Jermendy G
Fövárosi Bajcsy-Zsilinszky Kórház III. Belosztály.
Orv Hetil. 1995 Jan 1;136(1):31-3.
The medical history of a 43-year-old non-insulin-dependent diabetic patient is presented. The exact diagnosis of the cause of repetitive and severe hypoglycaemic episodes proved to be difficult. Finally, high serum insulin and low C-peptide values were found in peripheral venous blood during hypoglycaemia resulting in an elevated (> 1.0) molar ratio of insulin to C-peptide. The laboratory findings were assessed as consequences of surreptitious insulin administration. Factitious hypoglycaemia could be considered as a clinical manifestation of Munchhausen syndrome. Confronting the patient with evidences of surreptitious insulin injections, hypoglycaemic episodes abruptly discontinued to occur.
本文介绍了一名43岁非胰岛素依赖型糖尿病患者的病史。事实证明，准确诊断反复出现的严重低血糖发作的原因很困难。最后，在低血糖期间外周静脉血中发现高血清胰岛素和低C肽值，导致胰岛素与C肽的摩尔比升高（>1.0）。实验室检查结果被评估为隐匿性胰岛素注射的后果。人为性低血糖可被视为孟乔森综合征的一种临床表现。当向患者出示隐匿性胰岛素注射的证据时，低血糖发作突然不再发生。
