Endocrinology & Metabolic Syndrome
Open Access

Broadlawns Medical Center, Des Moines, The University of Iowa, Iowa City, Iowa, USA

Publications

• Research Article   
  Tramadol Induced Hypoglycemia Masquerading as a Seizure Disorder
  Author(s): Sonal S Banzal and Udaya M Kabadi*
  
  Background: Common causes of hypoglycemia include hypoglycemic agents including exogenous insulin and insulin secretagogues, increased endogenous insulin, decline in circulating cortisol, human growth hormone and enzymes required for glucose production as well as hepatic and renal dysfunction. Case presentation: Patient presented to emergency room with re-current seizures treated with Levetricatem and Topiramate for 10 years with increased frequency of 2-3/week during last 6 months. During ER visits to different hospitals for these episodes, plasma glucose, 1.5-1.8 mM/L and undetectable levels of insulin, C peptide, proinsulin, Insulin antibodies eliminated hyperinsulinemia due to insulinoma, insulin secretagogues as well as exogenous insulin as a cause of hypoglycemia. Normal HGH, ACTH and cortisol responses at onset of  hypoglyce.. View More»
  DOI: 10.35248/2161-1017.19.8.301

  Abstract HTML PDF