Sulfonylurea-induced factitious hypoglycemia in a nondiabetic nurse

A case of sulfonylureainduced factitious hypoglycemia occurring in a nondiabetic medical nurse is reported. The patient presented with symptoms of hypoglycemia, consistently low fasting plasma glucose values and a reversal of symptoms with glucose administration. An intravenous tolbutamide provocati...

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Bibliographic Details
Published in:Canadian Medical Association journal 1975-01, Vol.112 (1), p.71-72
Main Authors: Walfish, P. G, Kashyap, R. P, Greenstein, S
Format: Article
Language:English
Subjects:
Adult
Blood Glucose - analysis
Female
Glucose Tolerance Test
Glyburide - adverse effects
Humans
Hypoglycemia - chemically induced
Insulin - blood
Munchausen Syndrome
Sulfonylurea Compounds - adverse effects
Tolbutamide
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Summary:A case of sulfonylureainduced factitious hypoglycemia occurring in a nondiabetic medical nurse is reported. The patient presented with symptoms of hypoglycemia, consistently low fasting plasma glucose values and a reversal of symptoms with glucose administration. An intravenous tolbutamide provocative test on two occasions showed little increase in plasma glucose values. The case is presented to illustrate that sulfonylureainduced hypoglycemia should be considered in the differential diagnosis of fasting adult hypoglycemia, especially in paramedical personnel, and particularly in those with a poor response to the intravenous tolbutamide test.
ISSN:0008-4409