TY  - JOUR
PY  - 2000//
TI  - Electrolyte disorders following massive insulin overdose in a patient with type 2 diabetes
JO  - Internal medicine
A1  - Matsumura, M.
A1  - Nakashima, A.
A1  - Tofuku, Y.
SP  - 55
EP  - 57
VL  - 39
IS  - 1
N2  - We present a case of a 47-year-old man with Type 2 diabetes mellitus who attempted suicide with 2,100 U of insulin injected subcutaneously. Administration of dextrose intravenously was required to maintain the blood glucose concentration normally for 5 days. Moreover, hypokalemia, hypophosphatemia, and hypomagnesemia were also seen for 24 hours after insulin injection. The serum phosphorus and magnesium concentrations decreased to nadirs of 1.6 mg/dl and 1.6 mg/dl respectively 7 hours after insulin injection. Electrolyte disorders other than hypokalemia may be induced in hypoglycemic patients by massive insulin overdose.<p />  <p>Language: en</p>
LA  - en
SN  - 0918-2918
UR  - http://dx.doi.org/10.2169/internalmedicine.39.55
ID  - ref1
ER  -