Avtor/Urednik | Ravnik-Oblak, M; Janež, A; Kocijančič, A | |
Naslov | Insulinoma induced hypoglycemia in a type 2 diabetic patient | |
Tip | članek | |
Vir | Wien Klin Wochenschr | |
Vol. in št. | Letnik 113, št. 9 | |
Leto izdaje | 2001 | |
Obseg | str. 339-41 | |
Jezik | eng | |
Abstrakt | Insulinoma in a patient with pre-existing diabetes mellitus is extremely rare. We report a case of an insulinoma in a patient with type 2 diabetes mellitus who after 14 years of sulfonylurea treatment experienced recurrent episodes of hypoglycemia. Endogenous hyperinsulinism was confirmed and endoscopic ultrasonography identified a pancreatic tumor, which was positive for insulin by immuno-histological staining. After surgical excision of the tumor, no further hypoglycemic attacks occurred. Loss of body weight after removal of the tumor correlated with a dramatic reduction of insulin resistance to such a degree that diet alone proved sufficient for satisfactory glycemic control. | |
Deskriptorji | PANCREATIC NEOPLASMS DIABETES MELLITUS, NON-INSULIN-DEPENDENT HYPERGLYCEMIA INSULINOMA AGED TREATMENT OUTCOME HYPERINSULINISM INSULIN RESISTANCE MEMORY DISORDERS PANCREAS |