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November 5, 1973

Shock During Oral Glucose Tolerance Testing

Author Affiliations

From the Endocrinology-Metabolism-Nutrition Division, Department of Medicine, Medical University of South Carolina and Veterans Administration Hospital, Charleston, SC.

JAMA. 1973;226(6):667-668. doi:10.1001/jama.1973.03230060045017

A shock-like state occurred early during the performance of a standard glucose tolerance test in a patient with hypopituitarism. The reaction is interpreted as a dumping syndrome resulting from fluid transudation into the jejunum in a patient who was already hypotensive and hypovolemic.