AI Article Synopsis
- - A 26-year-old diabetes nurse experienced episodes of fasting hypoglycemia and hyperinsulinemia, raising concerns about self-induced illness due to a low C-peptide level.
- - Tests revealed that the insulin during her hypoglycemic episodes was of human origin, leading to the conclusion that her condition was not self-induced.
- - The diagnosis of nesidioblastosis (a rare condition causing excessive insulin production) was confirmed, resulting in a recommendation for surgical intervention.
Article Abstract
A 26-yr-old registered nurse who is employed as a diabetes nurse care coordinator had episodes of symptomatic fasting hypoglycemia associated with hyperinsulinemia and a relatively suppressed plasma C-peptide concentration, arousing the suspicion of self-induced illness. However, using a species-specific radioimmunoassay, the species of insulin during an episode of hypoglycemia was determined to be human in origin. Once the patient's illness was attributed to endogenous insulin hypersecretion, prompt surgical intervention and the diagnosis of nesidioblastosis in an adult was made.
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| http://dx.doi.org/10.2337/diacare.7.1.88 | DOI Listing |
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