metab., 2000, 85, 11, p. 3973-3974.
Go to original source...
Go to PubMed...