intentional hypoglycaemia in diabetic patients treated with insulin

Clicks: 127
ID: 178726
2007
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Abstract

Introduction: Hypoglycaemia is the significant limiting factor in management of diabetes. It causes a recurrent morbidity and impairs quality of life in most patients, especially those with Type 1 diabetes. Non-iatrogenic hypoglycaemia in a diabetic patient presents a difficult diagnostic challenge. It could be a consequences of deliberately use of insulin or insulin secretegogues (factitious hypoglycaemia, malingering) or organic diseases (insulinoma).

Cases report: Two diabetic patients with surreptitious episodes of hypoglycaemia due to intentional application of insulin are described. This condition has to be suspected in unexplained recurrent episodes of hypoglycaemia. In these cases determination of C-peptide and insulin levels should be considered prior to other more invasive and expensive diagnostic procedures

Conclusions: The authors believe that early and correct diagnosis of intentional hypoglycaemia prevents unnecessary diagnostic and therapeutic procedures as well as possible morbidity and mortality. The aim of the present report is to remind the medical personnel, especially in the emergency departments, of this often overlooked condition.

Reference Key
ravnik-oblak2007zdravnikiintentional Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Maja Ravnik-Oblak;Mitja Lainščak
Journal planta medica
Year 2007
DOI
DOI not found
URL
http://vestnik.szd.si/index.php/ZdravVest/article/view/1681
Keywords
diabetes mellitus

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