Severe hypoglycemia in a nondiabetic patient leading to acute respiratory failure.
This report describes a unique case of prolonged hypoglycemia in a nondiabetic patient with end-stage renal disease and chronic liver disease. Following a less-than-24-hour period of being NPO (nothing per oral), the patient developed hypercapnic respiratory failure. Severe hypoglycemia in such a patient leading to respiratory failure provides major challenges in identification and management of his illness. To our knowledge, this is the first ever reported case of severe hypoglycemia leading to hypercapnic respiratory failure. We believe that the pathogenic basis for this patient's severe hypoglycemia is failure of contribution by the kidneys and liver to glucose production.
Baig
Muhammad Ahsan
MA
Department of Endocrinology and Division of Critical Care, Long Island College Hospital, 339 Hicks St., Brooklyn, NY 11201, USA. drahsanbaig@yahoo.com
Ali
Shaukat
S
Rasheed
Javeria
J
Bergman
Michael
M
Privman
Vladimir
V
D000208:Acute Disease; D001786:Blood Glucose / Q000378:metabolism; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008875:Middle Aged; D012131:Respiratory Insufficiency / Q000209:etiology*; D012720:Severity of Illness Index
D001786:Blood Glucose