Evidence map›Paper›PMID 40375949›Full record

ArticleFrontiers in endocrinology2025

Case Report: Diazoxide-induced diabetic ketoacidosis in a patient with insulinoma.

Run Ting Chin, Jolene Jiayu Kiew, Khek Yu Ho, Doddabele S Deepak

Abstract readCase Reports
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Run Ting ChinDivision of Endocrinology, Department of Medicine, National University Hospital, National University Health Systems, Singapore, Singapore.
Jolene Jiayu KiewDivision of Endocrinology, Department of Medicine, Ng Teng Fong General Hospital, National University Health Systems, Singapore, Singapore.
Khek Yu HoDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, National University Health Systems, Singapore, Singapore.
Doddabele S DeepakDivision of Endocrinology, Department of Medicine, National University Hospital, National University Health Systems, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Definitive management of insulinoma is challenging as curative surgery is associated with a considerable risk of morbidity and mortality. The successful long-term use of diazoxide for patients diagnosed with insulinoma has been described, but rarely, the use of diazoxide can be complicated by diabetic ketoacidosis (DKA). This case report describes a frail elderly patient with high surgical risk diagnosed with pancreatic head insulinoma whose initial treatment with diazoxide was complicated by a hyperglycemic crisis. Her insulinoma was eventually managed with endoscopic ultrasound-guided-radiofrequency ablation (EUS-RFA) with complete resolution of hypoglycemic episodes. This case highlights the importance of monitoring for side effects of diazoxide, especially in the elderly, and the role of EUS-RFA as an emerging non-surgical treatment modality for insulinoma.

Indexed as

Diabetic KetoacidosisDiazoxideInsulinomaPancreatic NeoplasmsAgedFemaleHumansDiazoxidediabetic ketoacidosisdiazoxideendoscopic ultrasoundinsulinomaradiofrequency ablation

Identifiers

PMID40375949
PMCPMC12078125

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.