factitious hypoglycemia
factitious hypoglycemia
Surreptitious ingestion of hypoglycemics–eg, sulfonylureas or insulin, often by ♀ age 30-40, in health professions Diagnosis Measure oral hypoglycemics, serum glucose, insulin antibodies,C-fragment of insulin is present in the serum of normal subjects at a ratio of 5-15:1; it is ↓ in insulin injecters. See Hypoglycemia, Munchausen disease.