Recurrent Hypoglycemia in an 80-Year-Old Diabetic Uremic Female Presenting as Transient Hemiparesis: A Case Report

復發性低血糖於一位80歲糖尿病洗腎病患以暫時性偏癱來表現：個案報告

李文宏(Wen-Hung Lee) ； 葉宏明(Horng-Ming Yeh)

《台灣老年醫學暨老年學雜誌》 7卷3期 (2012/08) Pp. 194-199

https://doi.org/10.29461/TGG.201208.0004

摘要

復發性低血糖常見於服用磺醯尿素的病人，特別是老人合併腎功能不良者。低血糖造成偏癱並不常見，且可能被誤為腦梗塞。我們在此報告一位80歲糖尿病洗腎病患，她因低血糖造成昏迷而入院，給予葡萄糖注射情況好轉後隔天早上又復發低血糖，並且出現暫時性右側偏癱的現象，血糖值分別為31mg/dl及41mg/dl。早期診斷低血糖造成的偏癱以及合理控制老年糖尿病患血糖相當重要，因為低血糖若無適當治療將導致嚴重後果。

關鍵字

復發性低血糖 ； 老年人 ； 暫時性偏癱

並列摘要

Recurrent hypoglycemia is not uncommon in patients taking sulfonylurea, especially elder patients with poor renal function. Hypoglycemic hemiparesis is rare and can be misdiagnosed as cerebral infarction. We herein present a case of transient hypoglycemic hemiparesis which developed as recurrent hypoglycemia in an 80-year-old diabetic uremic female. She was sent to the emergency room due to the loss of consciousness. A prompt dextrose supply corrected the situation, but recurrent hypoglycemia and transient hemiparesis developed the next morning. The plasma glucose level was 31 mg/dl and 41 mg/dl, respectively. Early diagnosis of transient hemiparesis and optimal glycemic control is critical in elderly patients, because hypoglycemia may lead to a fatal clinical course if not treated promptly.

並列關鍵字

recurrent hypoglycemia ； transient hemiparesis ； glycemic control ； elder