A Case of Persistent Hypoglycemia: Emphasizing the Role of Kidneys

Abstract Hypoglycemia is an important cause of morbidity and mortality in patients with diabetes mellitus. However, hypoglycemia in patients without diabetes warrants extensive clinical and biochemical evaluations. Traditionally, it occurs either in patients with underlying illness or is seemingly h...

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Bibliographic Details
Main Authors: Praveen Govindaraju, Mohammed Fahad Khan, Rohan Augustine, Hebri Sudarshan Ballal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-04-01
Series:Journal of Diabetology
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Online Access:https://doi.org/10.4103/jod.jod_118_23
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Summary:Abstract Hypoglycemia is an important cause of morbidity and mortality in patients with diabetes mellitus. However, hypoglycemia in patients without diabetes warrants extensive clinical and biochemical evaluations. Traditionally, it occurs either in patients with underlying illness or is seemingly healthy. In patients with underlying comorbidities, hypoglycemia is usually straightforward and may be multifactorial in etiology. A particularly vulnerable population is patients with chronic kidney disease (CKD). We hereby describe a case of persistent hypoglycemia in a 73-year-old nondiabetic CKD presenting as a diagnostic enigma and the possible mechanisms behind it.
ISSN:2078-7685