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2001, Number 3

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Gac Med Mex 2001; 137 (3)

Severe Hypoglicemia Secondary to Angiotensin Converting Enzyme (ACE) Inhibitors in the Absence of Diabetes Mellitus. Report of a Case

Fernando Elorriaga-Sánchez F, Corrales-Bobadilla H, Sosa-Trinidad E, Domínguez-Quezada B

Language: Spanish
References: 10
Page: 249-252
PDF size: 46.69 Kb.


ABSTRACT

We present the first reported case of untreatable hypoglycemia in a woman of 66- years-old, non-diabetic who received captopril for six years, and more recently ramipril. Six months ago she was seen for the first time in our hospital. We found her disoriented, sweaty and confused words frequently. Glucose tolerance test one hour after administration of glucose: 53 mg/dl Test of insulin and C peptide had norms same the others contra-regulator hormones except glucagon with moderate elevation. The B.P. increased and we change to ramipril, improve the pressure but persist hypoglycemia A new change to Losartan plus hidroclorotiazida after 72 hours patient improved. A new glucose tolerance test one hour after administration of glucose is absolutely normal. General conditions of the patients are observed more than 3 months and are asymptomatic. The B. P. is normal and keeping only the recently installed treatment.


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