title: Severe hypoglycemia in a nondiabetic patient leading to acute respiratory failure.
abstract: 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.
authors.affiliation: Department of Endocrinology and Division of Critical Care, Long Island College Hospital, 339 Hicks St., Brooklyn, NY 11201, USA. drahsanbaig@yahoo.com
authors.forename: Muhammad Ahsan
authors.initials: MA
authors.lastname: Baig
authors.forename: Shaukat
authors.initials: S
authors.lastname: Ali
authors.forename: Javeria
authors.initials: J
authors.lastname: Rasheed
authors.forename: Michael
authors.initials: M
authors.lastname: Bergman
authors.forename: Vladimir
authors.initials: V
authors.lastname: Privman
mesh_terms: 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
chemical_list: D001786:Blood Glucose