A case of chronic renal failure with hypoglycemia during hemodialysis (HD)

We report on a case of hypoglycemic coma during HD. A 68-year-old male with a 1.4 year history of maintenace HD reguired for hypertensive nephrosclerosis developed a hypoglycemic coma during HD using bicarbonateglucose free dialysate. Further examinations suggested that malnutrition and its associat...

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Veröffentlicht in:Journal of Japanese Society for Dialysis Therapy 1991/03/28, Vol.24(3), pp.395-398
Hauptverfasser: Nagano, Yosiro, Sakemi, Takanobu, Yamaguchi, Kotaro, Baba, Naoki
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container_end_page 398
container_issue 3
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container_title Journal of Japanese Society for Dialysis Therapy
container_volume 24
creator Nagano, Yosiro
Sakemi, Takanobu
Yamaguchi, Kotaro
Baba, Naoki
description We report on a case of hypoglycemic coma during HD. A 68-year-old male with a 1.4 year history of maintenace HD reguired for hypertensive nephrosclerosis developed a hypoglycemic coma during HD using bicarbonateglucose free dialysate. Further examinations suggested that malnutrition and its associated conditions such as a low intake of glucose, poor glycogenesis due to decreased hepatic glycogen storage, and poor glyconeogenesis due to decreased alanin may have been responsible for the dialysis-induced hypoglycemia. Our case suggests that those patients with poor nutrition should avoid fasting during HD.
doi_str_mv 10.4009/jsdt1985.24.395
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subjects hemodialysis
hypoglycemic attack
title A case of chronic renal failure with hypoglycemia during hemodialysis (HD)
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