1型糖尿病青少年患者的隐匿性胰岛素过量使用

Surreptitious insulin overdosing in adolescents with type 1 diabetes.

作者信息

Jain Vandana, Satapathy Amit Kumar, Yadav Jaivinder

机构信息

Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. Correspondence to: Dr Vandana Jain, Additional Professor, Division of Pediatric Endocrinology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India.

出版信息

Indian Pediatr. 2015 Aug;52(8):701-3. doi: 10.1007/s13312-015-0701-3.

DOI:10.1007/s13312-015-0701-3

PMID:26388633

Abstract

BACKGROUND

Hypoglycemia in children and adolescents with type 1 diabetes has diverse etiologies.

CASE CHARACTERISTICS

We report recurrent hypoglycemia in three children with type 1 diabetes because of insulin overdose.

INTERVENTION

Hospitalization and counselling by treating team and psychologist helped in resolving the recurrent hypoglycemia.

OUTCOME

Improvement in glycemic control was achieved.

MESSAGE

Adolescents with type 1 diabetes may take extra insulin to consume more carbohydrates, or to seek attention. Parents should share the responsibility of care of adolescents during transition phase for better glycemic control.

摘要