Occult hypoglycemia in a diabetic patient on peritoneal dialysis.
In a patient with diabetes mellitus undergoing icodextrin continuous ambulatory peritoneal dialysis, the interference caused by icodextrin metabolites in bedside glucose analyzers led to an overestimation of capillary glucose levels and the potential for inappropriate therapy. We report this case to raise an awareness of this among emergency care providers who are at the front-line treating diabetes emergencies.
Charles
Rabind Antony
RA
Department of Emergency Medicine, Singapore General Hospital, Singapore Health Services, Singapore, Republic of Singapore. rabindcharles@yahoo.com.sg
Goh
Su-Yen
SY
D000368:Aged; D001786:Blood Glucose / Q000187:drug effects*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005936:Glucans / Q000494:pharmacology; D005947:Glucose / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D007003:Hypoglycemia / Q000188:drug therapy / Q000209:etiology*; D000077607:Icodextrin; D007328:Insulin / Q000009:adverse effects; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D010530:Peritoneal Dialysis / Q000009:adverse effects*
D001786:Blood Glucose; D005936:Glucans; D007328:Insulin; D000077607:Icodextrin; D005947:Glucose