Recurrent hypoglycaemia in a patient with thyrotoxicosis due to Insulin autoimmune syndrome
Insulin autoimmune syndrome (IAS) is an immune-mediated hyperinsulinaemic hypoglycemia in individuals previously unexposed to exogenous insulin. A 63-year-old woman developed recurrent hypoglycemic episodes despite being on optimal glycemic support. She was diagnosed with Graves' disease and wa...
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| Main Authors: | , , , , |
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| Format: | Book |
| Published: |
Sri Lanka College of Internal Medicine,
2023-02-01T00:00:00Z.
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| Summary: | Insulin autoimmune syndrome (IAS) is an immune-mediated hyperinsulinaemic hypoglycemia in individuals previously unexposed to exogenous insulin. A 63-year-old woman developed recurrent hypoglycemic episodes despite being on optimal glycemic support. She was diagnosed with Graves' disease and was on carbimazole. Her insulin: C peptide ratio was suggestive of exogenous insulin administration or presence of insulin autoantibodies. Her insulin antibody level was elevated. IAS was probably secondary to her carbimazole therapy. |
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| Item Description: | 10.4038/ajim.v2i1.78 2827-7260 |