Hypoglycemias deliberately induced by insulin in diabetic children
https://doi.org/10.14341/probl11490
Abstract
Hypoglycemic conditions are one of the complex problems in modern medicine. Among patients with diabetes mellitus (DM), obvious and asymptomatic hypoglycemia, according to various authors, are recorded in 25–58% of patients. Asymptomatic hypoglycemia is more often observed at 3 o'clock. Severe hypoglycemia as a cause of death occurs in 0.25-0.05% of cases of insulin therapy. There are few reports of deliberately induced hypoglycemia in patients with diabetes. This is more often observed in young girls and is considered as one of the options for Munchausen syndrome. The authors observed three such patients in Endocrinology research centre, the article presents one of these cases.
About the Authors
T. L. KurayevaEndocrinology research center of RAMS
Russian Federation
O. V. Remizov
Endocrinology research center of RAMS
Russian Federation
References
1. Генес С. Г. Гипогликемия. Гипогликемический симптомокомплекс. — М., 1970. — С. 108.
2. Касаткина Э. П., Волкова T. Н., Матковская А. И. // Вопр. охр. мат. — 1982. — № 4. — С. 42—45.
3. Старостина Е. Г., Перелыгина А. А., Магомедова А. К. и др. // Сов. мед. — 1991. — № 2. — С. 82—84.
4. Эндокринология и метаболизм / Под ред. Ф. Фелига, Дж. Д. Бакстера, А. Е. Бродуса, Л. А. Фромена: Пер. с англ. - М., 1985. — Т. 2. — С. 244—246.
5. Bending J., Pickup J., Кип H. // Amer. J. Med. — 1985. — Vol. 79, N 7. — P. 685—691.
6. Boden J., Reichard G. A. Hoeldtke R. D. Jr. et al. // New Engl. J. Med. — 1981. — Vol. 305, N 14. — P. 1200—1205.
7. Caduff F., Vonesch H. S., Klopfstein M, Berger W. // Schweiz, med. Wochenschr. —1989. — Bd 119, N 1. — S. 9—15.
8. Cryer P. E. // Diabetes. — 1992. —Vol. 41, N 2. — P. 255— 260.
9. Cryer P. Е. // Diabetes Care. — 1993. — Vol. 16, Suppl. 3. — P. 40—48.
10. DCCT Research Group: Diabetes Control and Complications Trial (DCCT): results of feasibility study // Ibid. — 1987. — Vol. 10, N 1. — P. 1—9.
11. DCCT Research Group. Epidemiology of severe hypoglycemia in the DCCT // Amer. J. Med. — 1991. — Vol. 90, N 4. — P. 450—459.
12. Editorial Hypoglycemia and diabetes control // Lancet. — 1991. — VoL 333, N 8771. — P. 885—855.
13. Goldgewicht C., Slama G., Papoz L., Tchohroutsky G. // Diabetologia. — 1983. — Vol. 24, N 1. — P. 95—99.
14. Kump A., Staht М., Chduff F., Berger W. // Dtsch. med. Wochenschr. — 1987. — Bd 112, N 6. — S. 28—29.
15. Kushi M. Diabetes and Hypoglycemia. — Tokyo, 1985. — P. 67—68.
16. Nilsson A., Tideholm B., Kalen J., Katzman P. // Acta med. scand. — 1988. — Vol. 3, N 2. — P. 257—262.
17. Reynolds C., Molnar G., Horwitz D. et al. // Diabetes. — 1977. — Vol. 21, N 1. — P. 36—45.
18. Scarlett J. A., Mako M., Rubinstein A. H. et al. // New Engl. J. Med. — 1977. — Vol. 297, N 14. — P. 1029—1031.
19. Shima R., Tanaka R., Morishita S. et al. // Diabetes.— 1977. — Vol. 26, N 8. — P. 717—725.
20. Thorsteinsson B., Pramming S., Lauritzen T. et al. // Diabet. Med. — 1986. — Vol. 3, N 1. — P. 147—151.
21. Unger R. Н.// Diabetes. — 1983. — Vol. 32, N 6. — Pt 1. — P. 575—583.
22. Ziegler D. // Klin. Wochenschr. — 1988. — Bd 66, N 3. — S.388—396.
Review
For citations:
Kurayeva T.L., Remizov O.V. Hypoglycemias deliberately induced by insulin in diabetic children. Problems of Endocrinology. 1995;41(6):27-29. (In Russ.) https://doi.org/10.14341/probl11490
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