Sakurai Toshihiro, Harada Masahiro, Takahashi Takeshi
Department of Emergency and Critical Care Medicine National Hospital Organization Kumamoto Medical Center Kumamoto Japan.
Acute Med Surg. 2020 Jun 12;7(1):e518. doi: 10.1002/ams2.518. eCollection 2020 Jan-Dec.
Artificial pancreas is usually used to manage hyperglycemia. We controlled prolonged hypoglycemia induced by insulin overdose using artificial pancreas.
A 56-year-old female patient with type 2 diabetes mellitus was admitted to the emergency department after overdosing on 1,800 units each of insulin aspart and insulin degludec. She had also ingested 2 weeks of anti-anxiety medication. When the patient arrived at the hospital, her blood glucose level was 30 mg/dL and she was in a coma. Artificial pancreas (STG-55; Nikkiso, Tokyo, Japan) was used to control blood glucose levels because we were unable to predict the duration or degree of hypoglycemia. Blood glucose levels were safely controlled without the development of hypo- or hyperglycemia. Finally, the patient was discharged without any complications on day 7.
The STG-55 artificial pancreas was very useful and convenient for controlling blood glucose levels in our insulin overdose patient.
人工胰腺通常用于管理高血糖。我们使用人工胰腺控制胰岛素过量引起的持续性低血糖。
一名56岁的2型糖尿病女性患者在过量注射1800单位门冬胰岛素和德谷胰岛素后被送往急诊科。她还服用了两周的抗焦虑药物。患者到达医院时，血糖水平为30mg/dL，处于昏迷状态。由于我们无法预测低血糖的持续时间或程度，因此使用人工胰腺（STG-55；日本东京日机装株式会社）来控制血糖水平。血糖水平得到安全控制，未出现低血糖或高血糖。最后，患者在第7天出院，无任何并发症。
STG-55人工胰腺对于控制我们这位胰岛素过量患者的血糖水平非常有用且方便。
