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Report of a glycemic imbalance in a diabetic patient after initiation of nicotine replacement therapy

Javelot H, Westphal JF, Socha M, Vasselon P, Germain-Zito N, Baratta A, Nonnenmacher C, Messaoud M, Bohme,P, Javelot T. - 2009, Journal de Pharmacie Clinique 28:193-198

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.