Factitious hypoglycaemia in a nondiabetic patient

Ankle-brachial index (ABI) and duplex ultrasound (DUS) are accepted standardized tests performed on patients with suspected peripheral arterial disease. In the nondiabetic patient, ABIs can be a reliable test for disease above the level of the ankle. Toe brachial index (TBI) is also an accepted modality to test for small vessel disease. However, ABIs and TBIs fall short in providing a complete evaluation of arterial flow especially in pedal arteries in the setting of noncompressible arteries. Direct duplex ultrasonography can provide a comprehensive evaluation of arterial flow hemodynamics in the lower extremity. However, we wanted to understand the role of arterial collateral flow to the foot in the setting of tibial vessel occlusion. Using DUS, we sought to define the changes that occur in the arterial flow hemodynamics in the foot in relation to occlusions of specific tibial inflow vessels.

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Prevalence of factitious hypoglycaemia associated with sulphonylurea drugs in France in the year 2000

British Journal of Clinical Pharmacology ◽

10.1046/j.1365-2125.2002.01685.x ◽

2002 ◽

Vol 54 (5) ◽

pp. 548-548 ◽

Cited By ~ 3

Author(s):

T. Trenque ◽

C. Frances ◽

H. Millart ◽

G. Hoizey ◽

M. L. Germain

Keyword(s):

Year 2000 ◽

Factitious Hypoglycaemia

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Improvement in Psoriasis With Rosiglitazone in a Diabetic and a Nondiabetic Patient

SKINmed Dermatology for the Clinician ◽

10.1111/j.1540-9740.2005.04434.x ◽

2005 ◽

Vol 4 (6) ◽

pp. 386-390 ◽

Cited By ~ 13

Author(s):

Pershadsingh Harrihar A. ◽

Benson Stephen C. ◽

Ellis Charles N.

Keyword(s):

Nondiabetic Patient

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Sever hypoglycemia and fainting with the use of levofloxacin in a nondiabetic patient

Our Dermatology Online ◽

10.7241/ourd.20203.9 ◽

2020 ◽

Vol 11 (3) ◽

pp. 264-266

Author(s):

Kousar Jahani Amiri ◽

Ramina Mofarrah ◽

Navid Heydar Zadeh ◽

Melody Omrani Nava ◽

Alborz Ahmadi ◽

...

Keyword(s):

Nondiabetic Patient

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Metformin-Associated Lactic Acidosis following Intentional Overdose Successfully Treated with Tris-Hydroxymethyl Aminomethane and Renal Replacement Therapy

Case Reports in Nephrology ◽

10.1155/2012/671595 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Ngan Lam ◽

Gurbir Sekhon ◽

Andrew A. House

Keyword(s):

Metabolic Acidosis ◽

Renal Replacement Therapy ◽

Lactic Acidosis ◽

Serum Creatinine ◽

Replacement Therapy ◽

Delayed Diagnosis ◽

Complete Recovery ◽

Nondiabetic Patient ◽

Severe Metabolic Acidosis ◽

Metformin Concentration

A 43-year-old woman was brought to the hospital with severe metabolic acidosis (pH 6.56, bicarbonate 3 mmol/L, and lactate 18.4 mmol/L) and a serum creatinine of 162 μmol/L with a serum potassium of 7.8 mmol/L. A delayed diagnosis of metformin-associated lactic acidosis was made, and she was treated with tris-hydroxymethyl aminomethane (THAM) and renal replacement therapy (RRT). Following a complete recovery, she admitted to ingesting 180 tablets (90 grams) of metformin. Her peak serum metformin concentration was 170 μg/mL (therapeutic range 1-2 μg/mL). Our case demonstrates an intentional metformin overdose resulting in lactic acidosis in a nondiabetic patient who was successfully treated with THAM and RRT.

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