Hypoglycemia in patients with renal failure

Ren Fail. 2000 Mar;22(2):219-23. doi: 10.1081/jdi-100100866.

Abstract

Of a total of 1545 admissions of end stage renal failure (ESRD) patients, fifty-six (3.6%) were admitted during a ten-year period with hypoglycemia. Thirty-eight of them were diabetic while the others were non-diabetic patients. The most common etiology found to be drug-induced hypoglycemia in 26 (46%) patients. In 22 (39%) cases, sepsis was the contributing cause of hypoglycemia. Severe malnutrition caused 7% of hypoglycemic episodes. Of the patients, 18 (32%) with ESRD eventually died, none of them were from the drug induced group. However, mortality rate in the sepsis induced hypoglycemia group was 66%, and of the malnutrition group 17% of the deaths. Thus, hypoglycemia is frequent in ESRD patients, and is fatal if associated with either sepsis or malnutrition.

Publication types

  • Comparative Study

MeSH terms

  • Blood Glucose / metabolism*
  • Hospitalization / statistics & numerical data
  • Humans
  • Hypoglycemia / blood
  • Hypoglycemia / etiology*
  • Hypoglycemia / mortality
  • Israel / epidemiology
  • Kidney Failure, Chronic / blood
  • Kidney Failure, Chronic / complications*
  • Kidney Failure, Chronic / mortality
  • Kidney Failure, Chronic / therapy
  • Middle Aged
  • Nutrition Disorders / blood
  • Nutrition Disorders / complications
  • Nutrition Disorders / mortality
  • Peritoneal Dialysis, Continuous Ambulatory
  • Renal Dialysis
  • Retrospective Studies
  • Survival Rate

Substances

  • Blood Glucose