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January 4, 1971

Hypoglycemia in Diabetes With Renal Insufficiency

Author Affiliations

Fort Sam Houston, Texas

JAMA. 1971;215(1):117. doi:10.1001/jama.1971.03180140081019

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To the Editor.—  We read with great interest the article, "Spontaneous Hypoglycemia in Diabetic Patients With Renal Insufficiency" (213: 1863, 1970), and bring our observation of a similar though nondiabetic patient to your attention.Doctors Block and Rubenstein described three patients with renal insufficiency and a history of diabetes who developed hypoglycemic episodes. We observed a similar patient with renal insufficiency and hypoglycemic episodes who did not have diabetes. This patient is a 39-year-old woman with chronic glomerulonephritis who developed progressive renal failure and hypertension. She was hospitalized for intermittent peritoneal dialysis and control of her hypertension. The patient was malnourished and was eating poorly. During this period of hospitalization, the patient had five proved episodes of hypoglycemia (blood glucose level, 28 to 52 mg/ 100 ml). Three of these episodes occurred within 24 hours of the conclusion of peritoneal dialysis. The patient's blood glucose levels during the course of