Recurrent hypoglycemia in a patient with hepatocellular carcinoma
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Siti Nor Ain Wahid Satar 1 , Mohd Noor Norhayati 1 * , Lili Husniati Yaacob 1
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1 Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MALAYSIA* Corresponding Author

Abstract

Hypoglycemia is a common complication of diabetes mellitus. Patients may present with any kind of symptoms, either autonomic or neuroglycopenic. Here, we report a case of a 70-year-old man with type 2 diabetes mellitus with a newly diagnosed hepatocellular carcinoma presenting with recurrent episodes of hypoglycemia. The insulin treatment was withheld initially. However, the patient's diabetic control worsened after starting treatment for his hepatocellular carcinoma. Hence, the insulin treatment was resumed. This case highlighted the challenge in balancing the management of hypoglycaemia and poor diabetic control in a patient who has diabetes mellitus and hepatocellular carcinoma. Primary care practitioners need to have high clinical suspicion to monitor these patients to prevent hypoglycemia and manage them accordingly.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

ELECTRON J GEN MED, 2023, Volume 20, Issue 3, Article No: em465

https://doi.org/10.29333/ejgm/12903

Publication date: 01 May 2023

Online publication date: 28 Jan 2023

Article Views: 733

Article Downloads: 1352

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