AI Summary & Key Takeaways
AI InsightAfter the patient was taken into close observation, blood glycemia level was increased and diagnosis of factitious hypoglycemia was suggested.
📌 3 Key Takeaways
Abstract
Factitious hypoglicemia is a rare disease seen in childhood period. 10.2 years aged patient diagnosed as type 1 DM was hospitalized in our clinic for diabetic ketoasidosis. During the clinical follow-up of patient, severe hypoglycemic episodes were observed whereas insulin doses were decreased gradually. Although insulin administration was stopped hypoglycemic episodes still occured and insulin level was found high in serum samples. After the patient was taken into close observation, blood glycemia level was increased and diagnosis of factitious hypoglycemia was suggested.
Özet
Yapay hipoglisemi çocukluk çağında nadir görülen bir durumdur. Tip 1 DM tanısı alan 10.2 yaşındaki hasta diyabetik ketoasidoz tanısı ile kliniğimize yatırıldı. Olgunun klinik izleminde insulin dozu dereceli olarak azaltılmasına rağmen ciddi hipoglisemileri gelişti. İnsülin uygulanması kesilmesine rağmen hipoglisemik dönemleri devam etti ve alınan serum örneklerinde insülin düzeyi yüksek olarak saptandı. Olgu, yakın gözleme alındıktan sonra kan şekeri düzeyleri yükseldi ve yapay hipoglisemi tanısı konuldu.