| Prime-time hypoglycemia: factitious hypoglycemia during insulin-pump therapy. | |
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MedLine Citation:
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PMID: 20385648 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Unexplained hypoglycemia in a pediatric diabetic patient can perplex even the savviest health care providers and lead to an extensive medical workup. We present here the cases of 2 children with type 1 diabetes mellitus treated with insulin pumps who were hospitalized for episodes of hypoglycemia. Review of their insulin pumps revealed normal basal and bolus insulin delivery. However, subsequent review of the priming history in the pump revealed that both children were receiving additional insulin under the manual-prime function, which is not included in the daily totals and, therefore, was initially unnoticed. Ultimately, both children confessed to surreptitiously using this priming function to self-administer extra insulin. It is important that health care professionals who are caring for diabetic patients be aware of this possibility. |
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Authors:
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Jennifer N Osipoff; Nadia Sattar; Mireya Garcia; Thomas A Wilson |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-04-12 |
Journal Detail:
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Title: Pediatrics Volume: 125 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-03 Completed Date: 2010-05-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e1246-8 Citation Subset: AIM; IM |
Affiliation:
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Division of Pediatric Endocrinology, Department of Pediatrics, State University of New York, Stony Brook, NY 11794-8111, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Diabetes Mellitus, Type 1 / drug therapy* Diabetic Diet / psychology Diagnosis, Differential Dose-Response Relationship, Drug Emergency Service, Hospital Equipment Design Equipment Failure Analysis Factitious Disorders / diagnosis*, psychology Humans Hypoglycemia / blood, chemically induced*, diagnosis*, psychology Hypoglycemic Agents / administration & dosage*, adverse effects* Insulin / administration & dosage*, adverse effects*, analogs & derivatives Insulin Infusion Systems / adverse effects*, psychology Male Self Medication Substance-Related Disorders / diagnosis, psychology |
| Chemical | |
Reg. No./Substance:
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0/Hypoglycemic Agents; 0/glargine; 0/insulin aspart; 11061-68-0/Insulin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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