Elshimy Ghada, Techathaveewat Pawarid, Alsayed Mahmoud, Jyothinagaram Sathya, Correa Ricardo
Endocrinology, Diabetes and Metabolism, University of Arizona College of Medicine-Phoenix, Phoenix, USA.
Cureus. 2019 Aug 21;11(8):e5449. doi: 10.7759/cureus.5449.
Angiotensin-converting enzyme (ACE) inhibitors are among the most common medications used to treat patients with concomitant diabetes and hypertension. They are considered the first line of treatment for hypertension in this population. Several case studies have reported that ACE inhibitors can induce hypoglycemia in patients with diabetes. To our knowledge, however, ACE inhibitors have not been found to induce hypoglycemia in patients without diabetes. This report describes a patient without diabetes experiencing recurrent severe hypoglycemia induced by the ACE inhibitor lisinopril.
血管紧张素转换酶（ACE）抑制剂是治疗糖尿病合并高血压患者最常用的药物之一。它们被认为是该人群高血压治疗的一线用药。多项病例研究报告称，ACE抑制剂可诱发糖尿病患者低血糖。然而，据我们所知，尚未发现ACE抑制剂会在非糖尿病患者中诱发低血糖。本报告描述了一名非糖尿病患者因服用ACE抑制剂赖诺普利而反复出现严重低血糖的情况。
