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Insulin Shock

MedGen UID:
279666
•Concept ID:
C1527401
•
Disease or Syndrome
Synonym: Shock, Insulin

Definition

A hypoglycemic reaction to overdosage of insulin, a skipped meal, or strenuous exercise in an insulin-dependent diabetic. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVInsulin Shock

Professional guidelines

PubMed

No risk of diabetes after insulin-shock treatment.
Bock T, Pedersen CR, Josefsen K, Bottazzo GF, Palmer JP, Buschard K
Lancet 1992 Jun 20;339(8808):1504-6. doi: 10.1016/0140-6736(92)91264-9. PMID: 1351186
Impaired glucose tolerance: a late effect of insulin shock treatment.
Hunter R, Jones M, Hurn BA, Duncan C
Br Med J 1970 Feb 21;1(5694):465-8. doi: 10.1136/bmj.1.5694.465. PMID: 5435149Free PMC Article
Insulin shock treatment in children with psychotic disturbances.
ANNELL AL
Acta Psychother Psychosom Orthopaedagog 1955;3(3):193-205. doi: 10.1159/000278484. PMID: 13301944

Recent clinical studies

Etiology

The proarrhythmic effect of hypoglycemia: evidence for increased risk from ischemia and bradycardia.
Nordin C
Acta Diabetol 2014 Feb;51(1):5-14. Epub 2013 Nov 9 doi: 10.1007/s00592-013-0528-0. PMID: 24212718
No risk of diabetes after insulin-shock treatment.
Bock T, Pedersen CR, Josefsen K, Bottazzo GF, Palmer JP, Buschard K
Lancet 1992 Jun 20;339(8808):1504-6. doi: 10.1016/0140-6736(92)91264-9. PMID: 1351186
The outcome of diabetic pregnancies: a prospective study.
Naeye RL
Ciba Found Symp 1978 Mar 30-Apr 1;(63):227-41. doi: 10.1002/9780470720462.ch11. PMID: 256543
Impaired glucose tolerance: a late effect of insulin shock treatment.
Hunter R, Jones M, Hurn BA, Duncan C
Br Med J 1970 Feb 21;1(5694):465-8. doi: 10.1136/bmj.1.5694.465. PMID: 5435149Free PMC Article

Diagnosis

Exercise-associated collapse care matrix in the marathon.
Roberts WO
Sports Med 2007;37(4-5):431-3. doi: 10.2165/00007256-200737040-00041. PMID: 17465627
No risk of diabetes after insulin-shock treatment.
Bock T, Pedersen CR, Josefsen K, Bottazzo GF, Palmer JP, Buschard K
Lancet 1992 Jun 20;339(8808):1504-6. doi: 10.1016/0140-6736(92)91264-9. PMID: 1351186
Relationship of blood glucose to changes in insulin sensitivity during insulin shock therapy.
BENNETT IF, LETONOFF TV, WINICK W, DOHAN FC
AMA Arch Neurol Psychiatry 1957 Sep;78(3):221-7. doi: 10.1001/archneurpsyc.1957.02330390003001. PMID: 13457496

Therapy

'A landmark in psychiatric progress'? The role of evidence in the rise and fall of insulin coma therapy.
Freudenthal R, Moncrieff J
Hist Psychiatry 2022 Mar;33(1):65-78. Epub 2021 Dec 22 doi: 10.1177/0957154X211062538. PMID: 34935541Free PMC Article
Medical emergencies in dental practice and choice of emergency drugs and equipment: a survey of Australian dentists.
Chapman PJ
Aust Dent J 1997 Apr;42(2):103-8. doi: 10.1111/j.1834-7819.1997.tb00104.x. PMID: 9153837
No risk of diabetes after insulin-shock treatment.
Bock T, Pedersen CR, Josefsen K, Bottazzo GF, Palmer JP, Buschard K
Lancet 1992 Jun 20;339(8808):1504-6. doi: 10.1016/0140-6736(92)91264-9. PMID: 1351186
Impaired glucose tolerance: a late effect of insulin shock treatment.
Hunter R, Jones M, Hurn BA, Duncan C
Br Med J 1970 Feb 21;1(5694):465-8. doi: 10.1136/bmj.1.5694.465. PMID: 5435149Free PMC Article
INSULIN shock.
N Y State J Med 1958 Nov 1;58(21):3506-8. PMID: 13590511

Prognosis

Medical emergencies in dental practice and choice of emergency drugs and equipment: a survey of Australian dentists.
Chapman PJ
Aust Dent J 1997 Apr;42(2):103-8. doi: 10.1111/j.1834-7819.1997.tb00104.x. PMID: 9153837
The outcome of diabetic pregnancies: a prospective study.
Naeye RL
Ciba Found Symp 1978 Mar 30-Apr 1;(63):227-41. doi: 10.1002/9780470720462.ch11. PMID: 256543
ELECTRIC AND INSULIN SHOCK THERAPY DURING PREGNANCY.
IMPASTATO DJ, GABRIEL AR, LARDARO HH
Dis Nerv Syst 1964 Sep;25:542-6. PMID: 14215244
Some cases of general allergy to insulin in the course of psychiatric treatment with insulin shock.
DAHL L
Acta Allergol 1950;3(1):26-38. doi: 10.1111/j.1398-9995.1950.tb03339.x. PMID: 24537414

Clinical prediction guides

No risk of diabetes after insulin-shock treatment.
Bock T, Pedersen CR, Josefsen K, Bottazzo GF, Palmer JP, Buschard K
Lancet 1992 Jun 20;339(8808):1504-6. doi: 10.1016/0140-6736(92)91264-9. PMID: 1351186

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