Discordant Timing of Hypoglycemic Agent Screening Causing Delayed Diagnosis of Sulfonylurea-Induced Hypoglycemia

Autor: Andrew Folick, MD, PhD, Cheng Cheng, MD, Simon N. Chu, MD, Jonathan W. Rick, MD, Robert J. Rushakoff, MD, MS
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: AACE Clinical Case Reports, Vol 8, Iss 3, Pp 139-141 (2022)
Druh dokumentu: article
ISSN: 2376-0605
DOI: 10.1016/j.aace.2021.12.006
Popis: Background: Oral hypoglycemic agents are a frequent cause of hypoglycemia in nondiabetic people. Here, we report a case of recurrent hypoglycemia caused by glipizide, in which diagnosis was delayed because of a combination of delayed hypoglycemic agent screening and low sensitivity of the hypoglycemic agent screening panel used. Case Report: A 66-year-old woman repeatedly presented with symptomatic hypoglycemia. At the first presentation, the serum glucose level was 40 mg/dL (2.2 mmol/L), C-peptide level was 13.1 ng/mL (0.8-3.1 ng/mL), proinsulin level was 96.9 pmol/L (
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