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Would you start octreotide in a patient with suspected sulfonyurea overdose but without frank hypoglycemia?

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Would you start octreotide in a patient with suspected sulfonylurea overdose but without frank hypoglycemia?

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1 Answer
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Endocrinology · The University Of Vermont Medical Center Endocrinology
Answered on

The data in the literature supports treating with Octreotide once hypoglycemia is present. Otherwise, a watchful, waiting period would be employed. It is reasonable to have a low threshold for its use once indicated, given how prolonged and profound the hypoglycemia can be in this situation.

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