Vol 7, No 6 (2018)
Case report
Published online: 2019-01-07

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Iatrogenic hypoglycemia in a patient with type 2 diabetes and Münchhausen syndrome

Edyta Cichocka1, Janusz Gumprecht1
Clin Diabetol 2018;7(6):279-281.

Abstract

The coexistence of insulinoma and type 2 diabetes is rare, however it is reported in the literature. Episodes of hypoglycemia in patients with type 2 diabetes are, to some extent, part of the disease due to the therapy and the use of all hypoglycemic drugs including diet in­tervention. However, persistent episodes require diagnosis even after discontinuation of diabetes therapy. We present a patient with iatrogenic hypoglycemia and type 2 diabetes in Münchhausen syndrome. The coexistence of type 2 diabetes and insulinoma was sus­pected in that patient but the clinical picture suggested exogenous administration of hypoglycemic drugs, which was finally confirmed. Factitious hypoglycemia was a symptom of mental disorders such as a Münch­hausen syndrome.

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