Hypoglycemia in a Diabetes Nurse Care Coordinator
- William A Bauman, M.D.,
- Larry N Merkle, M.D.,
- Raymond A Rachman, M.D. and
- Sumi M Mitsuto, M.D.
- Departments of Clinical Sciences and Pathology, Montefiore Medical Center Bronx, New York and the Departments of Medicine and Pathology, Lehigh Valley Hospital Center Allentown, Pennsylvania
- Address reprint requests to Dr. William A. Bauman, Department of Clinical Sciences, Montefiore Medical Center, Bronx, New York 10467.
Abstract
A 26-yr-old registered nurse who is employed as a diabetes nurse care coordinator had episodes of symptomatic fasting hypoglycemia associated with hyperinsulinemia and a relatively suppressed plasma C-peptide concentration, arousing the suspicion of self-induced illness. However, using a species-specific radioimmunoassay, the species of insulin during an episode of hypoglycemia was determined to be human in origin. Once the patient's illness was attributed to endogenous insulin hypersecretion, prompt surgical intervention and the diagnosis of nesidioblastosis in an adult was made.
- Copyright © 1984 by the American Diabetes Association
