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Factitious diabetic instability.

I A O'Brien, I G Lewin, B M Frier

    Diabetic Medicine : a Journal of the British Diabetic Association
    |September 1, 1985
    PubMed
    Summary
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    Factitious diabetic instability, often presenting as recurrent hypoglycemia or apparent insulin resistance with ketoacidosis, requires careful diagnostic methods. Understanding contributing factors is crucial for managing these complex cases.

    Area of Science:

    • Endocrinology
    • Metabolic Disorders
    • Psychiatry

    Background:

    • Factitious disorders can manifest in various medical conditions, including diabetes mellitus.
    • Diabetic instability presents diagnostic challenges, necessitating a thorough evaluation of potential underlying causes.

    Observation:

    • This study describes four patients with factitious diabetic instability.
    • Three patients experienced recurrent hypoglycemia, while one presented with apparent insulin resistance and ketoacidosis.

    Findings:

    • Diagnostic methods for identifying factitious disorder in diabetes are detailed.
    • Factors contributing to this specific type of diabetic instability are discussed.

    Implications:

    • Highlights the importance of considering non-adherence or intentional manipulation in unexplained glycemic fluctuations.

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  • Emphasizes the need for multidisciplinary approaches involving endocrinologists and mental health professionals.
  • Informs clinical practice regarding the diagnosis and management of factitious disorders in diabetic patients.