title: Factitious hypoglycemia. Clues to identifying an elusive disorder.
abstract: Factitious hypoglycemia is similar in presentation to insulinoma and occurs most commonly in persons with ready access to insulin. Diagnosis previously was based on circumstantial evidence but now can be confirmed by demonstration of high insulin levels and low C-peptide levels in the presence of hypoglycemia. Treatment is primarily psychiatric, and success so far is limited.
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002096:C-Peptide / Q000097:blood; D005162:Factitious Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced* / Q000523:psychology; D007328:Insulin / Q000008:administration & dosage / Q000097:blood; D008875:Middle Aged; D012646:Self Administration; D019966:Substance-Related Disorders / Q000175:diagnosis*
chemical_list: D001786:Blood Glucose; D002096:C-Peptide; D007328:Insulin