Attempted suicide using insulin by a non diabetic: a case study demonstrating the acute and chronic consequences of profound hypoglycemia.

摘要: This paper describes the case of a non diabetic physician with prior psychiatric history in which there was overwhelming biochemical and clinical evidence that he had attempted suicide by injecting himself an overdose insulin. He extensively monitored from time his admission to hospital coma, until fully recovered consciousness 30 days later during next eight months rehabilitation. attests high level morbidity might follow profound hypoglycemia. It also illustrates some putative psychodynamics suicidal behaviour--notably ambivalence denial (at writing, patient never acknowledged overdosed insulin). A selective review on more recent literature neuropathological effects insulin hypoglycemia is presented.