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Accurate selection of insulin immunoassay to discern factitious hypoglycemia: a case report

Manuela Lotierzo1,2, Thierry Galvez3, Guilhem Conquet4

  • 1Laboratory of Biochemistry and Hormonology, Montpellier University Hospital, Montpellier, France. m-lotierzo@chu-montpellier.fr.

Acta Diabetologica
|October 18, 2022
PubMed
Abstract

No abstract available in PubMed .

Keywords:
HypoglycemiaImmunoassays cross-reactivityInsulin analoguesInsulinemia

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Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
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