2006, Number 3
Rev Med Inst Mex Seguro Soc 2006; 44 (3)
Tamez-Pérez HE, Sáenz-Gallegos R, Hernández-Rodríguez K, Forsbach-Sánchez G, Gómez-de Ossio MD, Fernández-Garza N, Zapata-de la Garza E, Tamez-Peña AL
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ABSTRACTA series of seven patients with severe hypertrigly-ceridemia (triglyceride levels › 1000 mg/dL) is presented. Four of the patients were diabetics, two of them were in treatment with anti-retroviral drugs, and three of them presented acute pancreatitis. In all patients intravenous infusion of insulin was initiated at a rate of 0.05-2 U/kg/day. Two and a half days after this treatment, the serum triglyceride level remained lower than 400 mg/dL. There were no complications during the treatment. The long treatment included basal insulin, fibrates and avoidance of pharmacotherapy. Insulin therapy for diabetic and non-diabetic patients with severe hypertrigly-ceridemia is an effective and safe treatment.