Endocrine Abstracts

Reactive hypoglycaemia after gastric bypass surgery is characterized primarily by excessive postprandial hyperinsulinaemia and resultant neuroglycopaenic symptoms. The elusive pathophysiology of this problem has made treatment challenging. We describe the first case report where treatment with the Sodium Glucose Transporter Inhibitor canagliflozin has reduced hypoglycaemic episodes after failure of other therapies.A 56 year o...

Stress hyperglycaemia is a widely recognised feature of critical illness. Spontaneous hypoglycaemia, by contrast, is an underappreciated but serious complication. Here I present three cases encountered over 12 months in a single teaching hospital.Case 1: 59 year old female. Admitted with fever and leg pain. Cellulitis diagnosed and antibiotics commenced. Hours later, she became unresponsive and shocked, with evident necrotisi...

Anorexia nervosa has the highest mortality of all psychiatric conditions. Sligo University Hospital (SUH) uses the MARSIPAN protocol for the (Management of Really Sick Patients with Anorexia Nervosa) for inpatient treatment.Case 1; 22-year-old lady with a BMI of 12.06 kg/m2, admitted voluntarily and reported food and bowels dominated her life, did not leave the house, consuming only nutritional ‘supplements, l...

: We report a case of a 56-year-old gentleman who presented to the endocrine clinic with erectile dysfunction. He had elevated SHBG levels, MCV, gamma GT, ferritin, iron and markedly elevated testosterone and transferrin saturation (GGT 167 IU/l, ferritin 1128 ug/l, testosterone 62.5 nmol/l). He had a marginally low platelet count (123X109/l). He denied ever taking testosterone supplements. His calculated free testosterone was normal. His full blood count was otherwise unremar...