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There has been ambiguity in managing the complications related to insulin overdose, despite the passage of about 70 years since the first case was reported.1 Mild-to-moderate, transient and self-limiting liver dysfunction associated with high strength and prolonged dextrose load to treat hypoglycaemia due to insulin overdose has been reported sparsely in the literature and is relatively poorly understood.2 We attempt to highlight this uncommon, transient complication of managing hypoglycaemia in a patient with insulin overdose.

Glucose infusion-induced liver dysfunction following treatment of prolonged hypoglycaemia after a massive insulin overdose