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Case Reports
. 2012 Jul 1;6(4):973-7.
doi: 10.1177/193229681200600431.

Full neurological recovery after extreme hypoglycemia during intensive insulin therapy: a case report

Veerle M Piot  1 , Anton Verrijcken, Marc Vanhoof, Ilse Mertens, Filiep Soetens
Affiliations
Case Reports

Full neurological recovery after extreme hypoglycemia during intensive insulin therapy: a case report

Veerle M Piot et al. J Diabetes Sci Technol. .

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.

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Figures

Figure 1
Figure 1
Blood glucose trend for the patient.
See this image and copyright information in PMC

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