Endocrine Abstracts

Inpatient hypoglycaemia is common and associated with adverse outcome during admission and post discharge. We investigated management of hypoglycaemia using the time to repeat (TTR) capillary blood glucose (CBG) measurement as a surrogate for engagement with clinical guidelines.Methods: Inpatient CBG data from 8 hospitals over a 7 y period were analysed. Primary care prescribing information was available, and admissions were associated with insulin or SU...

A 69-year-old man presented in a life threatening hypoglycaemic coma which following resuscitation required continuous intravenous dextrose to maintain euglycaemia. Random blood sugar was confirmed at 0.7 mmol/l. Past medical history included a large (19×14.5 cm) recurrent malignant fibrous tumour of the pleura which was resected in 1989 but recurred in 2006. At that time the tumour was thought not to be responsive to chemotherapy and radiotherapy and debulking surgery wa...

A 45-year-old professional jockey presented as an emergency with a 10 day history of polyuria and polydipsia in excess of 10 l daily. 10 days previously he had suffered a head injury complicated by concussion while horse racing in Norway. There was no significant past medical or drug history but he admitted to the use of ‘wasting’ methods prior to a race to maintain his body weight. Examination was unremarkable. Renal function, liver function, thyroid function, serum...