Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/47118
Título: Factitious hypoglycemia in pregnancy in a patient with type 2 diabetes
Autores/as: Vega Guedes, Begoña 
Santana Acosta, Concepción
Cabrera, Antonio
Wägner, Ana M. 
Clasificación UNESCO: 32 Ciencias médicas
320108 Ginecología
Palabras clave: Hypoglycemia
Pregnancy
Diabetes
Fecha de publicación: 2014
Publicación seriada: Obstetrics and Gynecology 
Resumen: 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
Fuente: Obstetrics and Gynecology[ISSN 0029-7844],v. 124, p. 456-458
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