A mysterious case of normalising blood sugar: insulinoma in a long-standing diabetic patient

Age and Ageing
Muhammad Fuad HameedZoe Muir

Abstract

We report a case of recurrent hypoglycaemia in a long-standing type 2 diabetic patient, despite dramatic reduction in her anti-diabetic therapy. Subsequent investigations revealed an insulinoma as the cause. This patient was treated medically with diazoxide therapy, as multiple co-morbidities were felt to preclude surgical intervention. Although insulinoma is rare in the elderly and exceedingly rare in the context of type 2 diabetes, it should be given due consideration when no other exacerbating factor is found.

References

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Citations

Jan 1, 2011·BMJ Case Reports·Asgar Madathil, Jola Weaver
Mar 10, 2012·Journal of Diabetes and Its Complications·Soner CanderSazi Imamoğlu
Feb 9, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·E AdemoğluD Corapçioğlu
Dec 17, 2009·Internal Medicine·Jihyun AhnYun Jae Chung
Jul 10, 2012·The Journal of Clinical Endocrinology and Metabolism·Rachel E RobertsSimon J B Aylwin

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