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Full Neurological Recovery after Extreme Hypoglycemia during Intensive Insulin Therapy: A Case Report

Title: Full Neurological Recovery after Extreme Hypoglycemia during Intensive Insulin Therapy: A Case Report
Authors: Piot, Veerle M.; Verrijcken, Anton; Vanhoof, Marc; Mertens, Ilse; Soetens, Filiep
Source: Journal of Diabetes Science and Technology ; volume 6, issue 4, page 973-977 ; ISSN 1932-2968 1932-2968
Publisher Information: SAGE Publications
Publication Year: 2012
Description: Since 2000, there has been an ongoing debate regarding tightness of glycemic control in critically ill patients. An increased risk of hypoglycemia is observed in patients treated with an intensive insulin protocol targeting “normoglycemia,” probably accounting for a reduction of the overall benefit. Hypoglycemia is associated with neurological side effects and is found to be an independent predictor of mortality in most trials; however, long-term sequelae are rare if glucose is administered early. We describe a case of prolonged, extreme hypoglycemia in a critically ill patient treated according to an intensive insulin protocol who recovered without any neurological deficit at discharge.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/193229681200600431
Availability: https://doi.org/10.1177/193229681200600431; https://journals.sagepub.com/doi/pdf/10.1177/193229681200600431
Rights: https://journals.sagepub.com/page/policies/text-and-data-mining-license
Accession Number: edsbas.AD92B255
Database: BASE