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## Hypoglycaemia: case report A 24-year-old woman developed recurrent hypoglycaemia following administration of glipizide. The woman, who had a history of major depressive disorder and anorexia nervosa, presented to the emergency department with hypoglycaemia for the fourth time in 9 months. She was found lethargic and confused. Her blood glucose level was 30 mg/dL. The woman's neurological status improved following the administration of glucose [dextrose]. On examination, she was haemodynamically stable and afebrile. She appeared frail with thin body habitus, dry skin and cold extremities. Her dental caries were evident but, she had no lanugo; her affect was flat and she was avoiding eye contact. She reported lack of appetite, anhedonia and at least 3 months of amenorrhoea. Laboratory testing showed marked microcytic anaemia. During her past admissions, blood glucose had stabilised after 1-2 days of improved food intake. Thus, initially, her hypoglyacemia was attributed to malnutrition and prolonged fasting due to her underlying psychiatric and eating disorders. During admission, she refused to eat and refused treatment of hypoglycaemia with glucose or glucagon. Psychiatric manage

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Publisher

Springer Science and Business Media LLC

Published

2021

Language

EN

Field

Medicine (Health Sciences)