FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 341:757-758 September 2, 1999 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Seckl, M. J. PubMed Citation

Hypoglycemia is a common medical emergency. Among hospitalized patients, it is most common in those with diabetes mellitus, but it also occurs in patients with renal insufficiency, liver disease, malnutrition, congestive heart failure, sepsis, or cancer.^1,2 Among ambulatory patients, it is most common in patients with diabetes, particularly those treated with insulin. Factitious or surreptitious use of insulin or sulfonylurea drugs is probably the most common cause of hypoglycemia among patients who do not have diabetes. Occasionally, hypoglycemia can be induced by tumors, including pancreatic tumors that secrete insulin³ and non–islet-cell tumors that secrete insulin-like growth factors.⁴

Strict criteria are . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Nauck, M. A., Reinecke, M., Perren, A., Frystyk, J., Berishvili, G., Zwimpfer, C., Figge, A. M., Flyvbjerg, A., Lankisch, P. G., Blum, W. F., Kloppel, G., Schmiegel, W., Zapf, J. (2007). Hypoglycemia due to Paraneoplastic Secretion of Insulin-Like Growth Factor-I in a Patient with Metastasizing Large-Cell Carcinoma of the Lung. J. Clin. Endocrinol. Metab. 92: 1600-1605 [Abstract] [Full Text]  
• Hamberg, P., de Jong, F. A., Boonstra, J. G., van Doorn, J., Verweij, J., Sleijfer, S. (2006). Non-Islet-Cell Tumor Induced Hypoglycemia in Patients With Advanced Gastrointestinal Stromal Tumor Possibly Worsened By Imatinib. JCO 24: e30-e31 [Full Text]  
• Furrer, J., Hättenschwiler, A., Komminoth, P., Pfammatter, T., Wiesli, P. (2001). Carcinoid Syndrome, Acromegaly, and Hypoglycemia Due to an Insulin-Secreting Neuroendocrine Tumor of the Liver. J. Clin. Endocrinol. Metab. 86: 2227-2230 [Abstract] [Full Text]  
• Holdcroft, A. (2000). Hormones and the gut. Br J Anaesth 85: 58-68 [Full Text]