당뇨병이 없는 노인 환자에서 급성 신기능 감소와 동반된 고인슐린혈증성 저혈당이 발생한 1예

Title
당뇨병이 없는 노인 환자에서 급성 신기능 감소와 동반된 고인슐린혈증성 저혈당이 발생한 1예
Other Titles
Hyperinsulinemic Hypoglycemia Caused by Acute Reduction of Renal Function on an Eldery Patient Without Diabetes
Authors
이창범
Keywords
Acute renal injury; Hypoglycemia; Hyperinsulinemia
Issue Date
2015-03
Publisher
대한노인병학회
Citation
노인병, v. 19, NO 1, Page. 34-39
Abstract
In patient with renal failure, hypoglycemia may develop because of decreased caloric intake, diminished renal insulin degradation and clearance, reduced renal gluconeogenesis and hepatic glucose production, impaired release of counterregulatory hormone such as glucagon and epinephrine. We report here on a 80-year-old female patient with hypoglycemia due to endogenous hyperinsulinemia with acute kidney injury. She had chronic kidney disease and had no history of diabetes mellitus or insulin use. She had experienced recurrent hypoglycemia despite of intravenous dextrose injection and eventually generalized tonic clonic seizure occurred as a result of hypoglycemia. As serum creatinine level decreases, serum insulin and C-peptide level decreased and hypoglycemia was not occurred. We present this case along with a review of the literature.
URI
http://hdl.handle.net/20.500.11754/23116https://synapse.koreamed.org/DOIx.php?id=10.4235/jkgs.2015.19.1.34
ISSN
1229-2397; 2288-1239
DOI
http://dx.doi.org/10.4235/jkgs.2015.19.1.34
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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