Hypoglycaemia in chronic renal failure

Persistent symptomatic hypoglycaemia developed in a 26-year-old woman with chronic renal failure. Several factors, including the use of sulfamethoxazole, recent peritoneal dialysis, and poor nutrition may have combined with the defective glycogenolysis and gluconeogenesis present in chronic renal failure to play a role in its aetiology. Increased awareness of this condition is necessary because chronic renal failure is common in the Caribbean.