@article{ref1,
title="Complete recovery from prolonged hypoglycemic coma after intentional overdose with an insulin pump",
journal="Endocrinologist",
year="2004",
author="Soni, S. and Mentzelopoulos, V. and Hatipoglu, B.",
volume="14",
number="5",
pages="257-260",
abstract="Hypoglycemia resulting from insulin overdose can occur as documented by cases reported in the literature of malicious or factitious administration, in addition to self-inflicted insulin overdose by depressed individuals with intent of suicide. We describe a case of a patient with insulin-dependent diabetes mellitus who attempted suicide with the use of an insulin pump resulting in a severe prolonged hypoglycemic coma. She recovered after approximately 7 hours of hypoglycemia and 4 days of being in a decerebrate posture. The occurrence of unexplained hypoglycemia in a depressed diabetic patient should raise the suspicion of insulin overdose. Moreover, physicians should be aware of the potential of insulin pumps to be used as a suicidal weapon, and special caution and close monitoring of depressed patients using the pump is strongly advised.<p /><p>Language: en</p>",
language="en",
issn="1051-2144",
doi="10.1097/01.ten.0000139044.65636.76",
url="http://dx.doi.org/10.1097/01.ten.0000139044.65636.76"
}