Hypoglycemia with Hyperinsulinemia in a Chronic Hemodialysis Patient following Parathyroidectomy
作者:
Mohan Nadkarni,
Jeffrey S. Berns,
Michael R. Rudnick,
Raphael M. Cohen,
期刊:
Nephron
(Karger Available online 1992)
卷期:
Volume 60,
issue 1
页码: 100-103
ISSN:1660-8151
年代: 1992
DOI:10.1159/000186712
出版商: S. Karger AG
关键词: Hypoglycemia;Parathyroidectomy;Insulin metabolism;Vitamin D
数据来源: Karger
摘要:
We report a chronic hemodialysis patient with severe hyperparathyroidism who developed hypoglycemia with inappropriate hyperinsulinemia following parathyroidectomy. An abrupt fall in parathyroid hormone level and administration of large amounts of calcitriol may have resulted in increased insulin release and enhanced tissue sensitivity to insulin producing sustained hypoglycemia in this patient.
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