Evelina Maines, Silvana Anna Maria Urru, Letizia Leonardi, Elisabetta Fancellu, Annalisa Campomori, Giovanni Piccoli, Arianna Maiorana, Massimo Soffiati, Roberto Franceschi
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引用次数: 0
摘要
低血糖鉴别诊断的第一步是确定是高胰岛素血症还是非高胰岛素血症。现有文献讨论了药物相关性低血糖,但对药物性高胰岛素性低血糖(DHH)缺乏关注。本文综述了药物与高胰岛素性低血糖之间的关系。我们主要从主要的电子数据库(MEDLINE, EMBASE, Web of Science, SCOPUS)中选择有关药物性低血糖的综述。在综述中列出的药物中,我们选择了与胰岛素分泌增加有关的药物。对于与胰岛素分泌缺乏明确关联的药物,我们参考原始文献对低血糖的可能机制进行了研究。我们的综述提供了与高胰岛素性低血糖(HH)相关的最常见药物清单,以促进DHH的识别和预防。我们还收集了DHH对二氮唑或奥曲肽的反应性数据。
Drug-induced hyperinsulinemic hypoglycemia: An update on pathophysiology and treatment.
The initial step for the differential diagnosis of hypoglycemia is to determine whether it is hyperinsulinemic or non hyperinsulinemic. Existing literature discusses drug-related hypoglycemia, but it misses a focus on drug-induced hyperinsulinemic hypoglycemia (DHH). Here we reviewed the association existing between drugs and hyperinsulinemic hypoglycemia. We primarily selected on the main electronic databases (MEDLINE, EMBASE, Web of Science, and SCOPUS) the reviews on drug-induced hypoglycemia. Among the drugs listed in the reviews, we selected the ones linked to an increase in insulin secretion. For the drugs missing a clear association with insulin secretion, we investigated the putative mechanism underlying hypoglycemia referring to the original papers. Our review provides a list of the most common agents associated with hyperinsulinemic hypoglycemia (HH), in order to facilitate both the recognition and the prevention of DHH. We also collected data about the responsiveness of DHH to diazoxide or octreotide.
期刊介绍:
Reviews in Endocrine and Metabolic Disorders is an international journal dedicated to the field of endocrinology and metabolism. It aims to provide the latest advancements in this rapidly advancing field to students, clinicians, and researchers. Unlike other journals, each quarterly issue of this review journal focuses on a specific topic and features ten to twelve articles written by world leaders in the field. These articles provide brief overviews of the latest developments, offering insights into both the basic aspects of the disease and its clinical implications. This format allows individuals in all areas of the field, including students, academic clinicians, and practicing clinicians, to understand the disease process and apply their knowledge to their specific areas of interest. The journal also includes selected readings and other essential references to encourage further in-depth exploration of specific topics.