Marked deterioration in glycemic control with change in brand of lactulose syrup.

Abstract:

:Lactulose is a poorly absorbed synthetic disaccharide frequently used in the treatment of portasystemic encephalopathy. Because lactulose syrup contains small amounts of absorbable sugars, it may cause hyperglycemia in diabetic individuals, but is usually well tolerated. We report the case of a patient with diet-controlled diabetes and cirrhosis who experienced a marked deterioration in glycemic control, requiring insulin use, when he began using a different brand of lactulose syrup. The hyperglycemia resolved and insulin was discontinued after use of the original brand of lactulose syrup was resumed.

journal_name

South Med J

journal_title

Southern medical journal

authors

Kirkman MS,Zimmerman DR,Filippini SA

doi

10.1097/00007611-199504000-00025

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

492-3

issue

4

eissn

0038-4348

issn

1541-8243

journal_volume

88

pub_type

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