Abstract
With the development of a technique<sup>1</sup>to measure insulin antibodies in plasma, the diagnosis of factitial hypoglycemia due to the surreptitious administration of insulin can be made with certainty, thereby sparing the patient unnecessary pancreatic exploration and resection in search of an insuloma. Patients 1 and 2 were mentioned but not described in a previous report.<sup>2</sup>The case of patient 3 of this communication represents the first report, to our knowledge, of the surreptitious use of both insulin and a sulfonylurea. <h3>Methods</h3> Whole blood glucose was determined by an auto-analyzer ferricyanide technique.<sup>3</sup>Plasma insulin was determined by the double antibody radioimmunoassay of Morgan and Lazarow.<sup>4</sup>Insulin antibodies were assayed by the method of Skom and Talmage.<sup>1</sup> <h3>Patient Summaries</h3><h3>Patient 1.</h3> —A 48-year-old registered nurse began to experience spells of generalized weakness, periorbital numbness and tingling, diaphoresis, tremulousness, and double vision in 1960. These episodes usually
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
