1. Full neurological recovery after extreme hypoglycemia during intensive insulin therapy: a case report
- Author
-
Ilse Mertens, Filiep Soetens, Anton Verrijcken, Marc Vanhoof, and Veerle M. Piot
- Subjects
Adult ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Critical Illness ,Biomedical Engineering ,Gastric Bypass ,Bioengineering ,Hypoglycemia ,Independent predictor ,Severity of Illness Index ,Postoperative Complications ,Diabetic Neuropathies ,Diabetes mellitus ,Severity of illness ,Internal Medicine ,medicine ,Humans ,Insulin ,In patient ,Intensive care medicine ,Glycemic ,Clinical Application ,business.industry ,nutritional and metabolic diseases ,Recovery of Function ,medicine.disease ,Obesity, Morbid ,Increased risk ,Diabetes Mellitus, Type 2 ,Female ,business - Abstract
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.
- Published
- 2012