Massive Levemir (Long-Acting) Insulin Overdose : Case Report
Joint Authors
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 52-year-old insulin-dependant diabetic man presented to the Emergency Department 2 hours after a deliberate massive overdose of 2100 units of long-acting Levemir insulin and a large quantity of whisky.
On initial assessment, his GCS was 3/15 and his capillary blood sugar was 2.6 mmol/L.
The patient was given a 50 ml bolus of 50% dextrose, followed by intravenous infusions of both 5% and 10% dextrose.
Despite the continuous infusions, he experienced 4 symptomatic hypoglycaemic episodes in the first 12 hours after admission.
These were managed with oral glucose, IM glucagon, and further dextrose boluses.
Blood electrolytes and pH were monitored throughout.
Insulin overdoses are relatively common and often occur with an excess of other drugs or alcohol which can enhance its action.
Overdoses can result in persistent hypoglycaemia, liver enzyme derangement, electrolyte abnormalities, and neurological damage.
Overall mortality is 2.7% with prognosis poorest in patients who are admitted with decreased Glasgow Coma scale (GCS) 12 hours after overdose.
American Psychological Association (APA)
Oduru, Mamatha& Ahmad, Mahmood. 2012. Massive Levemir (Long-Acting) Insulin Overdose : Case Report. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-506872
Modern Language Association (MLA)
Oduru, Mamatha& Ahmad, Mahmood. Massive Levemir (Long-Acting) Insulin Overdose : Case Report. Case Reports in Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-506872
American Medical Association (AMA)
Oduru, Mamatha& Ahmad, Mahmood. Massive Levemir (Long-Acting) Insulin Overdose : Case Report. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-506872
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506872