Hypoglycaemia in a 94-year-old man without diabetes.
Recognising a hypoglycaemic event in a person without a history of diabetes poses quite a challenge. A 94-year-old man without diabetes in an extended care facility (ECF) was found unconscious and non-responsive with a glucose level of 30 mg/dL. The patient required multiple resuscitations with glucagon and intravenous glucose before his blood glucose stabilised. Ultimately the accidental administration of a sulfonylurea was found to be responsible for the event. The patient fortunately recovered after 5 days of hospitalisation. Adults aged 65 years and older carry a significantly higher risk of serious adverse drug events (ADEs) requiring hospitalisation. Antidiabetic drugs cause nearly one-quarter of all hospitalisations from ADEs, with more than 99% due to unintentional overdose. To truly optimise patient care, providers must be cognizant of the risks associated with diabetes management to better monitor and prevent future occurrence of such taxing events.
Edward Via Virginia College of Osteopathic Medicine, Spartanburg, South Carolina, USA.
Dustin James
DJ
Mullens
Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA.
Jay H
JH
Shubrook
D000369:Aged, 80 and over; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced* / Q000175:diagnosis* / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000009:adverse effects*; D008297:Male; D008508:Medication Errors; D013453:Sulfonylurea Compounds / Q000009:adverse effects*
D007004:Hypoglycemic Agents; D013453:Sulfonylurea Compounds