A 43-year-old man with recurrent spontaneous hypoglycemia

Authors

  • Md Hasanul Islam Resident, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Md Ashiqur Rahman Resident, Department of Endocrinology, BSMMU, Dhaka, Bangladesh
  • Murshed Ahamed Khan Associate professor, Department of Endocrinology, BSMMU, Dhaka, Bangladesh
  • Samira Mahjabeen Assistant professor, Department of Endocrinology, BSMMU, Dhaka, Bangladesh
  • Marufa Mustari Assistant professor, Department of Endocrinology, BSMMU, Dhaka, Bangladesh
  • Md Fariduddin Professor, Department of Endocrinology, BSMMU, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jacedb.v3i2.78657

Keywords:

Insulin autoimmune syndrome, Hypoglycemia, Insulin antibody

Abstract

Insulin autoimmune syndrome (IAS) is a rare hypoglycemic disorder characterized by recurrent episodes of fasting or late post-prandial hypoglycemia with a very high level of insulin and positive insulin antibody. We are reporting a case of recurrent episodes of spontaneous hypoglycemia in a 43-year-old male with biopsy-proven autoimmune hepatitis. After a thorough evaluation, he was found to have endogenous hyperinsulinemia. As there was no apparent cause of endogenous hyperinsulinemia, he was evaluated for insulin antibody which was found to be raised. A diagnosis of IAS was made, and he was put on a small frequent meal with tab diazoxide, and he improved. Although it is an uncommon disease, it should be kept in the differential diagnosis of spontaneous hypoglycemia.

J Assoc Clin Endocrinol Diabetol Bangladesh, July 2024;3(2): 71-74

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Published

2024-12-30

How to Cite

Islam, M. H., Rahman, M. A., Khan, M. A., Mahjabeen, S., Mustari, M., & Fariduddin, M. (2024). A 43-year-old man with recurrent spontaneous hypoglycemia. Journal of Association of Clinical Endocrinologist and Diabetologist of Bangladesh, 3(2), 71–74. https://doi.org/10.3329/jacedb.v3i2.78657

Issue

Vol. 3 No. 2 (2024)

Section

Case Report

License

Copyright (c) 2024 Md Hasanul Islam, Md Ashiqur Rahman, Murshed Ahamed Khan, Samira Mahjabeen, Marufa Mustari, Md Fariduddin

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.