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 Munchhausen 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 Munchhausen syndrome.
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