Effective Treatment of Reactive Hypoglycemic Coma with Acarbose: A Case Report / 日本農村医学会雑誌
Journal of the Japanese Association of Rural Medicine
;
: 609-612, 1995.
Artigo
em Japonês
| WPRIM
| ID: wpr-373511
ABSTRACT
We report a case of reactive hypoglycemic coma in a 77-year-old man. Seven months after partial gastrectomy for early gastric cancer, he presented with syncopal attacks and seizure. His plasma glucose and insulin levels at coma were 18 mg/dl and 27μU/ml. Insulinoma was neglected with computerized tomography, magnetic resonance imaging and angiography. Because dietary control was insufficient, oral diazoxide therapy was done. But diazoxide did not protectthe overresponse of the insulin and reactive hypoglycemia in 75 g GTT. Octreotide (100 micrograms IM) inhibited insulin release and prevented hypoglycemia. Acarbose delayed the response of insulin butdid not inhibited insulin release. However, acarbose also prevented reactive hypoglycemia. We concluded that acarbose is an effective therapy for reactive hypoglycemic coma.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Japonês
Revista:
Journal of the Japanese Association of Rural Medicine
Ano de publicação:
1995
Tipo de documento:
Artigo
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