@article{ref1,
title="Successful treatment with artificial pancreas for a patient who attempted suicide using a high-dose insulin s.c. injection",
journal="Acute medicine and surgery",
year="2020",
author="Sakurai, Toshihiro and Harada, Masahiro and Takahashi, Takeshi",
volume="7",
number="1",
pages="e518-e518",
abstract="BACKGROUND: Artificial pancreas is usually used to manage hyperglycemia. We controlled prolonged hypoglycemia induced by insulin overdose using artificial pancreas. CASE PRESENTATION: A 56-year-old female patient with type 2 diabetes mellitus was admitted to the emergency department after overdosing on 1,800 units each of insulin aspart and insulin degludec. She had also ingested 2 weeks of anti-anxiety medication. When the patient arrived at the hospital, her blood glucose level was 30 mg/dL and she was in a coma. Artificial pancreas (STG-55; Nikkiso, Tokyo, Japan) was used to control blood glucose levels because we were unable to predict the duration or degree of hypoglycemia. Blood glucose levels were safely controlled without the development of hypo- or hyperglycemia. Finally, the patient was discharged without any complications on day 7. CONCLUSION: The STG-55 artificial pancreas was very useful and convenient for controlling blood glucose levels in our insulin overdose patient.<p /><p>Language: en</p>",
language="en",
issn="2052-8817",
doi="10.1002/ams2.518",
url="http://dx.doi.org/10.1002/ams2.518"
}