title: A mysterious case of normalising blood sugar: insulinoma in a long-standing diabetic patient.
abstract: We report a case of recurrent hypoglycaemia in a long-standing type 2 diabetic patient, despite dramatic reduction in her anti-diabetic therapy. Subsequent investigations revealed an insulinoma as the cause. This patient was treated medically with diazoxide therapy, as multiple co-morbidities were felt to preclude surgical intervention. Although insulinoma is rare in the elderly and exceedingly rare in the context of type 2 diabetes, it should be given due consideration when no other exacerbating factor is found.
authors.affiliation: Department of Medicine for the Elderly, Woodend Hospital, Eday Road, Aberdeen, AB15 6XS, UK. fhameed@nhs.net
authors.forename: Muhammad Fuad
authors.initials: MF
authors.lastname: Hameed
authors.forename: Graeme E
authors.initials: GE
authors.lastname: Hoyle
authors.forename: Zoe
authors.initials: Z
authors.lastname: Muir
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003981:Diazoxide / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D007340:Insulinoma / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D003981:Diazoxide