title: [Non usual cases of hypoglycaemia - hypoglycaemia factitia].
abstract: Hypoglycaemia factitia means also in recent time serious diagnostic and therapeutic problem in medical clinical practice, whereby often repeating episodes of serious hypoglycaemia in patients with diabetes mellitus, but also in patients without diabetes mellitus could be very difficult do resolve. First unsuccessful diagnosis implicit from wrong chose of examination algorithm, can lead to unidentified surgical interventions as are laparotomy and pancreatectomy, respectively. Hypoglycaemia factitia is considered to be one of many manifestations of so called Münch-hausens syndrome for that is typical acting of diabetic patient with goal to intentionally making hypoglycaemia or within suicidal attempt of patient on the basis psychological disease with intention to attract attention of surrounding community to himself due to application of insulin or sulfonylurea drugs. Diagnostic and therapeutic process could be in the case of hypoglycaemia factitia extremely difficult as from time side, than from health and also from economical side and that why necessary to approach with maximum responsibility.
  
  
  BACKGROUND
  diabetes mellitus - hypoglycaemia factitia - Münchhausens syndrome.
authors.forename: Michal
authors.initials: M
authors.lastname: Mokáň
authors.forename: Peter
authors.initials: P
authors.lastname: Galajda
authors.forename: Marián
authors.initials: M
authors.lastname: Mokáň