A Case of Masked Hypoglycemia during Lactic Acidosis / 대한내분비학회지
Journal of Korean Society of Endocrinology
;
: 406-410, 2004.
Article
in Korean
| WPRIM
| ID: wpr-131909
ABSTRACT
Severe hypoglycemia induces neuroglycopenic symptoms, including mental alteration, as glucose is the exclusive fuel for the central nervous system. However, some reports have shown that non-glucose fuels, like lactates and ketones, could be utilized by the brain during severe hypoglycemia. Herein, a case of extreme hypoglycemia in a 44-year old woman, subsequently diagnosed as congestive heart failure accompanied by ischemic hepatitis and lactic acidosis, is presented. In two episodes of extreme hypoglycemia, she was fully alert without obvious neurological deficits. In this unusual case, an increased supply of lactate might have maintained the cerebral function and prevented cerebral injury during the hypoglycemia that was induced as a result of starvation and hepatic and cardiac dysfunctions
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Starvation
/
Acidosis, Lactic
/
Brain
/
Central Nervous System
/
Lactic Acid
/
Glucose
/
Heart Failure
/
Hepatitis
/
Hypoglycemia
/
Ketones
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Journal of Korean Society of Endocrinology
Year:
2004
Type:
Article
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