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HbA1 in the diagnosis of factitious remission of diabetes
A J Krentz1, P J Hale, E C Albutt
1Diabetic Clinic, General Hospital, Birmingham, UK.
Annals of Clinical Biochemistry
|March 1, 1988
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.