When Acarbose Overdose Turns Severe: Managing Hypoglycemia in an Uncommon Scenario

Acarbose is usually safe, but overdose can trigger severe, life-threatening hypoglycemia. In cases of unexplained low blood sugar-particularly in patients with psychiatric illness or access to hypoglycemic drugs-acarbose toxicity should be considered. Rapid intravenous glucose, careful monitoring, and patient education are vital for optimal outcomes.

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Publication Details

Journal
Clinical Case Reports
Published
2025-11-01
DOI
https://doi.org/10.1002/ccr3.71448
Primary Topic
Hyperglycemia and glycemic control in critically ill and hospitalized patients
Type
article
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article

When Acarbose Overdose Turns Severe: Managing Hypoglycemia in an Uncommon Scenario

Navin Poudel, Aron Shrestha, Bibek Ghimire, Kshitiz Acharya et al.
Clinical Case Reports
Hyperglycemia and glycemic control in critically ill and hospitalized patients
article

When Acarbose Overdose Turns Severe: Managing Hypoglycemia in an Uncommon Scenario

Navin Poudel, Aron Shrestha, Bibek Ghimire, Kshitiz Acharya, Manoj Kumar Acharya, Abhideep Chaudhary, Santosh Bastola
article en

Abstract

Acarbose is usually safe, but overdose can trigger severe, life-threatening hypoglycemia. In cases of unexplained low blood sugar-particularly in patients with psychiatric illness or access to hypoglycemic drugs-acarbose toxicity should be considered. Rapid intravenous glucose, careful monitoring, and patient education are vital for optimal outcomes.

Clinical Case ReportsVol. 13(11)
Tribhuvan University (NP), University of Dhaka (BD), Tribhuvan University Teaching Hospital (NP), Dhaka Medical College and Hospital (BD)
Openalex Percentile: Top 53%
Hyperglycemia and glycemic control in critically ill and hospitalized patients
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When Acarbose Overdose Turns Severe: Managing Hypoglycemia in an Uncommon Scenario — Navin Poudel, Aron Shrestha, et al. · Clinical Case Reports (2025) | TGRS Research Map | TGRS