Case Report

Volume: 3 | Issue: 2 | Published: Jan 01, 1970 | Pages: 91 - 94 | DOI: 10.24911/ejmcr/173-1556259277

Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report


Authors: Khalid Al Noaim , Amir Babiker , Angham Al Mutair , Mohsen Al Atawi , Mohammed Al Dubayee , Fahad Al Juraibah , Ibrahim Al Alwan


Article Info

Authors

Khalid Al Noaim

College of Medicine, King Faisal University, Al Ahsa, Saudi Arabia

Amir Babiker

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Angham Al Mutair

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Mohsen Al Atawi

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Mohammed Al Dubayee

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Fahad Al Juraibah

Department of Pediatrics, Ministry of the National Guard Health Affairs, Riyadh, Saudi Arabia

Ibrahim Al Alwan

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Publication History

Received: April 26, 2019

Accepted: May 07, 2019

Published: January 01, 1970


Abstract


Background: Insulin overdose can result in fatal hypoglycemia. We report on a diabetic child who received an unintentional insulin overdose. Case presentation: A 13-year-old girl with type1 diabetes, who was on insulin pump therapy, developed high blood glucose (BG) level due to pump malfunction. She gave herself 7 ml (700 units) instead of 7 units by an error. She presented to hospital 2 hours later when this was recognized. The initial BG in the emergency room was 13.9 mmol/L. A dextrose infusion was started 6 hours after the insulin injections when her BG dropped significantly before it reached a lowest level of 3.3 mmol/L 9 hours after the event. It was only possible to discontinue this infusion 15 hours after insulin injections when BG was stable. Conclusion: Hypoglycemia could be delayed in insulin overdose in diabetic children. This may necessitate prolonged monitoring beyond the usual half-life of insulin.

Keywords: Insulin, overdose, delayed hypoglycemia, dextrose, glucagon, aspart, diabetes, case report, green


Pubmed Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan. Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report. EJMCR. 1970; 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1556259277

Web Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan. Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report. https://ejmcr.com/articles/1493 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1556259277

AMA (American Medical Association) Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan. Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report. EJMCR. 1970; 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1556259277

Vancouver/ICMJE Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan. Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report. EJMCR. (1970), [cited December 25, 2024]; 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1556259277

Harvard Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan (1970) Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report. EJMCR, 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1556259277

Chicago Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan. "Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report." 01 (1970), 91-94. doi:10.24911/ejmcr/173-1556259277

MLA (The Modern Language Association) Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan. "Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report." 01.January 1970 (1970), 91-94. Print. doi:10.24911/ejmcr/173-1556259277

APA (American Psychological Association) Style

Khalid Al Noaim, Amir Babiker, Angham Al Mutair, Mohsen Al Atawi, Mohammed Al Dubayee, Fahad Al Juraibah, Ibrahim Al Alwan (1970) Delayed hypoglycemic effect of insulin overdose in a diabetic child: a case report. , 01 (January 1970), 91-94. doi:10.24911/ejmcr/173-1556259277