Prelipcean Maria S, O'Neil Patrick J, Bell David S H
University of Alabama Medical School, Birmingham, AL, USA.
South Med J. 2005 Jul;98(7):726-8. doi: 10.1097/01.smj.0000168136.16876.ea.
To describe a case of hyperinsulinemic hypoglycemia precipitated by weight loss.
We present a detailed case report and results of a related literature search on hyperinsulinemic hypoglycemia precipitated by weight loss.
The presence of an insulinoma was unveiled by voluntary weight loss and reduction of insulin resistance. Hypoglycemia occurred during the postprandial period and not at night. The diagnostic workup was accomplished without hospital admission.
Classically, insulinomas present with weight gain and fasting hypoglycemia but may present with postprandial hypoglycemia and weight loss. Voluntary weight loss, by lowering insulin resistance, accelerates the time to clinical presentation of an asymptomatic insulinoma.
描述一例因体重减轻引发的高胰岛素血症性低血糖症病例。
我们呈现一份详细的病例报告以及关于因体重减轻引发的高胰岛素血症性低血糖症的相关文献检索结果。
通过自愿减重和胰岛素抵抗降低，发现了胰岛素瘤的存在。低血糖发生在餐后而非夜间。诊断检查在未住院的情况下完成。
经典情况下，胰岛素瘤表现为体重增加和空腹低血糖，但也可能表现为餐后低血糖和体重减轻。自愿减重通过降低胰岛素抵抗，加速了无症状胰岛素瘤的临床显现时间。
