factitious hypoglycemia

factitious hypoglycemia

Surreptitious ingestion of hypoglycemics–eg, sulfonylureas or insulin, often by ♀ age 30-40, in health professions Diagnosis Measure oral hypoglycemics, serum glucose, insulin antibodies,
C-fragment of insulin is present in the serum of normal subjects at a ratio of 5-15:1; it is ↓ in insulin injecters. See Hypoglycemia, Munchausen disease.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.
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References in periodicals archive ?
Mohajeri-Tehrani et al., "Factitious hypoglycemia caused by a unique pattern of drug use: a case report," International Journal of Endocrinology and Metabolism, vol.
Toxicological and Biochemical Analyses of an Autopsy Case Involving Oral Overdose of Multiple Antidiabetic and Antihypertensive Drugs
Diagnosis of ABCC8 Congenital Hyperinsulinism of Infancy in a 20-Year-Old Man Evaluated for Factitious Hypoglycemia J Clin Endocrinol Metab 2017;102:345-349.
Congenital Hyperinsulinism: Diagnosis and Treatment Update
We concluded that this patient had factitious hypoglycemia, a syndrome where patients self-induce hypoglycemia to seek medical attention or assume a sick role.
* Factitious hypoglycemia is highly challenging to diagnose and manage.
* Measurement of C-peptide and free and direct insulin can help differentiate factitious hypoglycemia from other organic causes.
Recurrent nocturnal hypoglycemia in a patient with type 1 diabetes mellitus
The differential diagnoses of hyperinsulinemic hypoglycemia include familial persistent hyperinsulinemic hypoglycemia, primary islet-cell hyperplasia, noninsulinoma pancreatogenous hypoglycemic syndrome, insulinoma, and factitious hypoglycemia (6).
Diyabetik bir hastada nadir bir hipoglisemi sebebi: malign metastatik insulinoma / A rare cause of hypoglycemia in a diabetic patient: malign metastatic insulinoma
Presumed to be rare, factitious hypoglycemia is most often seen in people without diabetes who are healthcare workers, relatives of diabetes patients, and often women.
Commentary
"Factitious hypoglycemia" is confirmed when the origin of the insulin increase is demonstrated to be exogenous (suppressed plasma C-peptide immunoreactivity) or when SU drugs (or their metabolites) are found in serum or urine (9-12).
To introduce the CE method as a confirmatory method for SU identification in the cases of factitious hypoglycemia, we tried to optimize the preanalytical phase by replacing the classical liquid-liquid extraction with a solid-phase extraction (22).
Factitious hypoglycemia due to surreptitious administration of insulin: diagnosis, treatment and long-term follow-up.
Sulfonylurea-induced factitious hypoglycemia in a non-diabetic nurse.
Comparison of capillary electrophoresis with HPLC for diagnosis of factitious hypoglycemia

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