HbA1 in the diagnosis of factitious remission of diabetes.
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.
Krentz
A J
AJ
Diabetic Clinic, General Hospital, Birmingham, UK.
Hale
P J
PJ
Albutt
E C
EC
Nattrass
M
M
D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000175:diagnosis*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D007328:Insulin / Q000097:blood; D007657:Ketone Bodies / Q000097:blood
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007328:Insulin; D007657:Ketone Bodies