Abstract:
Hypoglycemia presents relatively typical symptoms. However, when it occurs spontaneously - like in insulin autoimmune syndrome - it is difficult to perform scheduled biochemical tests at the laboratory. The study presents the case of a 31-year-old Caucasian female whose recurrent hypoglycemia symptoms were the reason for further diagnostics. The final results revealed a positive test for insulin autoantibody and glutamic acid decarboxylase autoantibody. Therefore, not only the potential causes of hypoglycemia but also an active autoimmune process typical for latent autoimmune diabetes in adults were confirmed. It was concluded that autoimmune hypoglycemia can be a part of the autoimmune process associated with diabetes and pre-diabetes in adults.
摘要:
低血糖表现出相对典型的症状。然而,当它像胰岛素自身免疫综合征一样自发发生时,很难在实验室进行预定的生化检查。该研究介绍了一名31岁的白人女性,其反复的低血糖症状是进一步诊断的原因。最终结果显示胰岛素自身抗体和谷氨酸脱羧酶自身抗体的阳性测试。因此,不仅证实了低血糖的潜在原因,而且证实了成人隐匿性自身免疫性糖尿病典型的主动自身免疫过程.结论自身免疫性低血糖可能是与成人糖尿病和糖尿病前期相关的自身免疫过程的一部分。