Hypoglycemia with severe lactic acidosis
Joint Authors
Abd Allah, Jihan
al-Banki, Hassah
Source
Issue
Vol. 42, Issue 3 (30 Sep. 2020), pp.228-230, 3 p.
Publisher
King Hamad University Hospital
Publication Date
2020-09-30
Country of Publication
Bahrain
No. of Pages
3
Main Subjects
Abstract EN
A fifty-seven-year-old South African female, of Indian descent, with end-stage renal failure and on regular hemodialysis, was admitted in June 2016.
She presented with one-day history of back pain, mild abdominal pain, nausea and vomiting.
Initial investigations showed blood glucose less than 1 mmol with lactic acid 13.27 mmol/L.
She was not a diabetic, but her husband was a diabetic on metformin.
despite extensive investigation, the cause of hypoglycemia and life-threatening lactic acidosis was not immediately identified.
she received glucagon and intravenous dextrose and had no hypoglycemia during admission.
she was discharged after four days in good condition.
metformin level was sent to an outside laboratory, and revealed a highly elevated level.
she admitted that she might have confused her husband's metformin with paracetamol, which tablets look similar.
American Psychological Association (APA)
al-Banki, Hassah& Abd Allah, Jihan. 2020. Hypoglycemia with severe lactic acidosis. Bahrain Medical Bulletin،Vol. 42, no. 3, pp.228-230.
https://search.emarefa.net/detail/BIM-1494005
Modern Language Association (MLA)
al-Banki, Hassah& Abd Allah, Jihan. Hypoglycemia with severe lactic acidosis. Bahrain Medical Bulletin Vol. 42, no. 3 (Sep. 2020), pp.228-230.
https://search.emarefa.net/detail/BIM-1494005
American Medical Association (AMA)
al-Banki, Hassah& Abd Allah, Jihan. Hypoglycemia with severe lactic acidosis. Bahrain Medical Bulletin. 2020. Vol. 42, no. 3, pp.228-230.
https://search.emarefa.net/detail/BIM-1494005
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 229-230
Record ID
BIM-1494005