title: Hypoglycemia with hyperinsulinemia in a chronic hemodialysis patient following parathyroidectomy.
abstract: We report a chronic hemodialysis patient with severe hyperparathyroidism who developed hypoglycemia with inappropriate hyperinsulinemia following parathyroidectomy. An abrupt fall in parathyroid hormone level and administration of large amounts of calcitriol may have resulted in increased insulin release and enhanced tissue sensitivity to insulin producing sustained hypoglycemia in this patient.
authors.affiliation: Graduate Hospital, Division of Nephrology and Hypertension, Philadelphia, Pa. 19146.
authors.forename: M
authors.initials: M
authors.lastname: Nadkarni
authors.forename: J S
authors.initials: JS
authors.lastname: Berns
authors.forename: M R
authors.initials: MR
authors.lastname: Rudnick
authors.forename: R M
authors.initials: RM
authors.lastname: Cohen
mesh_terms: D002117:Calcitriol / Q000494:pharmacology; D006801:Humans; D006946:Hyperinsulinism / Q000097:blood / Q000209:etiology*; D006961:Hyperparathyroidism / Q000601:surgery; D007003:Hypoglycemia / Q000097:blood / Q000209:etiology*; D007328:Insulin / Q000097:blood; D007676:Kidney Failure, Chronic / Q000097:blood / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy / Q000009:adverse effects*; D006435:Renal Dialysis
chemical_list: D007328:Insulin; D010281:Parathyroid Hormone; D002117:Calcitriol