JLE

Journal de Pharmacie Clinique

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Report of a glycemic imbalance in a diabetic patient after initiation of nicotine replacement therapy Volume 28, issue 4, octobre-novembre-décembre 2009

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Authors
Service pharmacie, Hôpitaux de Brabois - CHU Nancy, Vandoeuvre-Lès-Nancy, Pôle de médecine générale et gériatrique, Établissement public de santé Alsace Nord, Brumath, Service d’endocrinologie, diabète et maladies métaboliques, Hôpital Bellevue - CHU Saint-Étienne, Saint-Étienne, Service G06, Établissement public de Santé Alsace Nord, Brumath, Service pharmacie, Etablissement public de Santé Alsace Nord, Brumath, Département nutrition-santé, Laboratoire ETAP, Vandoeuvre-Lès-Nancy, Service diabétologie-nutrition, Hôpital Jeanne dâ??Arc - CHU Nancy, Toul, Service Les Hortensias, Centre psychothérapique Nord-Dauphiné, Bourgoin-Jallieu

In the present study, we report the case of a patient with diabetes mellitus whose glycemic control was disrupted during hospitalization after a nicotine replacement therapy. Dosage adjustments along with a long-acting insulin treatment were used in order to obtain a new glycemic control. A possible explanation is that this metabolic disturbance was provoked by an overestimation of the patient’s actual nicotine consumption at the onset of the nicotine withdrawal program.