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HbA1 in the diagnosis of factitious remission of diabetes.

Authors
  • Krentz, A J
  • Hale, P J
  • Albutt, E C
  • Nattrass, M
Type
Published Article
Journal
Annals of clinical biochemistry
Publication Date
Mar 01, 1988
Volume
25 ( Pt 2)
Pages
150–154
Identifiers
PMID: 3289465
Source
Medline
License
Unknown

Abstract

A case of factitious remission of type I diabetes in an adolescent girl is reported. The clue to diagnosis came from an inconsistency between clinic blood glucose levels and the corresponding values of glycosylated haemoglobin. Investigations of 24 h hormone and metabolite profiles demonstrated discrepancies between insulin dose, endogenous insulin production and free insulin levels which provided confirmatory evidence of surreptitious self-administration of insulin by the patient.

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