Publications by authors named "Keisen Riku"
Article Synopsis
- Excessive carbohydrate intake leading to hypophosphatemia is a key factor in refeeding syndrome, which can also cause liver injury and hypoglycemia in malnourished patients, but the exact relationship is still being studied.
- A study involving 48 patients with anorexia nervosa found that significant liver volume reductions were linked to episodes of severe hypoglycemia, especially when patients had very low nutritional intake.
- The findings suggest careful re-nutrition strategies, starting at 500 kcal/day and gradually increasing, may help minimize complications related to hypoglycemia and liver dysfunction in these patients.
We report the case of a 41-year-old woman with schizophrenia who developed persistent hypoglycemia following paliperidone administration. After discontinuing paliperidone, the hypoglycemia resolved, but symptoms of diabetes emerged. Therefore, it appears that the hypoglycemia induced by paliperidone may mask symptoms of diabetes.
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