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Updated: Jul 26, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Closet hypoglycemia
I Robinson1, R L Deamer, J G Prichard
1Department of Family Medicine, Ventura County Medical Center, California 93003.
Abstract:
An elderly nondiabetic woman was found stuporous and unresponsive at home. In the emergency department, testing revealed that she had a serum glucose of 40 mg/dL (2.2 mmol/L). No underlying metabolic cause could be determined. An inspection of her medications disclosed a professional medication sample bottle labeled as containing a nonsteroidal anti-inflammatory drug (NSAID) that actually contained chlorpropamide tablets. Drugs, notably sulfonylureas, must be considered as a possible cause of unexplained severe hypoglycemia.
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