# Psychiatric Manifestations of Hypoglycemia in an Adolescent: A Case Report

**Authors:** Mulugeta Sitot Shibeshi, Abayneh Girma Tolcha, Tigist Zerihun

PMC · DOI: 10.1002/ccr3.70773 · Clinical Case Reports · 2025-08-08

## TL;DR

This case report highlights how low blood sugar can cause psychiatric symptoms in a diabetic adolescent, leading to potential misdiagnosis.

## Contribution

The paper emphasizes the importance of considering hypoglycemia before treating psychiatric symptoms in diabetic patients.

## Key findings

- Psychiatric symptoms in diabetic patients may be caused by hypoglycemia rather than a psychiatric disorder.
- Fluoxetine use can lead to hypoglycemia and associated psychiatric manifestations.

## Abstract

Psychiatric manifestations of hypoglycemia are rarely reported and can lead to misdiagnosis and mistreatment. When patients with diabetes present with psychiatric symptoms, hypoglycemia should be considered a possible cause before prescribing psychotropic drugs. Fluoxetine can induce hypoglycemia and its associated psychiatric symptoms.

## Linked entities

- **Chemicals:** Fluoxetine (PubChem CID 3386)
- **Diseases:** diabetes (MONDO:0005015)

## Full-text entities

- **Diseases:** Psychiatric (MESH:D001523), Hypoglycemia (MESH:D007003), diabetes (MESH:D003920)
- **Chemicals:** Fluoxetine (MESH:D005473)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12334273/full.md

## References

22 references — full list in the complete paper: https://tomesphere.com/paper/PMC12334273/full.md

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Source: https://tomesphere.com/paper/PMC12334273