CHRONIC HYPOGLYCAEMIA

[Occult hypoglycaemia in patient with chronic kidney failure and chronic ambulatory peritoneal dialysis].

Se estima que cada año fallecen casi 100.000 pacientes en los Estados Unidos por errores clínicos1. Un paso muy importante para evitar errores clínicos es reconocerlos y por eso presentamos el siguiente caso en donde un error clínico tuvo un desenlace fatal. Mujer de 46 años con hipertensión arterial, diabetes mellitus insulinodependiente con insuficiencia renal crónica en diálisis peritoneal q...

Hypoglycaemia unawareness.

Hypoglycaemia is the most frequent and serious complication of insulin therapy and is three times more common in those who are intensively treated. Impaired awareness of hypoglycaemia is a major limitation to achieving tight diabetes. Asymptomatic biochemical hypoglycaemia occurs more frequently during routine blood glucose monitoring and this should alert the clinician that the individual is d...

Sulphonylureas and hypoglycaemia.

hypoglycaemia-stimulated gastric secretion

Insulin-induced hypoglycaemia leads to vagally mediated stimulation of gastric secretion (Hollander, 1946). Insulin-induced hypoglycaemia also produces a stress response mediated by the sympathetic nervous system (Cannon, McIver, and Bliss, 1924; von Euler and Luft, 1952; Duner, 1954; Cantu, Wise, Goldfien, Gullixson, Fischer, and Ganong, 1963). Adrenaline and l-noradrenaline reduce basal and s...

Artefactual hypoglycaemia: and audit.

CORRESPONDENCE Paradoxical severe decrease in serum HDL-cholesterol after treatment with a fibrate: reply by the authors We read the letter of Olukoga 1 (in response to our earlier paper 2) with interest and feel that it covers the area of fibrate induced hy-poalphalipoproteinaemia excellently. Unfortunately , we are not aware of a clear and unifying explanation as to why some patients exhibit ...