A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report

A metabolic encephalopathy brought on by dangerously low blood glucose levels is called hypoglycemic encephalopathy. Transient hypoglycemic episodes are frequent, particularly in diabetic patients. This complication is seen in diabetes patients who are taking insulin/insulin secretagogues. Severe pe...

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Main Authors: Kinjal A Dave, Sapna D Gupta, Supriya D Malhotra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Diabetology
Subjects:
Online Access:http://www.journalofdiabetology.org/article.asp?issn=2078-7685;year=2023;volume=14;issue=4;spage=263;epage=266;aulast=Dave
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author Kinjal A Dave
Sapna D Gupta
Supriya D Malhotra
author_facet Kinjal A Dave
Sapna D Gupta
Supriya D Malhotra
author_sort Kinjal A Dave
collection DOAJ
description A metabolic encephalopathy brought on by dangerously low blood glucose levels is called hypoglycemic encephalopathy. Transient hypoglycemic episodes are frequent, particularly in diabetic patients. This complication is seen in diabetes patients who are taking insulin/insulin secretagogues. Severe persistent hypoglycemia can result in seizures, a protracted state of coma, and a wide range of other global and focal neurologic impairments. The main pathological alterations in hypoglycemic encephalopathy include widespread denaturation and necrosis of the neurons as a result of a lack of energy, which is accompanied by a significant number of glial cells entering the brain. In our case, the patient had recurrent hypoglycemic episodes, which led to the development of hypoglycemic encephalopathy caused by insulin. It is important for clinicians to be aware of this potential complication and to closely monitor patients with diabetes who are being treated with insulin.
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spelling doaj.art-8c979a3cb9b3499f8dbfad4e89eba3f72024-04-08T07:29:00ZengWolters Kluwer Medknow PublicationsJournal of Diabetology2078-76852023-01-0114426326610.4103/jod.jod_11_23A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case reportKinjal A DaveSapna D GuptaSupriya D MalhotraA metabolic encephalopathy brought on by dangerously low blood glucose levels is called hypoglycemic encephalopathy. Transient hypoglycemic episodes are frequent, particularly in diabetic patients. This complication is seen in diabetes patients who are taking insulin/insulin secretagogues. Severe persistent hypoglycemia can result in seizures, a protracted state of coma, and a wide range of other global and focal neurologic impairments. The main pathological alterations in hypoglycemic encephalopathy include widespread denaturation and necrosis of the neurons as a result of a lack of energy, which is accompanied by a significant number of glial cells entering the brain. In our case, the patient had recurrent hypoglycemic episodes, which led to the development of hypoglycemic encephalopathy caused by insulin. It is important for clinicians to be aware of this potential complication and to closely monitor patients with diabetes who are being treated with insulin.http://www.journalofdiabetology.org/article.asp?issn=2078-7685;year=2023;volume=14;issue=4;spage=263;epage=266;aulast=Davediabetes mellitushypoglycemiahypoglycemic encephalopathyinsulin
spellingShingle Kinjal A Dave
Sapna D Gupta
Supriya D Malhotra
A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report
Journal of Diabetology
diabetes mellitus
hypoglycemia
hypoglycemic encephalopathy
insulin
title A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report
title_full A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report
title_fullStr A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report
title_full_unstemmed A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report
title_short A case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin: A case report
title_sort case of metabolic encephalopathy due to recurrent hypoglycemia caused by insulin a case report
topic diabetes mellitus
hypoglycemia
hypoglycemic encephalopathy
insulin
url http://www.journalofdiabetology.org/article.asp?issn=2078-7685;year=2023;volume=14;issue=4;spage=263;epage=266;aulast=Dave
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