Alcohol has profound effects on glucose metabolism. Alcohol-induced hypoglycemia is rare in healthy individuals with good glycogen reserve, but may be life-threatening in individuals with silent chronic liver dysfunction, due to liver inability to manage glucose uptake. A 39-year-old male was admitted to the emergency room with sudden convulsion after taking local alcoholic beverages. A very low blood glucose level and significantly elevated liver enzyme levels were detected. The patient was stable after 3 days of intensive care without repeated phase of hypoglycemia.
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