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Published 2 March 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.08.2008.0654]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Reminder of important clinical lesson

Hydroxychloroquine: a diabetic drug in disguise?

Lydia Kang1, Ted R Mikuls2, James R O’Dell2

1 University of Nebraska Medical Center, General Internal Medicine, MSB 5544, 983331, Omaha, Nebraska, 68198-3331, USA
2 University of Nebraska Medical Center, Rheumatology, 983025 Nebraska Medical Center, Omaha, Nebraska, 68198-3025, USA

Correspondence to:
lkang{at}unmc.edu

SUMMARY

Hydroxychloroquine (HCQ) is an antimalarial agent that is commonly used to treat rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). The present report documents a case of hypoglycaemia due to HCQ in a patient with SLE and diabetes mellitus type 2, in which the HCQ completely replaced the need for daily subcutaneous insulin.


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