Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/47118
Title: Factitious hypoglycemia in pregnancy in a patient with type 2 diabetes
Authors: Vega Guedes, Begoña 
Santana Acosta, Concepción
Cabrera, Francisco
Wägner, Ana M. 
Keywords: Woman
Issue Date: 2014
Publisher: 0029-7844
Journal: Obstetrics and Gynecology 
Abstract: BACKGROUND: Glycemic control in pregnancy complicated by diabetes is important. Spontaneous symptomatic hypoglycemia, in the absence of glucose-lowering treatment, is rare and requires evaluation to prevent harm.CASE: As a result of hypoglycemia, a pregnant woman with type 2 diabetes mellitus had progressive reduction of her insulin requirements until treatment was discontinued at 27 weeks. Despite this, she reported persistent episodes of hypoglycemia. Investigation of possible causes resulted in the discovery that she was covertly treating herself with insulin.CONCLUSION: Factitious hypoglycemia should be considered as part of the differential diagnosis of unexplained hypoglycemia. Blood sampling during an episode of hypoglycemia is pivotal in this assessment.
URI: http://hdl.handle.net/10553/47118
ISSN: 0029-7844
DOI: 10.1097/AOG.0000000000000138
Source: Obstetrics and Gynecology[ISSN 0029-7844],v. 124, p. 456-458
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