Hypoglycemia in Chronic Hemodialysis Patients: Association with Propranolol Use

Vol. 26, No. 3, 1980

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Original Paper

Hypoglycemia in Chronic Hemodialysis Patients: Association with Propranolol Use
Martin M. Grajower, Leslie Walter, Joan Albin

Endocrinology and Metabolism and Renal and Hypertension Divisions of the Department of Medicine, Montefiore Hospital and Medical Center and Albert Einstein College of Medicine, Bronx, N.Y.

Address of Corresponding Author

Nephron 1980;26:126-129 (DOI: 10.1159/000181967)

Key Words

Hypoglycemia
Hemodialysis
Propranolol

Abstract

We have observed six episodes of severe symptomatic hypoglycemia in 5 nondiabetic patients on chronic maintenance hemodialysis. The common factor in all 5 patients was propranolol administration for the treatment of hypertension. This observation suggests that beta -adrenergic blockade may cause profound hypoglycemia in dialyzed patients with other predisposing factors such as poor nutrition, liver dysfunction or stress. On the basis of our experience, we recommend blood sugar determinations for propranolol-treated patients during dialysis against glucose-free dialysate.

Author Contacts

Leslie Walter, MD, Montefiore Hospital and Medical Center, 111 East 210 Street, Bronx, NY 10467 (USA)

Article Information

Accepted: February 7, 1980
Published online: December 02, 2008
Number of Print Pages : 4

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