This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Marshall B. Block, MD; Arthur H. Rubenstein, MD

JAMA. 1970;213(11):1863-1866.

Abstract
We have observed three patients with diabetes mellitus, in whom renal insufficiency was associated with decreased requirements for exogenous insulin or hypoglycemic agents given orally. All three patients, while being managed on dietary therapy alone, became hypoglycemic during periods of decreased food intake. Studies on one subject demonstrated low serum insulin, elevated growth hormone, and normal cortisol levels. It seems probable that impaired hepatic glycogenolysis, glyconeogenesis, or both are responsible for this syndrome.

Author Affiliations
From the Department of Medicine, Pritzker School of Medicine, University of Chicago.

Footnotes
Reprint requests to 950 E 59th St, Chicago 60637 (Dr. Rubenstein).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Drug-Induced Hypoglycemic Coma in 102 Diabetic Patients
Ben-Ami et al.
Arch Intern Med 1999;159:281-284.
ABSTRACT | FULL TEXT  

Sulfonamide-Induced Hypoglycemia in Chronic Renal Failure
Arem et al.
Arch Intern Med 1983;143:827-829.
ABSTRACT  

Intractable Hypoglycemia in a Patient With Renal Failure
Bansal et al.
Arch Intern Med 1979;139:100-102.
ABSTRACT  

Spontaneous Hypoglycemia in Chronic Renal Failure
Rutsky et al.
Arch Intern Med 1978;138:1364-1368.
ABSTRACT  

Angiography, Acute Renal Failure, and Decreased Insulin Requirements in Diabetes Mellitus
Field
Arch Intern Med 1978;138:354-355.
ABSTRACT  

Decreased Insulin Requirement in Acute Renal Failure in Diabetic Nephropathy
Weinrauch et al.
Arch Intern Med 1978;138:399-402.
ABSTRACT