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News From the Centers for Disease Control and Prevention
August 11, 2020

Severe Hypoglycemia Linked With Over-the-Counter Supplement

JAMA. 2020;324(6):540. doi:10.1001/jama.2020.12914

An over-the-counter supplement promising male sexual enhancement led at least 17 men in Virginia to develop severe hypoglycemia in 2019, the CDC reported.

The first case, a 57-year-old man without diabetes, presented to an emergency department with profuse sweating, increasing agitation, and confusion. His blood glucose was 48 mg/dL, well below the normal range of 70 mg/dL to 100 mg/dL. The man said he used an over-the-counter sexual enhancement supplement after being unable to fill his sildenafil prescription.