Insulinoma induced hypoglycemia in a type 2 diabetic patient.

Abstract:

:Insulinoma in a patient with pre-existing diabetes mellitus is extremely rare. We report a case of an insulinoma in a patient with type 2 diabetes mellitus who after 14 years of sulfonylurea treatment experienced recurrent episodes of hypoglycemia. Endogenous hyperinsulinism was confirmed and endoscopic ultrasonography identified a pancreatic tumor, which was positive for insulin by immuno-histological staining. After surgical excision of the tumor, no further hypoglycemic attacks occurred. Loss of body weight after removal of the tumor correlated with a dramatic reduction of insulin resistance to such a degree that diet alone proved sufficient for satisfactory glycemic control.

journal_name

Wien Klin Wochenschr

authors

Ravnik-Oblak M,Janez A,Kocijanicic A

subject

Has Abstract

pub_date

2001-04-30 00:00:00

pages

339-41

issue

9

eissn

0043-5325

issn

1613-7671

journal_volume

113

pub_type

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