Vesely D L, Castro A, Levey G S
Arch Intern Med. 1976 Aug;136(8):936-8.
A patient with diabetes mellitus and hypopituitarism developed the Somogyi effect that was characterized by insulin-induced hypoglycemia and rebound insulin-resistant hypoglycemia. This compensatory insulin-resistant hyperglycemia has generally been ascribed to the release of anterior hypophyseal hormones; however, our findings suggest that factors other than anterior hypophyseal hormones are involved.
一名患有糖尿病和垂体功能减退症的患者出现了苏木杰效应,其特征为胰岛素诱导的低血糖和反弹性胰岛素抵抗性低血糖。这种代偿性胰岛素抵抗性高血糖通常被归因于垂体前叶激素的释放;然而,我们的研究结果表明,垂体前叶激素以外的因素也参与其中。