Suicidal Insulin Overdose in a Type 2 Diabetic Patient: Pharmaceutical Care for a case with severe hypoplycemia
WANG Xiao-xuan1a, WANG Yu-ying2, LIU Yi-cong1a, FENG Wan-yu1a, XIAO Zeng-li1b*
1Peking University people Hospital, Beijing 100044, China, a Pharmacy Department, bICU；2 Pharmacy Department, Peking University international Hospital, Beijing 102206, China
Abstract：This article presents a case of severe hypoglycemia ICU patient caused by suicidal insulin overdose through both subcutaneous injection and oral administration. The patient was successfully rescued after 4-day dextrose intravenous injection combined with hormone therapy. Eventually, her blood glucose level and daily plasma insulin levels recovered to normal levels. Clinical pharmacists participated into the treatment process by reviewing relevant studies and offering suggestions based on the pharmacokinetic and pharmacodynamics of insulin. We discussed the impact on body function after suicidal insulin overdose and factors needed to be noticed during therapy. The purpose of this article is to provide reference and introduce therapeutic experience to the treatment of hypoglycemia patients caused by insulin overdose in the future.
王晓旋,王钰莹,刘昳聪,冯婉玉,肖增丽. 1例注射超大剂量胰岛素致严重低血糖患者的药学监护[J]. 临床药物治疗杂志, 2017, 15(2): 82-84.
WANG Xiao-xuan, WANG Yu-ying, LIU Yi-cong, FENG Wan-yu, XIAO Zeng-li. Suicidal Insulin Overdose in a Type 2 Diabetic Patient: Pharmaceutical Care for a case with severe hypoplycemia. CLINICAL MEDICATION JOURNAL, 2017, 15(2): 82-84.
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2017, Vol. 15 
