title: Atrial fibrillation can cause major hyperglycemia.
abstract: We report the case of a 66 years old woman with a well controlled, insulin-treated, type 2 diabetes, who experienced a ten-fold increase of her daily insulin needs (from 21 to 215 U/day) after the onset of a symptomatic atrial fibrillation. Check-up for another cause of insulin resistance was negative, and insulin doses could be decreased to preceding values only after electric cardioversion. Symptomatic atrial fibrillation should be considered as a potential cause of hyperglycemia.
authors.affiliation: Nutrition-Diabétologie, Hôpital Haut-Lévêque, 33600 Pessac, France. vincent.rigalleau@wanadoo.fr
authors.forename: V
authors.initials: V
authors.lastname: Rigalleau
authors.forename: L
authors.initials: L
authors.lastname: Baillet
authors.forename: M
authors.initials: M
authors.lastname: Hocini
authors.forename: H
authors.initials: H
authors.lastname: Gin
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000188:drug therapy; D003925:Diabetic Angiopathies / Q000097:blood* / Q000150:complications; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology* / Q000517:prevention & control; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use*
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin