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JAMA. 1960;173(13):1476-1478. doi: 10.1001/jama.1960.73020310001018

INSULIN REACTION AND RECOVERY IN DIABETIC PATIENT

REPORT OF A CASE

  1. Marios C. Balodimos, M.D.;
  2. Hae Sok Kim, M.D.
  1. Jacksonville, Fla.
  2. From St. Vincent's Hospital.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

A case of severe insulin reaction resulting in unconsciousness of 60 hours' duration was caused in a young diabetic woman by the erroneous administration of 1,800 units of insulin. Early recognition of the hypoglycemia and intensive treatment were responsible for the patient's complete recovery.

The patient, a 16-year-old, overweight girl, was brought to the emergency room on Jan. 3, 1956, after having been unconscious for the preceding three hours. This was her 14th hospital admission. She had been a known diabetic since 1948, taking about 100 units of insulin daily. Her previous admissions had been primarily for diabetic acidosis and coma, of which she had a total of 11 episodes in 1955 alone. The patient was dehydrated and restless and responded little to external stimuli. Her face was flushed, temperature was 100.0 F (37.7 C), and pulse rate was 120 per minute. She did not have Kussmaul's respiration. The urine

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