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Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus

Acute pancreatitis (AP) is an uncommon potential complication of severe hypertriglyceridemia (HTG). We reported a case of a 45-year-old man admitted with HTG-induced AP (HTG-AP). The patient was a known diabetic (glycated hemoglobin levels: 9.5%), his triglycerides level was 3587.2 mg/dl, and the li...

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Autores principales: Aldhaleei, Wafa A, Alnuaimi, Abdulaziz, Bhagavathula, Akshaya S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387068/
https://www.ncbi.nlm.nih.gov/pubmed/32754417
http://dx.doi.org/10.7759/cureus.9414
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author Aldhaleei, Wafa A
Alnuaimi, Abdulaziz
Bhagavathula, Akshaya S
author_facet Aldhaleei, Wafa A
Alnuaimi, Abdulaziz
Bhagavathula, Akshaya S
author_sort Aldhaleei, Wafa A
collection PubMed
description Acute pancreatitis (AP) is an uncommon potential complication of severe hypertriglyceridemia (HTG). We reported a case of a 45-year-old man admitted with HTG-induced AP (HTG-AP). The patient was a known diabetic (glycated hemoglobin levels: 9.5%), his triglycerides level was 3587.2 mg/dl, and the lipase level was 242 IU/L. A CT scan revealed AP. The patient was treated with a low-dose insulin infusion (0.05 unit/kg/hr) with dextrose for six days. His triglycerides came down to 673.1 mg/dl, and he was discharged. Further investigations are needed to understand the efficacy of low-dose insulin in the management of HTG-AP.
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spelling pubmed-73870682020-08-03 Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus Aldhaleei, Wafa A Alnuaimi, Abdulaziz Bhagavathula, Akshaya S Cureus Endocrinology/Diabetes/Metabolism Acute pancreatitis (AP) is an uncommon potential complication of severe hypertriglyceridemia (HTG). We reported a case of a 45-year-old man admitted with HTG-induced AP (HTG-AP). The patient was a known diabetic (glycated hemoglobin levels: 9.5%), his triglycerides level was 3587.2 mg/dl, and the lipase level was 242 IU/L. A CT scan revealed AP. The patient was treated with a low-dose insulin infusion (0.05 unit/kg/hr) with dextrose for six days. His triglycerides came down to 673.1 mg/dl, and he was discharged. Further investigations are needed to understand the efficacy of low-dose insulin in the management of HTG-AP. Cureus 2020-07-27 /pmc/articles/PMC7387068/ /pubmed/32754417 http://dx.doi.org/10.7759/cureus.9414 Text en Copyright © 2020, Aldhaleei et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Aldhaleei, Wafa A
Alnuaimi, Abdulaziz
Bhagavathula, Akshaya S
Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus
title Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus
title_full Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus
title_fullStr Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus
title_full_unstemmed Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus
title_short Hypertriglyceridemia–Induced Acute Pancreatitis in a Patient With Type 2 Diabetes Mellitus
title_sort hypertriglyceridemia–induced acute pancreatitis in a patient with type 2 diabetes mellitus
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387068/
https://www.ncbi.nlm.nih.gov/pubmed/32754417
http://dx.doi.org/10.7759/cureus.9414
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