open access

Vol 7, No 6 (2018)
Case reports
Published online: 2019-01-07
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Iatrogenic hypoglycemia in a patient with type 2 diabetes and Münchhausen syndrome

Edyta Cichocka, Janusz Gumprecht
DOI: 10.5603/DK.2018.0030
·
Clinical Diabetology 2018;7(6):279-281.

open access

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

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.

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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Keywords

hypoglycemia, insulinoma, Münchhausen syndrome

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About this article
Title

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

Journal

Clinical Diabetology

Issue

Vol 7, No 6 (2018)

Pages

279-281

Published online

2019-01-07

DOI

10.5603/DK.2018.0030

Bibliographic record

Clinical Diabetology 2018;7(6):279-281.

Keywords

hypoglycemia
insulinoma
Münchhausen syndrome

Authors

Edyta Cichocka
Janusz Gumprecht

References (8)
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  2. Kamocki ZK, Wodyńska NA, Pryczynicz A. Co-existence of insulinoma and diabetes: A case report. Oncol Lett. 2014; 8(4): 1697–1700.
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  4. Assyov Y, Gateva A, Zaharieva E, et al. Concomitant insulinoma and type 2 diabetes mellitus diagnoses: a case report. J Diabetes. 2016; 8(5): 740–742.
  5. Moller DE, Cohen O, Yamaguchi Y, et al. Prevalence of mutations in the insulin receptor gene in subjects with features of the type A syndrome of insulin resistance. Diabetes. 1994; 43(2): 247–255.
  6. Burton MC, Warren MB, Lapid MI, et al. Munchausen syndrome by adult proxy: a review of the literature. J Hosp Med. 2015; 10(1): 32–35.
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  8. Ameh V, Speak N. Factitious hypoglycaemia in a nondiabetic patient. Eur J Emerg Med. 2008; 15(1): 59–60.

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