Medical Nutrition Therapy Is Effective in the Management of Hypoglycemia Caused by Insulin Antibodies: A Case Report and Literature Review.
Autoimmune antibodies, induced by exogenous insulin preparations, may result in labile glucose control and frequent hypoglycemia in some rare cases. In addition to insulin cessation, immune suppressants and/or plasmapheresis have been used as the primary remedies for these patients. Some previous studies also indicate that the condition tends to remit spontaneously after discontinuation of insulin exposure. Because of this, the clinical importance of nutritional interventions and behavioral approaches, which may play a role in ameliorating the symptoms, should also be emphasized. Herein, we report on a 64-year-old man with hypoglycemia induced by insulin antibodies (IAs), whose hypoglycemic symptoms significantly improved after the implementation of nutrition therapy. This rare case expands our knowledge of the management of hypoglycemia, and for the first time highlights the significance of nutritional and lifestyle intervention in treatment of IA-induced hypoglycemia.
a Department of Clinical Nutrition, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , CHINA.
Rongrong
R
Li
b Department of Endocrinology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , CHINA.
Jiangfeng
J
Mao
a Department of Clinical Nutrition, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , CHINA.
Kang
K
Yu
c Department of Cardiology, The First People's Hospital of Yunnan Provience , Kunming , CHINA.
Lilin
L
Wang
b Department of Endocrinology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , CHINA.
Mingming
M
Hu
b Department of Endocrinology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , CHINA.
Lingling
L
Xu
D001323:Autoantibodies / Q000097:blood*; D001327:Autoimmune Diseases / Q000209:etiology / Q000276:immunology / Q000628:therapy*; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology / Q000276:immunology / Q000628:therapy*; D007328:Insulin / Q000276:immunology*; D007330:Insulin Antibodies / Q000097:blood*; D008297:Male; D008875:Middle Aged; D044623:Nutrition Therapy; D016896:Treatment Outcome
D001323:Autoantibodies; D007328:Insulin; D007330:Insulin Antibodies
dietary management; hypoglycemia; insulin antibody; lifestyle modification; nutrition therapy