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Published on: June 11, 2012
Adrenal Insufficiency as a Contributor to Severe Hypoglycemia in Late Dumping Syndrome: A Case Series
Ken Kanazawa1, Takeki Ito1, Mai HIjikata1
1Department of Diabetes, Metabolism and Endocrinology, Japan Labor Health and Safety Organization, Tokyo Rosai Hospital, Tokyo, JPN.
Abstract:
Severe hypoglycemia (SH) is a significant risk, particularly in the elderly, and adrenal insufficiency (AI) may be a contributing factor. This study examines six cases of late dumping syndrome (LDS)-induced reactive hypoglycemia (RH), with AI as a potential trigger. Three of the six patients were diagnosed with AI, and one experienced a hypoglycemic coma. A significant correlation between blood glucose and insulin levels was found in the AI group. These findings suggest the potential role of AI in the development of SH in LDS patients after gastrectomy. Further research is needed for confirmation.
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