Electrolyte disorders following massive insulin overdose in a patient with type 2 diabetes

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概要

• 論文の詳細を見る

• We present a case of a 47-year-old man with Type 2 diabetes mellitus who attempted suicide with 2,100 U of insulin injected subcutaneously. Administration of dextrose intravenously was required to maintain the blood glucose concentration normally for 5 days. Moreover, hypokalemia, hypophosphatemia, and pypomagnesemia were also seen for 24 hours after insulin injection. The serum phosphorus and magnesium concentrations decreased to nadirs of 1.6 mg/dl and 1.6 mg/dl respectively 7 hours after insulin injection. Electrolyte disorders other than hypokalemia may be induced in hypoglycemic patients by massive insulin overdose.

• 日本内科学会 = Japanese Society of Internal Medicineの論文
• 2000-01-01

著者

• NAKASHIMA Akikatsu

  Department of Internal Medicine, Saiseikai Kanazawa Hospital, Kanazawa University

• TOFUKU Yohei

  Departments of Internal Medicine, Saiseikai Kanazawa Hospital

• Matsumura Masami

  Department Of Internal Medicine Ishikawa-ken Saiseikai Kanazawa Hospital

• Nakashima Akikatsu

  Department Of Internal Medicine Ishikawa-ken Saiseikai Kanazawa Hospital

• Tofuku Yohei

  Department Of Internal Medicine Ishikawa-ken Saiseikai Kanazawa Hospital

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