Spurious Elevation of Glucose Concentration during Administration of High Dose of Ascorbic Acid in a Patient with Type 2 Diabetes on Hemodialysis
Yonsei Medical Journal
; : 1289-1292, 2013.
Article
em En
| WPRIM
| ID: wpr-74269
Biblioteca responsável:
WPRO
ABSTRACT
We describe herein a case of life-threatening hypoglycemia due to spurious elevation of glucose concentration during the administration of ascorbic acid in a type 2 diabetic patient. A 31-year-old female was admitted for proliferative diabetic retinopathy treatment and prescribed high dose ascorbic acid. During hospitalization, she suddenly lost her consciousness and her glucose concentration was 291 mg/dL, measured using self-monitoring blood glucose (SMBG) device, while venous blood glucose concentration was 12 mg/dL. After intravenous injection of 50% glucose solution, the patient became alert. We reasoned that glucose measurement by SMBG device was interfered by ascorbic acid. Physicians should be aware of this interference; high dose ascorbic acid may cause spurious elevation of glucose concentration when measuring with SMBG devices.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Ácido Ascórbico
/
Glicemia
/
Automonitorização da Glicemia
/
Diálise Renal
/
Diabetes Mellitus Tipo 2
/
Hipoglicemia
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Yonsei Medical Journal
Ano de publicação:
2013
Tipo de documento:
Article