Abstract
To the Editor: In his recent review (N Engl J Med 293:280–285)Dr. Shand suggested that the importance of hypoglycemia associated with propranolol therapy had been exaggerated, except in insulin-treated diabetic patients. A recent literature search by us suggests, however, that hypoglycemia associated with propranolol therapy is not limited to diabetic patients. We obtained all English-language references to "Propranolol and Hypoglycemia" in MEDLARS through July 31, 1975. Reports of 15 cases were found. In compliance with the Freedom of Information Regulations, the FDA supplied us with the four additional cases of hypoglycemia that have been reported as adverse reactions to . . .

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