A Case of Autoimmune Hypoglycemia in Switzerland

Abstract

In this report, we describe a white man with symptomatic hypoglycemia whose medical work-up revealed an excessively elevated serum insulin level (867 mIU/l). The need to measure IAA in patients with extraordinarily high measured levels of total insulin is essential because of the possible artifactual elevation (in a conventional insulin immunoassay) caused by IAA. In the present case, the elevated IAA level (>50 kIU/l) confirmed the diagnosis of autoimmune hypoglycemia and allowed to avoid unnecessary surgical intervention.

Statistical Relationships between Obesity, Cholesterol, Creatinine and the Risk of Development of Sugar Diabetes in Persons Over 50 Years Old in Mureș County

“…The correlation between obesity, BMI and glucose is shown in our study where we showed a strong correlation with age and creatinine as shown also by Jain et al (5) The prevalence in the excess increase in weight and obesity, as shown by Ali et al in their study in India, has a direct link with the increase in prevalence of obesity, hypertension, metabolic syndrome, dyslipidemia, diabetes and cardiovascular disease. (4) Changing your lifestyle through a healthy diet with small meals and frequent ones is shown by Ștefănescu et al (6) Regarding the correlation between total cholesterol serum and glucose, our results are more suggestive in the case of subjects with cholesterol values between 200-250 mg/dl (82.25%), females predominantly and aged between 60-69 years, with high glucose values of 120-180 mg /dl. The possibility that cholesterol has a negative effect over patients with diabetes is relevant as shown by our study and the study of Fernandez et al 7The high values of HDL cholesterol is reported in our case in subjects with HDL cholesterol values over 40 mg/dl, males, aged between 60-69 years, 85.71% of these subjects had glucose levels between 120-180 mg/dl.…”