Hypoglycemia in Pregnancy: Occurrence due to Adrenocorticotropic Hormone and Growth Hormone Deficiency

Robert C. Smallridge, Dominic F. Corrigan, Albert M. Thomason, Peter W. Blue

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Severe symptomatic hypoglycemia (serum glucose level, 24 mg/dL) developed in a 23-year-old, 147.3-cm-tall woman during her late second and early third trimesters of pregnancy. Endocrine studies disclosed insulin levels < 2 μU/mL; growth hormone level < 3 ng/mL; and cortisol level < 1 μg/dL. Hydrocortisone therapy corrected her hypoglycemia, and she was delivered of a healthy female infant. Postpartum, her evaluation included normal thyroid function studies, a normal thyroidstimulating hormone response to protirelin (thyrotropin-releasing hormone), normal serum and urine gonadotropin levels, normal serum prolactin, normal sella turcica tomograms, and a normal EMI brain scan. Urine 17-hydroxycorticosteroids increased during a four-day cosyntropin infusion, but failed to rise after metyrapone administration. The growth hormone level failed to rise after stimulation with levodopa and propranolol administration. The patient was believed to have idiopathic partial hypopituitarism, with hypoglycemia being due to adrenocorticotropic hormone (ACTH) and growth hormone deficiency and the drain of maternal glucose by the fetus. It is suggested that pregnant women with symptomatic hypoglycemia be treated with glucocorticoids while awaiting the results of their endocrine evaluation.

Original languageEnglish (US)
Pages (from-to)564-565
Number of pages2
JournalArchives of internal medicine
Volume140
Issue number4
DOIs
StatePublished - Apr 1980

ASJC Scopus subject areas

  • Internal Medicine

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