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Acute kidney injury presentation with recurrent hypoglycemia: A detailed case report of high-risk patients

Hamed E

Acute kidney injury (AKI) and hypoglycemia are independent risk factors for morbidity and mortality with a strong association. We present a case report of AKI associated with hypoglycemia in a diabetic patient. Following standard AKI treatment protocol, kidney functions recovered, and the patient had no further hypoglycemic attacks.

AKI in diabetic patients could be multifactorial, but we suggest the presenting symptom to the primary care centre in our case was the recurrent hypoglycemic attacks that might have been overlooked by clinicians.

While the association is well established in hospital settings, presentation in primary care settings with hypoglycemia is often overlooked. This case report aims to highlight the risk for AKI in diabetic and elderly patients with multiple risk factors for AKI and the strategies for prevention including highlighting those at risk, close monitoring and lower threshold of suspicion for the presentation.