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Anesth Analg 2007;104:1473-1474
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000264007.46873.0f

CRITICAL CARE AND TRAUMA

Significant Hypoglycemia Secondary to Icodextrin Peritoneal Dialysate in a Diabetic Patient

Henry R. Kroll, MD, and Thomas R. Maher, MD

From the Department of Anesthesiology, Henry Ford Hospital, Detroit, Michigan.

Address correspondence and reprint requests to Henry R. Kroll, MD, Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202-9888. Address e-mail to hkroll1{at}hfhs.org.

Icodextrin, a peritoneal dialysate commonly used in the renal failure patient with diabetes, may lead to an overestimation of blood glucose levels as determined by bedside glucometers. This spurious hyperglycemia can lead to significant morbidity if unrecognized. We describe a case of severe hypoglycemia caused by an unappreciated overestimation of blood glucose in a diabetic patient with concomitant chronic renal failure requiring peritoneal dialysis with icodextrin.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.