0
July 30, 1960, Vol 173, No. 13 >
ARTICLE | July 30, 1960

INSULIN REACTION AND RECOVERY IN DIABETIC PATIENT: Title and subTitle BreakREPORT OF A CASE FREE

Marios C. Balodimos, M.D.; Hae Sok Kim, M.D.
[+] Author Affiliations

Jacksonville, Fla.

From St. Vincent's Hospital.


JAMA. 1960;173(13):1476-1478. doi:10.1001/jama.1960.73020310001018
Text Size: A A A
Published online
Article
References

A case of severe insulin reaction resulting in unconsciousness of 60 hours' duration was caused in a young diabetic woman by the erroneous administration of 1,800 units of insulin. Early recognition of the hypoglycemia and intensive treatment were responsible for the patient's complete recovery.

The patient, a 16-year-old, overweight girl, was brought to the emergency room on Jan. 3, 1956, after having been unconscious for the preceding three hours. This was her 14th hospital admission. She had been a known diabetic since 1948, taking about 100 units of insulin daily. Her previous admissions had been primarily for diabetic acidosis and coma, of which she had a total of 11 episodes in 1955 alone. The patient was dehydrated and restless and responded little to external stimuli. Her face was flushed, temperature was 100.0 F (37.7 C), and pulse rate was 120 per minute. She did not have Kussmaul's respiration. The urine

REFERENCES

1 +
Warren, S., and Le Compte, P. M.: Pathology of Diabetes Mellitus , ed. 3, Philadelphia, Lea & Febiger, 1952;, p. 243.
2 +
Baker, A. B.:  Cerebral Damage in Hypoglycemia: Review , Am. J. Psychiat. 96:109-127 ( (July) ) 1939;.
3 +
Jones, G. M.:  Posthypoglycemic Encephalopathy: Case Reports , Am. J. M. Sc. 213:206-213 ( (Feb.) ) 1947;.
4 +
Anderson, E. W.:  Psychiatric Complications of Hypoglycemia in Children , Lancet 2:329-331 ( (Sept. 14) ) 1940;.
5 +
Allan, F. N., and Crommelin, R. M.:  Cerebral Damage from Insulin "Shock": Hemiplegia, Asphasia and Epileptic Seizures for 15 Months , J. A. M. A. 118:373-374 ( (Jan. 31) ) 1942;.
6 +
Gardner, L. I., and Reyersbach, G. C.:  Brain Damage in Juvenile Diabetic Associated with Insulin Hypoglycemia , Pediatrics 7:210-214 ( (Feb.) ) 1951;.
7 +
Joslin, E. P.; Root, H. F.; White, P.; and Marble, A.: Treatment of Diabetes Mellitus , ed. 10, Philadelphia, Lea & Febiger, 1959;, p. 319.
8 +
Räihä, C. E.:  Eine mehrere Tage dauernde Funktionsstörung des Grosshirns infolgeeschwerer Hypoglykämie , Acta paediat. 18:315-321 ( (March 16) ) 1936;.
9 +
Vogl, A., and Youngwirth, S. H.:  Effects of Single Dose of 2,000 Units of Protamine Zinc Insulin Taken by Diabetic Patient with Suicidal Intent , New England J. Med. 241:606-609 ( (Oct. 20) ) 1949;.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Warren, S., and Le Compte, P. M.: Pathology of Diabetes Mellitus , ed. 3, Philadelphia, Lea & Febiger, 1952;, p. 243.
2 +
Baker, A. B.:  Cerebral Damage in Hypoglycemia: Review , Am. J. Psychiat. 96:109-127 ( (July) ) 1939;.
3 +
Jones, G. M.:  Posthypoglycemic Encephalopathy: Case Reports , Am. J. M. Sc. 213:206-213 ( (Feb.) ) 1947;.
4 +
Anderson, E. W.:  Psychiatric Complications of Hypoglycemia in Children , Lancet 2:329-331 ( (Sept. 14) ) 1940;.
5 +
Allan, F. N., and Crommelin, R. M.:  Cerebral Damage from Insulin "Shock": Hemiplegia, Asphasia and Epileptic Seizures for 15 Months , J. A. M. A. 118:373-374 ( (Jan. 31) ) 1942;.
6 +
Gardner, L. I., and Reyersbach, G. C.:  Brain Damage in Juvenile Diabetic Associated with Insulin Hypoglycemia , Pediatrics 7:210-214 ( (Feb.) ) 1951;.
7 +
Joslin, E. P.; Root, H. F.; White, P.; and Marble, A.: Treatment of Diabetes Mellitus , ed. 10, Philadelphia, Lea & Febiger, 1959;, p. 319.
8 +
Räihä, C. E.:  Eine mehrere Tage dauernde Funktionsstörung des Grosshirns infolgeeschwerer Hypoglykämie , Acta paediat. 18:315-321 ( (March 16) ) 1936;.
9 +
Vogl, A., and Youngwirth, S. H.:  Effects of Single Dose of 2,000 Units of Protamine Zinc Insulin Taken by Diabetic Patient with Suicidal Intent , New England J. Med. 241:606-609 ( (Oct. 20) ) 1949;.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems